Surgery Flashcards Preview

Anatomy > Surgery > Flashcards

Flashcards in Surgery Deck (43):
1

Achlorhydria

absence of hydrocholric acid in the stomach

2

Amaurosis fugax

transient visual loss in one eye

3

Bovie

Electrocautery

4

Celiotomy

surgical incision into the peritoneal cavity

5

Curettage

scraping of the internal surface of an organ or body cavity with a spoon shaped instrument

6

Gastropexy

surgical attachment of the stomach to the abdominal wall

7

Inspissated

thicken, hard

8

Leiomyoma

Benign tumor of smooth muscle

9

Ballance's sign

constant dullness to percussion in LUQ and resonance to percussion in the right flank seen with splenic rupture

10

Battle's sign

eccyhmosis over the mastoid process in the patients with basilar skull fractures

11

Beck's triad

cardiac tamponade: JVD, decreased or muffled heart sounds, decreased blood pressure

12

Bergmans' triad

fat emboli syndrome: mental status changes, petechiae, dyspnea

13

Blumer's shelf

metastatic disease to rectouterine or rectovesical pouch creating a shelf that is palpable on rectle exam

14

Boas' sign

right subscapular pain resulting from cholelithiasis

15

Borchardt's triad

gastric volvulus: emesis followed by retching, epigastric distention, failure to pass an NGT

16

Carcinoid triad

carcinoid syndrome: flushing, diarrhea, right-sided HF

17

Charcot's triad

cholangitis: fever, jaundice, RUQ pain

18

Cushing's triad

increase intracranial pressure: hypertension, bradycardia, irregular respirations

19

Dance's sign

empty RLQ in children with ileocecal intussusception

20

Homan's sign

calf pain on forced dorsiflecion of the foor in pts with DVT

21

Kehr's sign

severe left shoulder pain in pts with splenic rupture

22

Kelly's sign

visible peristalsis of the ureter in response to squeezing or retraction- to identify ureter in surgery

23

Meckel's diverticulum rule of 2s

2% of the pop have a Meckel's diverticulum, 2% of those are symptomatic, and they occur within 2 feet of the ileocecal valve

24

Pheochromocytoma symptoms triad

PHE: palpitations, headache, episodic diaphoresis

25

Raccoon eyes

bilateral black eyes as a result of basilar skull fracture

26

Reynold's pentad

Fever, jaundice, RUQ pain, mental status changes, shock: charcots + mental status change, shock

27

Saint's triad

cholelithiasis, hiatel hernia, diverticular disease

28

Virchow's triad

thrombosis: stasis, abnormal endothelium, hypercoagulability

29

Valentino's sign

RLQ pain from a perforated peptic ulcer due to pus draining into the RLQ

30

Whipple's triad

insulinoma: hypoglycemia, CNS and vasomotor symptoms, relief of symptoms with admin of glucose

31

Model for end stage liver disease

INR, Serum bilirubin and creatinine; average score for liver transplant pt is 26-33

32

Wernicke's encephalopathy triad

Confusion, opthalmoplegia, ataxia

33

Curling's ulcer

Peptic ulcer from severe burns

34

Dieulafoy ulcer

Gastric bleeding from AVM

35

Aphthous ulcer

Ulcer from crohn's

36

Marginal ulcer

Ulcer at GI anastomoses

37

Child's Pugh score

Ascites, bilirubin, encephalopathy, albumin, pt time

38

Ranson criteria

Age >55, WBC >16k, Glucose>200, AST>250, LDH>350; at 48 hrs Ca10%, PaO24, BUN>5 increase, sequestration >5L

39

What does Ranson criteria predict?

Mortality in acute pancreatitis pts, a score greater than 7 predicts 100% mortality

40

Causes of cyanotic heart disease

5 T's: tetrology of fallot, truncus arteriosis, tricuspid atresia, transposition of great vessels, totally anomalous pulmonary venous return

41

Most common benign heart lesion

Myxoma

42

Most common malignant heart lesion in children

Rhamdomyosarcoma

43

Odontoid fracture

Type 1, type 2, type 3; tip of dens, base of dens, and through body of vertebrae