surgery devirgilio- pediatric, trauma, complications Flashcards Preview

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Flashcards in surgery devirgilio- pediatric, trauma, complications Deck (18)
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1
Q

gastroschisis associations in utero

A

young moms who smoke with elevated AFP

2
Q

bilious emesis, landmark?

A

distal to ampulla of vater

3
Q

evaluation of sizeable melanoma concern on face?

A

punch bx to dermis to calculate breslow score

4
Q

fevers in first 24 hours after surgery? Worry or not?

A

cytokines!

But, if dishwater discharge= GAS and clostridium within hours

5
Q

mechanism behind warf induced skin necrosis

A

prot C deficiency –>hyerpcoagulable, thrombosis at cutaneous vessels

6
Q

pressor of choice in septic shock?

A

norepi

GIVE FLUIDS!!

7
Q

order of tx in ITP

A

steroids –> IVIG –> splenectomy

8
Q

response to HIT?

A

stop heparin and start direct thrombin inhibitor (argatriban)

9
Q

first sign of cardiac tamponade?

A

impaired diastolic filling

10
Q

managment of blunt carotid injuries

A

anticoagulation (heparin)

11
Q

GSW to abd with stable vitals. Ex lap, CT or FAST?

A

CT

FAST for blunt trauma

12
Q

acute limb ischemia followed by reperfusion is riskfor…..

A

compartment syndrome

(interstitial edema)–> ischemia reperfusion leads to vascular permeability

13
Q

peaked T waves on EKG after saturday night palsy

A

compartment syndrome–> muscle necrosis–> CPK –> hyperkalemia

give Ca first!!!!

14
Q

order of ischemic tissue damage

A
muscle
nerve
fat
skin
bone
15
Q

management of tension pneumo

A

needle decompression –> tube thoracostomy

no imaging, no OR.

16
Q

underlying condition assoc with flail chest that should be managed?

A

pulmonary contusion –> secure the airway

17
Q

numbness in the first web space?

A

compartment syndrome involving deep peroneal nerve

18
Q

electrical burns are assoicated with compartment syndomre

A

do a fasciotomy!!