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Flashcards in Surgery Rapid Fire Review Deck (100):
1

Elderly woman, SBO, and air in biliary tract.

Gallstone ileus

2

Elderly woman with pain down inner aspect of thigh.

Obturator hernia (howship romberg sign)

3

Abdominal pain, hypotension, and abdominal pulsatile mass.

Ruptured abdominal aortic aneurysm

4

Abdominal pain "out of proportion" to abdominal exam.

Mesenteric ischemia

5

Arm pain and syncope with arm movement.

subclavian steal syndrome

6

Increasing creatinine on ACE inhibitor.

Renal artery stenosis

7

Child with midline neck mass.

Thyroglossal duct cyst

8

Child with lateral neck mass.

Branchial cleft cyst

9

Crush injury and dark urine.

Myoglobinuria

10

Emesis, chest pain radiating to back, and mediastinal air.

Boerhaave's

11

Lower GI bleed + technetium pertechnetate scan.

Meckel's diverticulum

12

Flushing, diarrhea, and right sided heart failure.

Carcinoid

13

Pneumoaturia and LLW pain.

Colovesicular fistula

14

Desmoid tumor, osteoma, and colon cancer.

Gardner's syndrome

15

Epigastric pain radiating to back and flank ecchymosis.

Hemorrhagic pancreatitis

16

Pancreatitis and palpable epigastric mass.

Pancreatic pseudocyst

17

Liver abscess with "anchovy paste".

Amebic abscess

18

RUQ pain, travel, and exposure to sheep.

Hydatid cyst

19

Caput medusa

Portal hypertension

20

45 year old woman with RUQ pain for 12 hours, fever and leukocytosis.

Acute cholecystitis

21

Elderly man with large nontender palpable gallbladder

Pancreatic cancer (Courvoisier's sign)

22

Female taking birth control pills with liver mass.

Hepatic adenoma

23

Liver tumor with "central scar".

Focal nodular hyperplasia

24

Pancreatic mass, gallstones, diabetes and diarrhea.

Somatostatinoma

25

RUQ bruit and CHF in young adult.

Liver hemangioma

26

Excruciating pain with bowel movement.

Anal fissure

27

Abdominal pain, diarrhea, and anal fistulae.

Crohn's disease

28

ECG with peaked T waves

Hyperkalemia

29

Buccal mucosa with pigmentation

Peutz-Jeghers syndrome

30

LLQ pain, fever, and change in bowel habits.

Diverticulitis

31

Elevated urine 5-HIAA

carcinoid

32

Institutionalized, abdominal pain, vomiting and distention, with proximal colonic dilation.

Sigmoid volvulus

33

Infant with projectile vomiting.

Pyloric stenosis

34

Newborn with failure to pass meconium in first 24 hours.

Hirschsprung's disease

35

Infant with bilious vomiting

malrotation

36

Newborn with abdominal defect and umbilical cord on sac.

Omphalocele

37

Teenager with knee pain and "onion skinning" on X-Ray.

Ewing's sarcoma

38

Pulmonary capillary wedge pressure less than 8, CXR with bilateral pulmonary infiltrates, and PaO2:FiO2 ratio less than 200

Acute respiratory distress syndrome (ARDS)

39

Increased peak airway pressure, low urine output, and urinary bladder >25mmHg.

Abdominal compartment syndrome

40

Newborn with inability to pass an NGT.

esophageal atresia

41

Traumatic bliding in one eye followed by blindness in the contralateral eye 2 weeks later.

Sympathetic ophthalmia

42

Mitotic pupil, ptosis, and anhydrosis.

Horner's syndrome

43

Traumatic head injury, conscious in ER followed by unconsciousness.

Epidural hematoma ("lucid interval")

44

Worst headache of my life

Subarachnoid hemorrhage

45

Hematuria, flank pain, and abdominal mass (palpable).

Renal cell carcinoma

46

60 year old white man with painless hematuria.

bladder cancer

47

RUQ pain, jaundice and fever.

Cholangitis

48

Epigastric pain radiating to back, with nausea and vomiting.

Pancreatitis

49

Chest pain radiating to back and described as a tearing pain.

Aortic dissection

50

40 year old man with tachycardia, hypotension and confusion on postoperative day 2.

