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Surgical Terms Flashcards

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1
Q

The clinical presentation of a
perforated duodenal ulcer can mimic appendicitis, particularly if the perforation seals and the
spilled gastroduodenal contents gravitate down the right gutter to the cecal area.

A

Silent 1920s film
star Rudolph Valentino reportedly died of a perforated ulcer, although he presented with right
lower quadrant pain suggestive of acute appendicitis (since known as Valentino’s syndrome).

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2
Q

Perineal rectosigmoidectomy

A

Altemeier procedure

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3
Q

Appendix in hernia

A

Amyand‘s hernia

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4
Q

This anastomotic connection is also known as the marginal meandering artery

A

Arc of Riolan, connects the SMA and IMA.

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5
Q

Mutation in the ATM gene and, along with neurologic and vasculocutaneous findings, is associated with an increased risk of breast cancer, lymphoma, and leukemia

A

Ataxia-telangectasia

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6
Q

network of venous drainage that is thought to be a route for Breast ca
metastasis to the spine

A

Batson plexus (Batson to the back)

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7
Q

a novel predictor of clinical outcome in acute pancreatitis

A

Bedside Index for Severity in Acute Pancreatitis (BISAP). The parameters for BISAP include blood urea nitrogen (BUN) level greater than 25 mg/dL,
impaired mentation,
2 or more systemic inflammatory response syndrome (SIRS) criteria,
age greater than 65 years, and the
presence of pleural effusion.

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8
Q

Staging for necrotizing entercolitis (NEC)

A

Bell criteria:

Patients with Bell stage I (suspicious for NEC) are ruled out for NEC and kept NPO and on IV antibiotics for 3 to 7 days before enteral nutrition is reinitiated. Patients with Bell stage II (definite NEC) require close observation for 7 to 14 days. Infants with Bell stage III (advanced NEC) either have definite intestinal perforation or have not responded to nonoperative therapy, and thus require surgery. These patients have signs of peritonitis, acidosis, sepsis, and disseminated intravascular coagulation, all of which are associated with a high mortality rate.

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9
Q

an overgrowth disorder usually present at birth, characterized by an increased risk of childhood cancer and certain congenital features

A

Beckwith–Wiedemann syndrome. Associated w

Macrosomia (traditionally defined as weight and length/height >97th centile)
Macroglossia
Hemihyperplasia (asymmetric overgrowth of one or more regions of the body)
Omphalocele (also called exomphalos) or umbilical hernia
Embryonal tumor (e.g., Wilms tumor, hepatoblastoma, neuroblastoma, rhabdomyosarcoma) in childhood
Visceromegaly involving one or more intra-abdominal organs including liver, spleen, kidneys, adrenal glands, and/or pancreas
Cytomegaly of the fetal adrenal cortex (pathognomonic)
Renal abnormalities including structural abnormalities, nephromegaly, nephrocalcinosis, and/or later development of medullary sponge kidney
Anterior linear ear lobe creases and/or posterior helical ear pits
Placental mesenchymal dysplasia
Cleft palate (rare in BWS)
Cardiomyopathy (rare in BWS)
Positive family history (≥1 family members with a clinical diagnosis of BWS or a history or features suggestive of BWS)

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10
Q

Duodenum-preserving pancreatic head resections (3)

A

Beger-procedure. The pancreas is dissected on the level of the portal vein. The pancreatic head is excavated and the duodenum is preserved with a thin layer of pancreatic tissue. If the bile duct is obstructed it can be opened and a internal anastomosis with the excavated pancreatic head can be performed (not shown). The reconstruction is performed with two anastomoses, of the pancreatic tail remnant and of the excavated pancreatic head with a Roux-en-Y jejunal loop

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11
Q

Triad of mental status changes, petechiae, and dyspnea

A

Bergman’s triad, fat emboli syndrome

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12
Q

Gp1b receptor defect

A

Bernard-Soulier Syndrome

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13
Q

The “thyroid sheath” is a connective tissue expansion of the pretracheal fascia and envelops the thyroid, condensing posteromedially into this structure

