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Flashcards in Surgery Deck (18)
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1

Which direction does the trachea deviate in a tension pneumothorax?

Away from the pneumothorax

2

What neurosurgical emergency is associated with battle's sign (ecchymosis behind the ear)?

basilar skull fracture

3

What is the rule of 9s with regard to burn injuries - what are the divisions of the body that each account for 9%? (11)

head, each arm, anterior/posterior of each leg, torso is 18% anterior and 18% posterior

4

What is the antidote to a white phosphorus burn?

1% copper sulfate and calcium gluconate injection

5

What is the antidote to a hydrofluoric acid burn?

lavage for > 30 minutes then application of calcium gluconate gel to affected areas

6

What is the formula for fluid resuscitation in burn patients?

% burn area x body weight (kg) x 4 = total needed in first 24 hours. Half given in first 8 hours then remainder over the next 16. All crystalloid - LR recommended.

7

What is a curling ulcer?

an ulcer associated with burn victims in the stomach or duodenum

8

What kind of cancer is associated with healed/healing burns?

SCC (marjolin ulcer transformation)

9

What is the timeline for atelectatic induced post operative fever?

24-48 hours

10

What is the timeline for post operative fever induced by UTI?

48-72 hours

11

What is the timeline for post operative fever induced by wound infection?

>72 hours

12

What treatment has been proven to improve keloid scaring?

kenalog injection (triamcinolone)

13

How do you properly identify an organism in a pressure ulcer?

biopsy

14

In a patient with cellulitis, what triad of test results increases your index of suspicion for necrotizing fasciitis?

WBCs > 14k, BUN > 15, Na < 135

15

What is the initial antibiotic management for necrotizing fascitis?

Carbapanem + Clinda + MRSA coverage (vanc/dapto/zyvox) alternate agents: aminoglycoside/fq + flagyl

16

What is the impact of insuflation and pneumoperitoneum on cardiac function?

Decreases CO by as much as 30%

17

What is the most common complication of appendectomy?

Open: wound infection, Lap: abscess

18

What vitamin deficiencies are typical of bariatric surgery patients? resulting disorders?

Vitamin B12, Calcium, Vitamin D causing anemia, renal stones and osteopenia/porosis