Flashcards in Surgery Rapid Fire Review Deck (100):
Elderly woman, SBO, and air in biliary tract.
Elderly woman with pain down inner aspect of thigh.
Obturator hernia (howship romberg sign)
Abdominal pain, hypotension, and abdominal pulsatile mass.
Ruptured abdominal aortic aneurysm
Abdominal pain "out of proportion" to abdominal exam.
Arm pain and syncope with arm movement.
subclavian steal syndrome
Increasing creatinine on ACE inhibitor.
Renal artery stenosis
Child with midline neck mass.
Thyroglossal duct cyst
Child with lateral neck mass.
Branchial cleft cyst
Crush injury and dark urine.
Emesis, chest pain radiating to back, and mediastinal air.
Lower GI bleed + technetium pertechnetate scan.
Flushing, diarrhea, and right sided heart failure.
Pneumoaturia and LLW pain.
Desmoid tumor, osteoma, and colon cancer.
Epigastric pain radiating to back and flank ecchymosis.
Pancreatitis and palpable epigastric mass.
Liver abscess with "anchovy paste".
RUQ pain, travel, and exposure to sheep.
45 year old woman with RUQ pain for 12 hours, fever and leukocytosis.
Elderly man with large nontender palpable gallbladder
Pancreatic cancer (Courvoisier's sign)
Female taking birth control pills with liver mass.
Liver tumor with "central scar".
Focal nodular hyperplasia
Pancreatic mass, gallstones, diabetes and diarrhea.
RUQ bruit and CHF in young adult.
Excruciating pain with bowel movement.
Abdominal pain, diarrhea, and anal fistulae.
ECG with peaked T waves
Buccal mucosa with pigmentation
LLQ pain, fever, and change in bowel habits.
Elevated urine 5-HIAA
Institutionalized, abdominal pain, vomiting and distention, with proximal colonic dilation.
Infant with projectile vomiting.
Newborn with failure to pass meconium in first 24 hours.
Infant with bilious vomiting
Newborn with abdominal defect and umbilical cord on sac.
Teenager with knee pain and "onion skinning" on X-Ray.
Pulmonary capillary wedge pressure less than 8, CXR with bilateral pulmonary infiltrates, and PaO2:FiO2 ratio less than 200
Acute respiratory distress syndrome (ARDS)
Increased peak airway pressure, low urine output, and urinary bladder >25mmHg.
Abdominal compartment syndrome
Newborn with inability to pass an NGT.
Traumatic bliding in one eye followed by blindness in the contralateral eye 2 weeks later.
Mitotic pupil, ptosis, and anhydrosis.
Traumatic head injury, conscious in ER followed by unconsciousness.
Epidural hematoma ("lucid interval")
Worst headache of my life
Hematuria, flank pain, and abdominal mass (palpable).
Renal cell carcinoma
60 year old white man with painless hematuria.
RUQ pain, jaundice and fever.
Epigastric pain radiating to back, with nausea and vomiting.
Chest pain radiating to back and described as a tearing pain.
40 year old man with tachycardia, hypotension and confusion on postoperative day 2.
Marfanoid body habitus and mucosal neuromas.
Papillary thyroid cancer
Thyroid tumor with amyloid tissue
Thyroid medullary cancer
Palpable neck tumor and hypercalcemia
Hypertension, diaphoresis (episodic), and palpitations.
Pituitary tumor, pancreatic tumor, and parathyroid tumor
Necrotizing migratory erythema
Medullary thyroid cancer, pheochromocytoma, and hyperparathyroidism.
Hypokalemia refractory to IV potassium asupplementation.
Newborn with pneumatosis
Necrotizing enterocolitis (NEC)
Child with abdominal mass that crosses midline
Child less than 4 years of age with abdominal tumor that does not cross midline
Currant jelly stools and abdominal colic.
Femur fracture, respiratory failure, petechiae, and mental status changes
Hearing loss, tinnitus, and vertigo
Adolescent boy with nasal obstruction and recurrent epistaxis.
Juvenile nasopharyngeal angiofibroma
Child less than 5 years of age sitting upright and drooling with "hot potato" voice
Angina, syncope, and CHF.
Tobacco use, asbestos exposure, and pleuritic chest pain.
Supracondylar fracture and contracture of forearm flexors.
Tibia fracture, "pain out of proportion", pain on passive foot movement, and palpable pulses.
25 year old man with liver mass with fibrous septae and NO history of cirrhosis or hepatitis.
Fibrolamellar hepatocellular carcinoma
EKG with flattening of T waves and U waves.
Central pontine myelinosis.
Too rapid correction of hyponatremia
Polydipsia, polyuria, and constipation.
Factor VIII deficiency.
Abdominal pain, fever, hypotension, hyperkalemia and hyponatremia.
Adrenal insufficiency (Addisonian crisis)
Massive urine output and hypernatremia.
Increased urine osmolality, hyponatremia, and low serum osmolality.
IV antibiotics, fever, diarrhea
C. diff. pseudomembranous colitis
Bleeding gums and wound dehiscence
Vitamin C deficiency
Fever, central line, and hyperglycemia.
central line infection
Appendectomy followed by fever and abdominal pain on postoperative day #7.
Advancing crepitus, fever, and blood blisters.
High intraoperative fever.
Confusion, ataxia, and ophthalmoplegia
Tracheal deviation, decreased breath sounds, and hyperresonance.
Hypotension, decreased heart sounds, and JVD
Four ribs broken in two places and pulmonary contusion.
Otorrhea (clear) and Battle's sign.
Basilar skull fracture
Ulcer decreased pain with food.
Vomiting, retching, and epigastric pain
Fever on postoperative day #1, with "bronze" weeping, tender wound.
Clostridial wound infection
Hematochezia and tenesmus
Upper GI bleed, jaundice, and RUQ pain
Gallstones, epigastric pain radiating to back, and nausea.
18 year old woman with bloody nipple discharge