A

Ligament of Berry

Suspensory ligament of the thyroid

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14
Q

Criteria for categorizing thyroid cytopathology for associated risk of malignancy

A

Bethesda Criteria:

  1. Non-diagnostic: repeat FNA under US
  2. Benign follicular lesion of undetermined significance: <1% chance of malignancy, monitor
  3. Atypia/follicular neoplasm of undetermined significance: 5-15% chance of malignancy, repeat FNA
  4. Follicular neoplasm or suspicious for follicular neoplasm: 15-30% chance of malignancy, surgical lobectomy
  5. Suspicion for malignancy: 60-75% chance of malignancy, Thyroid lobectomy or total thyroidectomy
    Malignant: 100% chance, total thyroidectomy
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15
Q

Classification system which organizes cholangiocarcinoma by location

A

Bismuth-Corlette classification system:
Type I: occurs below the confluence of the L & R hepatic duct
Type II: occurs at the juncture of the L & R hepatic ducts
Type III: involves either the Right (type IIIa) or left (type IIIb) hepatic duct
Type IV: involves secondary and tertiary extensions of either the L or R hepatic ducts

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16
Q

a palpable nodule on rectal examination suggesting a

drop metastasis

A

Blumer shelf

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17
Q

Procedure for repair of long-segment urethras defects

A

Boari flap:
Useful for 8-12 cm defects
Rectangular pedicled flap of bladder dome closed transversely to create tube conduit. EEA w/ distal ureter

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18
Q

Posterolateral congenital diaphragmatic hernia

A

Bochdalek hernia

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19
Q

Triad of sudden onset of severe upper abdominal

pain, recurrent retching without vomitus, and an inability to pass a nasogastric tube

A

Borchardt’s triad, gastric volvulus

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20
Q

squamous cell carcinoma in situ (not invasive) of the perianal margin and
most commonly caused by HPV-16 and 18

A

Bowen dz

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21
Q

Hepatic venous thrombosis

A

Budd-Chiari syndrome

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22
Q

imaginary division of the liver used when performing hepatectomies. The division divides the liver into two planes, extending from the Middle Hepatic Vein to the middle of the gallbladder

A

Cantlie’s line
Separates L and R
Separates 4 from 5-8

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23
Q

Cephalon fold defects result in this syndrome

A

pentalogy of Cantrell: cardiac defect (most commonly VSD), sternal cleft, anterior diaphragmatic hernia, omphalocele, and ectopia cordis. Omphalocele of the most common variety is a result of failure of the lateral folds to form correctly. Caudal fold defects result in cloacal exstrophy, and right umbilical vein obliteration is associated with gastroschisis.

