Surgery Clerkship 1 Flashcards

(61 cards)

1
Q

What items compromise the sterile field in the OR?

A
  • Instrument table
  • Mayo table
  • Anterior drapes
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2
Q

Can you grab the skin with DeBakey pickups? Why or why not?

A
  • NO

- You must use pickups with teeth to grab the skin-better to cut the skin than crush it

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3
Q
  • Constant dullness to percussion in the left flank/LUQ and resonance to percussion in the right flank
  • Seen with splenic rupture/hematoma
A

Ballance’s sign

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4
Q
  • Ecchymosis over the mastoid process

- Seen with basilar skull fractures

A

Battle’s sign

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5
Q

Battle’s sign

A
  • Ecchymosis over the mastoid process

- Seen with basilar skull fractures

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6
Q

Seen in patients with cardiac tamponade:

  • JVD
  • Muffled heart sounds
  • Decreased blood pressure
A

Beck’s triad

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7
Q

Beck’s triad

A

Seen in patients with cardiac tamponade:

  • JVD
  • Muffled heart sounds
  • Decreased blood pressure
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8
Q

Seen with fat emboli syndrome

  • Mental status change
  • Petechiae, often in the axilla/thorax
  • Dyspnea
A

Bergman’s triad

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9
Q

Right subscapular pain resulting from cholelithiasis

A

Boas’ sign

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10
Q

Boas’ sign

A

Right subscapular pain resulting from cholelithiasis

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11
Q

Carcinoid triad

A
  • Flushing
  • Diarrhea
  • Right heart failure
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12
Q
  • Flushing
  • Diarrhea
  • Right heart failure
A

Carcinoid triad

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13
Q

Charcot’s triad

A

Seen with cholangitis:

  • Fever
  • Jaundice
  • RUQ pain
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14
Q

Seen with cholangitis:

  • Fever
  • Jaundice
  • RUQ pain
A

Charcot’s triad

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15
Q

Chvostek’s sign

A

Twitching of facial muscles when tapping the facial nerve; in patients with hypocalcemia

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16
Q

Twitching of facial muscles when tapping the facial nerve; in patients with hypocalcemia

A

Chvostek’s sign

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17
Q
  • Bluish discoloration of the periumbilical area

- Due to retroperitoneal bleed

A

Cullen’s sign

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18
Q

Cushing’s triad

A

Signs of increased ICP:

  • Bradycardia
  • Hypertension
  • Irregular respirations
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19
Q

Signs of increased ICP:

  • Bradycardia
  • Hypertension
  • Irregular respirations
A

Cushing’s triad

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20
Q

Ecchymosis or discoloration of the flank with retroperitoneal bleed

A

Grey Turner’s sign

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21
Q

Calf pain on forced dorsiflexion of the foot in patients with DVT

A

Homan’s sign

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22
Q

Severe left shoulder pain in patients with splenic rupture

A

Kehr’s sign

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23
Q
  • Visible peristalsis of the ureter in response to sqeezing

- Used to identify the ureter in surgery

A

Kelly’s sign

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24
Q

Kelly’s sign

A
  • Visible peristalsis of the ureter in response to sqeezing

- Used to identify the ureter in surgery

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25
Laplace's law
- Wall tension = Pressure x Radius | - Therefore, the colon perforates preferentially at the cecum because of the increase in radius
26
Meckel's diverticulum rule of 2's
- 2% of the population - 2% of them will be symptomatic - Within 2 feet of the ileocecal valve
27
Lower quadrant pain due to ovulation
Mittelschmerz
28
Pheochromocytoma symptoms triad
-Palpitations -HA -Episodic diaphroesis ("PHE")
29
Reynold's pentad
Seen with SUPPURATIVE cholangitis: - Fever - Jaundice - RUQ pain - Mental status changes - Shock/Sepsis
30
Seen with SUPPURATIVE cholangitis: - Fever - Jaundice - RUQ pain - Mental status changes - Shock/Sepsis
Reynold's pentad
31
RLQ pain with LLQ palpation
- Rosving's sign | - Seen with appendicitis
32
Rosving's sign
- RLQ pain with LLQ palpation | - Seen with appendicitis
33
Metastatic tumor to the umbilical lymph nodes
Sister Mary Joseph's node
34
Metastatic tumor of the left supraclavicular node
Virchow's node
35
Virchow's triad
Risk factors for thrombosis: - Venous stasis - Hypercoagulability - Abnormal endothelium/Endothelial injury
36
Risk factors for thrombosis: - Venous stasis - Hypercoagulability - Abnormal endothelium/Endothelial injury
Virchow's triad
37
- Carpal spasm after occlusion of the blood to the forearm with a BP cuff - Seen with hypocalcemia
Trousseau's sign
38
Trousseau's sign
- Carpal spasm after occlusion of the blood to the forearm with a BP cuff - Seen with hypocalcemia
39
Whipple's triad
Evidence for insulinoma: - Hypoglycemia < 50 - CNS and vasomotor symptoms - Relief of symptoms with glucose administration
40
Evidence for insulinoma: - Hypoglycemia < 50 - CNS and vasomotor symptoms - Relief of symptoms with glucose administration
Whipple's triad
41
MC indication for surgery with Crohn's disease
SBO
42
MC type of breast cancer?
Infiltrating ductal
43
MCC of pancreatitis?
EtOH
44
MC bacteria in stool
Bacteroides fragilis
45
MCC of SBO in adults in the US
Postop peritoneal adhesions
46
MCC of SBO in children
Hernias
47
MC site of GI carcinoids
Appendix
48
MC abdominal x-ray finding with SBO?
Air-fluid levels
49
MC electrolyte deficiency causing ileus
Hypokalemia
50
MC site of sarcoma metastasis
Lungs
51
MCC of large bowel obstruction
Cancer
52
MC type of colonic volvulus
Sigmoid
53
MCC of fever < 48 hours post-op?
Atelectasis
54
MC abdominal organ injured in blunt abdominal trauma
Liver
55
MC type of pneumonia in the ICU
Gram (-) bacteria
56
MC hernia
Inguinal - right more than left
57
MC cancer in females
Lung
58
MC cancer in males
Prostate
59
MCC of free peritoneal air
Perforated PUD
60
MC symptom of gastric cancer
Weight loss
61
MC site of hematogenous colon cancer metastasis
Liver