Card Set Information
number 1 limiting factor prior to surgery
after an mi, when can u do surgery?
at 6 months if the pass the stress test
pts with chf, must be managed how prior to surgery?
must be medically optimized with bb, acei, and spironolactone to decrease mortality
risk factors for surgery?
male over 45
anything that causes artherosclerosis
htn, dm, cholesterol
a patient with heart disease needs what 3 tgests prior to surgery?
under 35, no history of dz, what is the only test?
pts with lung disease need to have done what prior to surgery?
need to quit smoking 8 weeks prior
how is kidney dz managed prior to surgery?
dialysis 24 hrs prior
best way to maintain an airway with no facial trauma?
how do u maintain an airway with a cervical spine injury?>
orotracheal tube wtih flexible bronchoscopy
if suspecting a perforation, best initial test?
upright chest xray
URETHRAL trauma, next best step?
best initial test for acute mesenteric ischema?
what 2 abdominal conditions give pneumatosis intestinalis?
acute mesenteric enterocholitis
subcutaneous emphesema wchich is cracking and poppin on paplation of clavicles is seen in what condition?
most accurate test for a boerhaaves?
most common cause of esophageal perforation?
most common cause of gastric perforation?
PUD occur due to whta?
stress ucers--cushings or curlings
best initial test for perforation?
2 emergent conditions that have pain that radiates to the back?
abdominal aortic aneurystm dissection
what diagnostic tests are avoided in a pregnant woman?
diagnostic testst for a woman of childbearing age with lower quadrant pain?
best and most accurate test for diverticulitis?
rx of diverticulitis?
1st ---antibitocs and bowel rest
most accurate test for appenditicis, pancreatitis, diverticultis?
most accurate test for cholecystitis?
best test for abscess?
distribution of bone tumors from proximal to distal bone?
best initial test for small bowel obstruction?
xray-fluid air levels and dilated loops
ct--dilated parts with contrast
best therapy for trigger finger?
most common type of shoulder dislocatioin?
rx for scaphoid fracture?
thumb spica cast
rx for dequervian tenosynovitis?
steroids and a splint
rx for cauda equina?
pad vs venous ulcers?
pad ulcers--below the ankle
venous ulcers--above the ankle
ulcer that appears repeatedly after years of a draining sinus or a burn?
sqaumous cell carcinoma
management of spinal cord compression?
steroids and decompression
rx for femur midshaft fracture?
intermedullary shaft fixation
4 places where you can loose enough blood to go into a hypovolemic shock?
femur when it is broken
dyspnea, petechiae around the neck, low po2
clicking and locking of the knee on flexion and extension?
rx for compartment syndrome?
distal radial fracture
simple fractures that can be manipulated back into place, this is called?
shortened leg after a fall?
femoral neck fracture vs intertrochanteric fracture,management?
primary bone tumors tend to occur in what age group?
therapy for mm?>
rx for clavicle fracture?
posterior shoulder dislocations tend to occur when?
when all muscle contract as in a seizure
what kind of shoulder dislocation it is when the arm is held medial to the body?
posterior shoulder disloaction
volkman contracture is caused by what fracture?
supracondylar fracture--radial artery
name for a fracture involving the growth plate?
genu varum and genu valgum at an early age?
club foot rx?
with supracondylar fractures you need what studies to check for patency of the radial artery/
in kids, hip pathologies may present with what pain?
rx of slipped femoral capital epiphyses?
toddler with fever and hip pain?
septic arthriis--aspirate and culture
which of these is an surgical emergency?
congenital hip dysplasia?
leg parthe calve
slipped capital femoral epiphyses?
slipped capital femoral epiphysese
supracondylar fracture of humerous can lead to ?
rx of black widow spider bite vs brown recluse bite?
black widow--iv calcium gluconate and antispasmodics
brown recluse--resect necrotic tissue
dx of congenital hip dyslpac?
blunt trauma to the neck or head?
ct of head and neck
imaging of spinal cord?