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24
Q

Mobilization of the ascending colon to the midline

A

Cattel maneuver

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25
Intrahepatic duct cysts
Caroli dz. (Type V choledochal cyst)
26
a linear erosion or ulceration of the mucosal folds lining the stomach where it is constricted by the thoracic diaphragm in persons with large hiatal hernias.
Cameron’s ulcer
27
For advanced cases of lymphedema that do not respond to conservative management, this procedure has been performed, which involves complete and circumferential excision of the skin, subcutaneous tissues, and deep fascia of the leg and dorsum of the foot. The exposed muscle is then grafted with a full- or split-thickness skin graft.
Charles procedure
28
Types of perforating veins of the lower extremity
The Cockett perforators drain the lower part of the leg medially, whereas the Boyd perforators connect the greater saphenous vein to the deep vein higher up in the medial lower leg, approximately 10 cm below the knee.
29
Adrenaloma causing hyperaldosteronism
Conn syndrome
30
Mutation in PTEN. Characterized by multiple hamartomatous lesions as well as cancer of the breast, endometrium, kidney, and thyroid. Hamartomas are made up of all three germ layers
Cowden syndrome
31
congenital malformation in the stomach (typically on the lesser curvature) characterized by a submucosal artery that is abnormally large and tortuous. As a result of its relatively superficial location, it may erode through the mucosa and become exposed to gastric secretions, leading to massive upper GI hemorrhage. On endoscopy, the mucosa of the stomach appears normal, and the only finding is a pinpoint area of mucosal defect with brisk arterial bleeding. The lesion may easily be missed if the bleeding is not active.
Dieulafoy lesion
31
mid-diastolic rumble that is associated with rheumatic fever
Carey Coombs murmur
33
Quantify dysphagia sx
DeMeester Score ``` Dysphagia 0 - None 1 - Occasional transient episodes 2 - Require liquids to clear 3 - Impaction requiring medical attention ``` ``` Heartburn 0 - None 1 - Occasional brief episodes 2 - Frequent episodes requiring medical tx 3 - Interference w/ daily activities ``` ``` Regurgitation 0 - None 1 - Occasional episodes 2 - Predictable by posture 3 - Interference w/ daily activities ```
34
difficulty in swallowing due to | compression of the esophagus by an aberrant right subclavian artery
Dysphagia lusoria (dysphagia by a freak of nature)
36
fluoroscopic examination of the small bowel using liquid contrast
Enteroclysis
37
Procedure used for the mobilization of undescended testicles
Fowler Stevens In the first stage, the testicular vessels are clipped laparoscopically. In addition to the testicular arteries, the testicles receive collateral blood from the cremasteric artery, a branch of the inferior epigastric artery, and the artery to the vas, a branch of the superior vesical artery. The orchiopexy is then performed through the groin approximately 6 months later, after which time collateral flow has increased.
38
triad of rheumatoid arthritis, splenomegaly, and neutropenia
Felty syndrome
39
Classify bleeding gastric ulcer
``` Forrest classification 1a brisk bleeding 1b oozing 2a visible vessel 2b adherent clot 2c flat pigmentation 3 clean base ```
40
Classification of hyatid cyst
``` (Gharbi types): a simple cyst (type I), a cyst with free-floating hyperechogenic material called hydatid sand (type II), a cyst with a rosette appearance suggesting a daughter cyst (type III), and a cyst with a diffuse hyperechoic solid pattern (type IV) ```
40
GpIIb/IIIa receptor defect
Glanzmann thrombasthenia
41
a surgical technique used in the treatment of chronic pancreatitis in which the diseased portions of the pancreas head are cored out. A lateral pancreaticojejunostomy (LRLPJ) is then performed
Frey procedure
44
A layer of connective tissue surrounding the liver and ensheathing the hepatic artery, portal vein, and bile ducts within the liver.
Glisson’s capsule
45
“Valves” within the cystic duct
Heister valves (spiral shaped with no true valvular function)
46
Hernia through the superior lumbar triangle, and its boundaries
Grynfeltt hernia. Bounded by the quadratus lumborum muscle, the 12th rib, and the internal oblique
46