Alcohol withdrawal

51

Marfanoid body habitus and mucosal neuromas.

MEN II-B

52

Psammoma bodies

Papillary thyroid cancer

53

Sulphur granules

actinomyces infection

54

Thyroid tumor with amyloid tissue

Thyroid medullary cancer

55

Palpable neck tumor and hypercalcemia

parathyroid cancer

56

Hypertension, diaphoresis (episodic), and palpitations.

Pheochromocytoma

57

Jejunal ulcers

Zollinger-Ellison syndrome

58

Pituitary tumor, pancreatic tumor, and parathyroid tumor

MEN-I

59

Necrotizing migratory erythema

Glocagonomoa

60

Medullary thyroid cancer, pheochromocytoma, and hyperparathyroidism.

MEN-IIa

61

Hypokalemia refractory to IV potassium asupplementation.

Hypomagnesemia

62

Newborn with pneumatosis

Necrotizing enterocolitis (NEC)

63

Child with abdominal mass that crosses midline

Neuroblastoma

64

Child less than 4 years of age with abdominal tumor that does not cross midline

Wilms tumor

65

Currant jelly stools and abdominal colic.

Intussusception

66

Femur fracture, respiratory failure, petechiae, and mental status changes

Fat embolism

67

Hearing loss, tinnitus, and vertigo

Meniere's disease

68

Adolescent boy with nasal obstruction and recurrent epistaxis.

Juvenile nasopharyngeal angiofibroma

69

Child less than 5 years of age sitting upright and drooling with "hot potato" voice

Epiglottitis

70

Angina, syncope, and CHF.

Aortic stenosis

71

Tobacco use, asbestos exposure, and pleuritic chest pain.

Mesothelioma

72

Supracondylar fracture and contracture of forearm flexors.

Volkmann's contracture

73

Tibia fracture, "pain out of proportion", pain on passive foot movement, and palpable pulses.

Compartment syndrome

74

25 year old man with liver mass with fibrous septae and NO history of cirrhosis or hepatitis.

Fibrolamellar hepatocellular carcinoma

75

EKG with flattening of T waves and U waves.

Hypokalemia

76

Central pontine myelinosis.

Too rapid correction of hyponatremia

77

Polydipsia, polyuria, and constipation.

Hypercalcemia

78

Factor VIII deficiency.

Hemophilia A

79

Abdominal pain, fever, hypotension, hyperkalemia and hyponatremia.

Adrenal insufficiency (Addisonian crisis)

80

Massive urine output and hypernatremia.

Diabetes insipidus

81

Increased urine osmolality, hyponatremia, and low serum osmolality.

SIADH

82

IV antibiotics, fever, diarrhea

C. diff. pseudomembranous colitis

83

Bleeding gums and wound dehiscence

Vitamin C deficiency

84

Fever, central line, and hyperglycemia.

central line infection

85

Appendectomy followed by fever and abdominal pain on postoperative day #7.

Peritoneal abscess

86

Advancing crepitus, fever, and blood blisters.

Necrotizing fasciitis

87

High intraoperative fever.

Malignant hyperthermia

88

Confusion, ataxia, and ophthalmoplegia

Wernicke's encephalopathy

89

Tracheal deviation, decreased breath sounds, and hyperresonance.

Tension pneumothorax

90

Hypotension, decreased heart sounds, and JVD

Pericardial tamponade

91

Four ribs broken in two places and pulmonary contusion.

Flail chest

92

Otorrhea (clear) and Battle's sign.

Basilar skull fracture

93

Ulcer decreased pain with food.

Duodenal ulcer

94

Vomiting, retching, and epigastric pain

Mallory-Weiss tear

95

Fever on postoperative day #1, with "bronze" weeping, tender wound.

Clostridial wound infection

96

Hematochezia and tenesmus

Rectal cancer

97

Upper GI bleed, jaundice, and RUQ pain

Hemobilia

98

Gallstones, epigastric pain radiating to back, and nausea.

Gallstone pancreatitis

99

18 year old woman with bloody nipple discharge

Ductal papilloma

100

Irritability, diaphoresis, weakness, tremulousness, and palpitations.

Insulinoma