best initial rx for spinal cord injury?
rx for rib fracture/.
topical anestethic block
rx of tension pneumo?
rx of spontaneous pneumo?
xray to confirm
rx for hemothorax?
chest tube to drain blood
3 bones that are hard to break and only break with bad trauma?
injury to trachea or bronchus require intubation how?
with a bronchoscope
gunshots and stab wounds below where are considered abdominal?
maanagemetn of apatient who is stable with a stab wound?
put a finger through the whole and see if the peritoneum is intact
blunt trauma to abdomen, next best step when pt is stable?
stable--ct of abdomen
not stable--ultrasound or peritoneal lavage
patient is schock with broken bones and not responding to fluids?
immobilize the bones
blunt trauma and hematuria?
look at what bones are associated with it
if ribs---ct of kidneys
if pelvis--retrograe urethrogram for males
cystagram for females
complications of kidney blunt trauma?
av fistula with heart failure
when do you worry about a bullet in the thigh?
if its antero-medial in location
crushing injuries of the arm or leg may develop into what?
rx of a chemical burn?
washi it out
dx of an inhalational injury?
how do you decide if to treat?
looks at abg
circumferential skin burns require wht to allow blood flow?
urine output in a burn patient per hour?
burns require topical?
when are early excision grafts done?
if a small area is invovled?
if a bit from a dog is provovoked, do you give rabies ivig if the bite is on the hand?
hand--observe the dog
management of a bite from a coyote?
kill the coyote and examine th ebrain from rabies
all bites need at least?
rx of snake bite?
observe the skin with the bite to see if there is a reaction
at the same time five tetanus
blood matching on hold
venom on hold
can you have pulses in compartment syndrme?
most sensitive test for compartment syndrome?
pain on extension of wrist or foot
posterior dislocation of humerous and femur has the humeour and femur internally or externally rotated?
posterior dislocation of the knee poses what problem/
occlusion of the popliteal artery
most accurate test for carpal tunnel?
best initial therapy ofr carpal tunnel?
when do you not do the surgery when the ef is what?
time from an MI to surgery ideally?
with copd , the pft look at what?
rx for malignant hyperthermia?
imaging for an abscess?
most MI occur when?
during or 1 day after surgery
rx of a post srugery mi cannot include what?
when do you put in an ivc filter?
if pt is on heparin and the clot reoccurs
or if anticoagulation is contraindicated bc of increased bleeding
when is the last time a pt can eat b4 surgery?
midnight before the surgery or 8 hours before
post up coma and diffusion with not other risks, check what?
rx for ards?
rx for delirium tremens?
urine output is 0, next best step?
low urine, how to work it up?
electrolyte disorder causing ileus?
what is ogilvie syndrome?
ileus of the large colon
ogilvie syndrome occurs secondary to what?
joint replacement and cabg
close it more securely
rx for an infected wound absecc?
rx for siadh?
what kind of fluid replaces water quickly?
fluids that replace water lost over several days?
rx for hyponatremia?
if water gained quickly
if gained over days?
if gained over weeks?
rx of dka?
fluids and insuling
once urinary output is normal, iv K
bile and pancreatic juices are rich in what ?
rx of hypochloremic, hypokalmeic metabolic alkalosis due to loss of h?
most accurate test for gerd?
24 ph monitoring
difficulty swallowing, best initial test?
most accurate for esophagus cancer?
best initial test for difficulty swallowing?
barium swallow--then manometry or endoscoy
choice of test for stomach.?
rx of sbo and lbo?
sbo--partial--wait and fluid
when do you do ct for appendiciti?
if the case isnt classic
which polyps are malignant potential?
indications for colectomy for uc?
next step in management after a history?
rx of anal fissure?
dilation of the sphincter--botulinum, nitroglycerin
rx of sqamous cell carcinoma of the rectum?
75% of gi bleeds occur from?
how do you work up a gi bleed?
1st rule out an UGIB
diagnosis of lower gi bleed?