Splenic watershed area
Griffith’s point
48
Subtype of follicular thyroid cancer. They differ from follicular cell carcinomas in that they are often multifocal and bilateral, are more likely to metastasize to local nodes and distant sites, and are associated with a higher mortality rate
Hürthle cell carcinoma
49
A metastatic left axillary lymph node from gastric cancer
Irish node
50
These cells are responsible for liver fibrosis and are characterized by the presence of lipid droplets because they store vitamin A
Ito cells
51
Thrombocytopenia secondary to consumptive coagulopathy in the setting of AV shunting
Kasabach-Merritt syndrome
52
Perihilar Cholangiocarcinoma
Klatskin Tumors. Classified by location with the Bismuth-Corlette Classification system: Type I: occurs below the confluence of the L & R hepatic duct Type II: occurs at the juncture of the L & R hepatic ducts Type III: involves either the Right (type IIIa) or left (type IIIb) hepatic duct Type IV: involves secondary and tertiary extensions of either the L or R hepatic ducts
53
A 2-month-old infant has persistent jaundice. Ultrasonography fails to demonstrate a gallbladder. Technetium-99m iminodiacetic acid scanning with phenobarbital pretreatment reveals uptake in the liver but not in the intestine. α1-Antitrypsin and cystic fibrosis determination is normal. The most appropriate surgical management would be:
Kasai operation (hepatoportoenterostomy). The procedure involves anastomosing an isolated limb of jejunum to the transected ducts at the portal plate of the liver. The likelihood of surgical success is increased if the procedure is performed before the infant reaches the age of 2 months. If the patient remains symptomatic after the Kasai operation, he or she will require liver transplantation
54
the dissection of the lateral peritoneal attachments of the duodenum to allow inspection of the duodenum, pancreas, and other retroperitoneal structures over to the great vessels
Kocher maneuver
55
Perihilar cholangiocarcinomas
Klatskin tumor
56
Anatomical space formed by the inferior fibers of the inferior constrictor muscle and the superior border of the cricopharyngeus muscle.
Killian triangle. Site of zenker’s
57
An ovarian mass from a gastric metastasis
Krukenberg tumor
57
Metastatic adenocarcinoma to the ovary
Krukenberg tumor is metastatic adenocarcinoma to the ovary. Stomach is the most common primary site accounting for 70% of cases. Colon, appendix, and breast are the next most common primary sites. Retrograde lymphatic spread is the most likely route of metastasis. Krukenberg tumors are bilateral in more than 80% of the reported cases.
58
DVT in an iliac vein due to compression by iliac artery. Identify laterality and name of syndrome
L iliac vein commonly compressed by R iliac artery. May-Thurner syndrome
59
Nerves that innervate the proximal stomach, and are divided during highly selective vagotomy
anterior and posterior Latarjet nerves. Also, the nerve of Grassi, which is a branch off the posterior trunk of the vagus
60
Management of type I choledochal cyst, the posterior aspect of which invades the portal vein
Lilly procedure: resection of the anterior portion of the cyst, leaving the posterior portion in situ, and fulgrating it
61
p53 mutation assoc. w/ breast ca, sarcomas, glioblastoma, adrenocortical cancers
Li-Fraumeni syndrome
62
rare, autosomal dominant, hereditary disorder that pre-disposes carriers to cancer development. This syndrome is also known as the sarcoma, breast, leukaemia and adrenal gland (SBLA) syndrome. Name and identify the affected gene
Li-Fraumeni syndrome. Germaine mutation of the TP53 tumor suppressor gene which normally produces the p53 protein
63
Hernia containing a Meckel’s
Littre hernia
64
In a 48-year-old man who presents with an ulcerated wound in the middle of a grafted site, evaluate the lesion Ulcerated growth with rolled-up edges
Marjolin ulcer likely diagnosis of squamous cell carcinoma. Clinical features of a Marjolin ulcer include: Ulcerated growth with rolled-up edges Aggressive but slow-growing lesion Well-differentiated growth No lymphatic spreading because of destruction of lymph channels
65
Mobilization of the descending colon to the midline to expose the abdominal aorta
Mattox maneuver
68
Syndrome of vaginal agenesis
Mayer-Rokitansky-Küster-Hauser syndrome
