Surgery 100Q
Checklist
Euthyroid
Nutrition challenging, TPN and what to mix
Debakey type 2
Breast tumor at menarche benign fibroadenoma
What is the most common precancerous cells if left unattended
o Ductal carcinoma in situ
o Actual common cancer infiltrating ductal carcinoma
Cancerous marker
Three components of multiple neoplasim one
o Parathyroid hyperplasia
o Islet cells
o Anterior pit tumor
2a: medu cancer
Pheochromcytoma
Parathyroid hyperplasia
Men3: mucusoal abnormalities still pheo and medullary
Papillary thyroid cancer is the most common
Secretory tumor of parafollicular cells: low calcium
Most common breast procedure (breast concerving therapy) keep the
breast in tact if no result to mastectomy includes: lumpectomy with
wide excision around it, mets to the lympoh need to take out sential
nodes (and ony do the resection if you cant find the nodes) and
external radiation
How do you know which one sential node: tech 99: it’s the first nose
that drains it
Don’t give asprin to
Dantorline for
Cardotid endarterectomy: go into the carotids quickly and pull out
plaque , do it when
o 75% stenois
o 50% when there is significant symotms
Debakey 1 and 2 get surgey and know the definition
Infrarenal
Segment 5 of the liver
Pancreas
A lot of liver questions
98% of infor from history
Fever flu like sysmpms, 800,00 wbc and see discooliration, work in
yapenk (the zoo) they need a surgical reduction they need an antibiotic
first (albenosozole) Chinococcys
Sheep cattle, careful reception and albendozole first , hyated cyst,
Cancer at the head of the pancreas (Whipple)
Choledoclthisus ruin y
Sclerosis of duct of worsung: pustow procedure
Grade three splenic injry: trabelular vessles greater than 5cm depth of
the capsule
3,4,5 surgery
3y/o girl see round red bubble balls with a nucelus and one of ther
partent/ grand had it: herefitary spherocytosis: don’t remove the
spleen age is 4
7y/o comes in you remove it
y/o Ari Anistziasis always shirt of brearth and hb is short of breath
anemic Greek person, thalsemia maybe major, take the spleeb out ,
9y/o brother can go to school keep the spleen in
Age doenst matter for thalassemia
Major need both parents to get it, and taking the spleen out depends
on the sysmtoms you show
Splenic abscess doing the surgery grade 3,4,5 out and 1 and 2 sit on
it
Heperan induced thrombocytopenina stop the heparin
Do not pick c and d for spleninc questions it will be a or b
One of the questions is all of the above
Sickle cell unless severe keep it in
Bleeding esophagel varicies etholaim , aodium tetra decl
Sengstons blade more tube
Hepatic vein is sclerosed , urine is dark, stool is steatorrhea Bud
Chiari syndrome
TTP know the triad and the pentad fever, ams
ITP Txt: steroids immediately
Compartemtne syndrome: know the 6 ps concered when greater than
40 pressure but hes concerned at 30
Shoulder soulder fasciaotmy in two places
Plaque formation
Plattlet aggret
Antiplatelt activation
Aspirin
Plavix and Brillinta P2Y2
Plavix 20% of pop don’t respond and a lot of people take PPI which kills
Plavix
Plavix you can load up brilinta takes too long
Diff b/w true and false aneurysm doesn’t break the adeventicia
83 chest pain to theback, bilateral blood pressure
Whats the number one causing agent of dissection hypertension,
permissive hypotension you need to bring them lower
o The problem is through the sheering forces
Number one indicator of progression of disease: smoking
And causing agent is hypertension bc of the sheering forces
Gorund glass orphi ani I: it’s the number one thyroid cancer which is
papillary.
