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General Surgery > Swellings > Flashcards

Swellings Flashcards

1
Q

C/P of cercoid aneurysm

A
  1. Cosemetic disfigurment, headache
  2. Pulsating, water hammer pulse
  3. Machinery murmur on auscultation
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2
Q

Ttt of cercoid aneurysm

A

Bloody,
Excision under hypotonic sheath, semi-sitting position, hypotensive GA, pre-operative embolization, ligation of ECA.

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3
Q

…..cysts are formed when fluid collects in anatomical space

A

Exudation

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4
Q

List complications of a cyst

A
  1. Infection
  2. Hge
  3. Torsion
  4. Calcification
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5
Q

Mention 3 congenital cysts

A

Sequestration, tubulo-dermoid & cysts of embryonic remnants

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6
Q

Complications of sequestration cyst

A

May be connected to dura by pedicle leading to cerebral/intracranial compression
Recurrence

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7
Q

MC site of thyroglossal cyst

A

Subhyoid in midline

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8
Q

In sistrunk operation…..are removed

A

Thyriglossal cyst + tract + part of hyoid bone + central tongue tissue + pyramidal lobe

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9
Q

List sites & complications of brachial cyst

A

Site: upper1/3 of ant border of sternomastoid, at carotid bifucation or between Rosenmuller fossa & base of neck
Comp:1. Infection
2. Fistula
3. Adenocarcinoma

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10
Q

Mention acquired dermoid cysts

A

Implantation & inclusion cysts

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11
Q

Sebaceous cysts never occur in…..

A

Palms & soles

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12
Q

What is the significance of Cock’s peculiar ulcer?

A

Ulcerated sebaceous horn or infected cyst rupture needs biopsy as DD:SCC

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13
Q

……fistula is never congenital, occurs due to……

A

Thyroglossal
Infection&rupture, incomplete excision of cyst

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14
Q

Most common site for ganglion

A

Dorsum of wrist or foot

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15
Q

…….ulcer arises in gaiter area of leg while bed sores occur on…

A

Venous
Pressure areas on bony prominences

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16
Q

……ulcer is irregular in shape which….is circular

A

Malignant
Gummatous

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17
Q

Watery discharge & bluish margin chct…….

A

Tuberculous ulcers

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18
Q

Healing ulcers have…..edge & ….floor

A

Sloping
Pink with granulation tissue

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19
Q

Painful specific ulcer is….

A

Anal chancre in homosexuals

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20
Q

Mention 2 examples of hamartoma

A

Hemangioma & neurofibroma

21
Q

MC benign tumor is….most common subtype is..

A

Lipoma
SC

22
Q

Mention the pathognomonic signs of SC lipoma

A
  1. Dimpling of skin over it as ot is attached to skin especially on displacement of mass (lobulatoon)
  2. Slippery edge
23
Q

Subsynovial lipoma is DD with…..by….

A

Baker’s cyst
Its consistence remains the same whether joint is flexed or extended

24
Q

….is chct by multiple lipomas

A

Dercum’s disease(adiposis dorolosa)/multiple lipomatosis

25
Q

SC lipoma with risk l malignancy is….

A

In thigh/buttock

26
Q

List dangerous lipomas

A
  1. Submucous may cause respiratory obstruction/intussusception
  2. Retroperitoneal, premalignant
  3. Extradural: oressure manifestations
27
Q

Difffuse lipoma occurs in…

A

Neck

28
Q

List comp of hemangiomas

A
  1. Lesions in field of vision can cause squint
  2. Ulceration
  3. Infection
  4. Rapid growth (indicates interference)
29
Q

Mention 2 points of differentiation between vascular malformations & hemangiomas

A

VM:
1. Always present at birth
2. Do not involute or disappear spontaneously

30
Q

The most definite ttt of vascular malform is….

A

Surgery

31
Q

Most common cause of neurofibromas is…….MOI is….

A

Von Reckling Hausen disease
AD

32
Q

Solitary NF usually arises in…

A

Nerves of UL

33
Q

Define molluscum fibrosum

A

Multiple soft fibrous swellings arise in connection w/ terminal filaments of cutaneous nerves in scalp, face, trunk

34
Q

…..has been used to remove acoustic neuroma

A

Gamma knife radiosurgery

35
Q

Symp of malignant change in neurofibroma

A

Pain, rapid growth, hardeening

36
Q

List types of true neuroma & mention site

A
  1. Ganglioneuroma: symoathetic plexus
  2. Myelinic neuromas: s.c. & pia mater
  3. Neuroblastoma: less differentiated cells occurs in childrem mostly adrenal
37
Q

Most common association of lymphangiosarcoma….

A

Lymphedematous arm after modified radical mastectomy

38
Q

Most common site for glomangioma is…..

A

Subungal

39
Q

Kaposi sarcoma occurs in….., ttt by….

A

Immunocompromised pts
Surgery & radiotherapy

40
Q

…..is modality of choice for detecteing soft tissue tumors along with…..

A

MRI
characterizing & staging

41
Q

….has limited role in ttt of soft t.tumors

A

Chemo

42
Q

List criteria that indicate presesnce of soft t.sarcoma

A

Pain, size>5cm, site deep to the deep fascia, rapid growth

43
Q

Compare site of baker’s cyst & semimembranosus bursis

A

BC: midline
SB: medial to popliteal fossa

44
Q

The commonest site of adventitious bursae is….

A

Medial aspect of head of 1st metatarsal bone in hulluxvalgus (Bunion)

45
Q

List causes of non-healing sinus/fistula

A
  1. Necrotic material or foreign body
  2. Inadequate or non-dependent drainage of abscess
  3. Malnutrition
  4. Irradiation (endarteritis obliterans)
  5. Ischemia
  6. Epithelilization of tract
  7. Unrelieved obstruction in viscus distal to fistula
  8. Specific diseases
  9. Drugs (as steroid & cytotoxics)
  10. High output fistula
46
Q

What is the DD of swelling giving expansile impulse on cough

A

Hernia, cystic hygroma, laryngocele, pneumatocele, empyema necessitans

47
Q

Diffenetiate between cystic hygroma & branchial cyst

A

BC: deep to s.m., protrude from ant border
CH: superficial: extend to post tri

48
Q

Mention DD of cystic hygroma prenatally

A

Teratoma, encephalocele, hemangiomas

General Surgery (5 decks)

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