69
murmur sounds similar to a pericardial rub and may be heard in patients with hyperthyroidism
Means-Lerman scratch murmur
70
Aspiration pneumonitis
Mendelson’s syndrome
71
familial version of congenital lymphedema
Milroy dz
72
an acquired disease with no family predisposition (D). The etiology is unknown, but it is associated with an increase in transforming growth factor alpha. Giant rugal folds, particularly in the fundus and body, and a loss of parietal cells develop. Thus, patients have hypo- or achlorhydria.
Ménétrier disease
73
Types of choledochal compression/fistula
Mirizzi syndrome. Types: I. External compression of CHD/CBD by stone in GB/cystic duct II. Fistula involving < 1/3 circumference of CBD III. Fistula involving 1/3 - 2/3 circumference of CBD IV. Destruction of the entire wall of CBD V. Cholecystoenteric fistula
74
Criteria for liver transplantation in HCC
Milan Criteria Single tumor ≤ 5cm or 2-3 tumors, none exceeding 3 cm, and no lymphovascular invasion or extrahepatic spread UCSF criteria Single tumor ≤ 6.5cm or 2-3 tumors, none exceeding 4.5 cm, with total tumor diameter ≤ 8cm, and no lymphovascular invasion or extrahepatic spread
75
a rare but aggressive skin cancer of neuroendocrine origin arising from specialized touch receptor cells in the epidermis of the skin. It occurs in elderly, light- skinned patients and those with a history of sun exposure or immunosuppression, particularly CLL. The clinical features can be remembered by the mnemonic “AEIOU:” Asymptomatic, Expanding rapidly, Immunosuppression, Older than 50 years old, and UV-exposed area. It often first appears as a pink nodule and progresses to a violaceous blue color with or without ulceration.
Merkel cell carcinoma
76
Loud churning murmur associated w/ air embolus
“Millwheel” murmur
76
Gallstone in neck that erodes cystic duct
Mirizzi syndrome Type I – No fistula present Type IA – Presence of the cystic duct Type IB – Obliteration of the cystic duct Types II–IV – Fistula present Type II – Defect smaller than 33% of the CHD diameter Type III – Defect 33–66% of the CHD diameter Type IV – Defect larger than 66% of the CHD diameter
78
an asymptomatic radiographic finding in patients with a preexisting cavitary lung disease such as sarcoidosis. A soft-tissue mass within a cavity that is surrounded by a crescent of air is diagnostic
Monad sign, aspergilloma
79
rare disease presenting with localized pain with a tender, palpable subcutaneous cord or linear dimpling. The cause is most often superficial thrombophlebitis of the lateral thoracic vein. It is a self-resolving disease that is often treated with NSAIDs for pain relief.
Mondor dz
79
Resection of perineal hernia and closure of the cul-de-sac
Moschcowitz procedure
80
Anteromedial congenital diaphragmatic hernia
Morgagni hernia
81
Thrombophlebitis involving one or more of the superficial anterior chest wall veins (lateral thoracic vein, thoracoepigastric vein, superficial epigastric vein)
Mondor dz
82
spontaneous | thrombosis of the axillary-subclavian vein
Paget-Schroetter syndrome. It is thought to be, in most instances, a manifestation of thoracic outlet syndrome, whereby a hypertrophied or aberrant muscle compresses the axillary-subclavian vein as it passes between the first rib and the clavicle.
83
Calculate fluids based on PSA burn
Parkland formula: 4ml x TBSA (%) x body weight (kg); 50% given in first eight hours; 50% given in next 16 hours.
84
area defined by the junction of the cystic duct | and common bile duct, the second and third portions of the duodenum, and the neck and body of the pancreas.
Passaro (gastronoma) triangle
85
Congenital absence of pectoralis +/- ipsilateral breast / ribs
Poland syndrome
86
Hernia through the inferior lumbar triangle (and its boundaries)
Petit hernia, bounded by the external oblique, latissimus dorsi, and iliac crest
87
Folded gallbladder find us
Phrygian cap
88
This potential space results from herniation of intestinal loops through a defect in the mesentery and between small bowel limbs, transverse mesocolon, and the retroperitoneum
(Petersen’s space hernia
89
sporadic congenital disorder that classically affects the unilateral breast, chest wall, and upper extremity. It is present in at least 1 in 100,000 individuals, occurs more commonly on the right than left (2:1 to 3:1), and affects men more often than women (3:1). Underdevelopment or absence of the pectoralis, serratus, and latissimus dorsi muscles, symbrachydactyly (fused, missing, and/or shortened digits), shortened forearm, dextrocardia, rib abnormalities, absent axillary hair, athelia, diminished subcutaneous fat localized over the ipsilateral chest wall, and renal agenesis or hypoplasia (rare) have all been described as characteristics. The cause is thought to be due to interruption in the vascular supply to the affected chest wall and upper extremity in utero resulting in hypoplasia of the chest wall muscles
Poland’s syndrome
90
an autosomal dominant genetic disorder characterized by the development of benign hamartomatous polyps in the gastrointestinal tract and hyperpigmented macules on the lips and oral mucosa (melanosis).
Peutz-Jeghers
91
Mutation in STK11 gene and classically associated with the presence of hyperpigmented mucocutaneous spots, bowel hamartomas, and cancers of the GI tract, pancreas, liver, breast, endometrium, and ovary
Peutz-Jeghers syndrome
92
Primary pneumatosis intestinalis synonym
pneumatosis cystoides intestinalis
93
Clamping of the hepatoduodenal ligament, interrupting the blood flow of the hepatic artery and portal vein to control bleeding from the liver
Pringle maneuver
94
Rectal prolapse synonym
Procidentia
95
calcified deposits representing clumps of sloughed cells on FNA for thyroid ca
Psammoma bodies
96
procedure involves cutting open the length of the main pancreatic duct and anastomosing a Roux limb of jejunum to the duct but requires a dilated duct (>6 mm).
Puestow
97
Air on both sides of the bowel wall
Rigler sign. Indicative of pneumoperitoneum
98
Findings of gallstone ileus
Rigler’s triad: SBO, gallstone outside GB, and pneumobilia
99
Tx of choice for children with portal vein thrombosis and refractory UGI bleeding
Rex Shunt: superior mesenteric vein–to– left portal vein bypass at the Rex recessus
101
placement of a prosthetic mesh around the mobilized rectum with attachment of the mesh to the presacral fascia below the sacral promontory.
Ripstein repair. The procedure involves mobilizing the rectum on both sides and posteriorly down to the levator ani muscle plate. After mobilization of the rectum, a 5-cm band of rectangular mesh is placed around its anterior aspect at the level of the peritoneal reflection, and both sides of the mesh are sutured with nonabsorbable suture to the presacral fascia, approximately 1 cm from the midline. Sutures are used to secure the mesh to the rectum anteriorly and the rectum is pulled upward and posteriorly. A significant complication of this operation is the incidence of new-onset or worsened constipation.
102
Atrophy of GB mucosa as a result of chronic cholecystitis
Rokitansky-Aschoff sinuses
103
interpectoral | (between the pectoralis major and minor muscles) and are technically level II nodes
Rotter nodes
104
Classification of arterial insufficiency
The Rutherford Classification grades the severity of chronic arterial insufficiency based on clinical presentation. Categories range from 0 to 6: 0 = asymptomatic; 1 = mild claudication; 2 = moderate claudication; 3 = severe claudication; 4 = ischemic rest pain; 5 = minor tissue loss; and 6 = major tissue loss. Alternative classification systems include the Fontaine Classification, SVS WIfI (wound, ischemia, and foot infection), and others. TASC II uses strictly anatomic distribution of disease for its classification.
105
Criteria used to dx antiphospholipid syndrome
Sapporo criteria (Sydney criteria) Clinical – The presence of either vascular thrombosis or pregnancy morbidity, defined as follows: Vascular thrombosis is defined as one or more episodes of venous, arterial, or small vessel thrombosis, with unequivocal imaging or histologic evidence of thrombosis in any tissue or organ. Superficial venous thrombosis does not satisfy the criteria for thrombosis for APS. Pregnancy morbidity is defined as otherwise unexplained fetal death at ≥10 weeks gestation of a morphologically normal fetus, or one or more premature births before 34 weeks of gestation because of eclampsia, preeclampsia, or placental insufficiency, or three or more embryonic (<10 weeks gestation) pregnancy losses unexplained by maternal or paternal chromosomal abnormalities or by maternal anatomic or hormonal causes. Laboratory – The presence of antiphospholipid antibodies on two or more occasions at least 12 weeks apart and no more than five years prior to clinical manifestations, as demonstrated by one or more of the following: IgG and/or IgM anticardiolipin antibodies in moderate or high titer (>40 GPL or MPL units or >99th percentile for the testing laboratory) Antibodies to beta2-glycoprotein (GP) I of IgG or IgM isotype at a titer >99th percentile for the testing laboratory when tested according to recommended procedures Lupus anticoagulant (LA) activity detected according to published guidelines. Criteria does NOT include presence of SLE9
106
network of | lymphatics that drains the subareolar region
called Sappey, and it is important because this is the principle behind subareolar injection of blue dye and radiocolloid for sentinel lymph node mapping (sappey for the mappey)
107
Test in which oral radiolabeled vit B12 is administered along with parenteral unlabeled vitamin B 12. The unlabeled B12 saturates liver receptors. Thus, if the oral radiolabeled vitamin B12 is properly absorbed and liver receptors are saturated, the radiolabeled vitamin B12 will be excreted in high concentrations in the urine. With pernicious anemia and blind loop syndrome, oral absorption will be low, and thus urinary excretion of radiolabeled vitamin B12 will be low. When the test is repeated after the administration of intrinsic factor, vit B12 excretion will increase, whereas with blind loop syndrome it will not
Schilling test
108
An umbilical nodule that suggests carcinomatosis.
Sister Mary Joseph node
109
Removal of a thyroglossal duct cyst or sinus tract, involving a neck incision with dissection up to the hyoid bone.
Sistrunk procedure
110
associated with a small ventral septal defect and is described as a vibratory systolic ejection rumble
Still’s murmur
111
Hernia through the aponeurotic layer between the recuts muscle and the semilunar line
Spigelian hernia
112
Purple nodular lesions occurring on an arm with long-standing lymphedema present is angiosarcoma, or lymphangiosarcoma, otherwise referred to as
Stewart-Treves syndrome
113
Name three procedures used for the treatment of Hirschsprung’s disease
Soave - ileal pull through method with ganglionic ileum inside aganglionic rectum. Can be performed trans anal or open, with trans anal being associated with shoulder hospital stays Swenson - End to end ileoanal anastomosis. Associated with higher rates of sexual dysfunction And enterocolitis Duhamel - End to side ileoanal anastomosis. Associated with higher rates of incontinence.
114
H. Pylori Eradication protocols
Triple therapy: PPI, clarithromycin, and amoxicillin Quadruple therapy: PPI, bismuth, tetracycline, and flagyl
115
rectosigmoid junction
Sudeck’s critical point. Watershed between IMA and superior rectal a.
116
Anal encirclement procedure name
Thiersch anal encirclement
117
Position used in the case of air embolus
Trendelenburg position with left side | down (Durant’s maneuver)
118
Superficial migratory thrombophlebitis
Trousseau’s sign
119
Synonyms for VIPoma
WDHA (watery diarrhea, | hypokalemia, and achlorhydria) and Verner-Morrison syndrome
119
A metastatic left supraclavicular lymph node
Virchow node (Troisier sign)
119
Presacral fascia synonym, and location.
Waldeyer fascia. Separates the rectum from the presacral venous plexus and the pelvic nerves.
119
Three risk fx for DVT
Virchow’s triad: Venous stasis Hypercoagulability Endothelial injury
120
Nephroblastoma associated with hemihypertrophy and aniridia
Wilms tumor
121
Anastomotic connection between the subclavian and the femoral vessels
(pathway of) Winslow: subclavians → internal thoracic artery, superior epigastric,inferior epigastric artery, external iliac artery
122
Final location of testis during orchipexy
Dartos Pouch Orchipexy steps: 1. Complete mobilization of the spermatic cord and testis 2. Ligation of the patent processus vaginalis and skeletonization of the cord 3. Formation of dartos pouch usually with a small separate skin incision. Dartos fascia is thin subcutaneous fascia of the scrotum and penis 4. Put the testicle in the pouch and narrow the fascia behind it to secure it

Surgery (8 decks)

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