Term
| What are the cardiac considerations for preoperative evaluation of surgical pt? x5 |
|
Definition
EF <35%
MI within 6mo
CHF use ACEi, BB, Spirolactone
>35 stress test, echo |
|
|
Term
What are the --- preoperative evaluation considerations for pts?
Pulmonaryx2
Kidneyx2 |
|
Definition
Smoker/Lung disease-PFT
Stop smoking 6-8wks before
acquite fluids and dialysis |
|
|
Term
| What are the Systemic inflammatory response syndrome criteria? x4 |
|
Definition
Hi or Lo Temp
Hi HR
Hi or Lo Resp
Hi or low WBCs |
|
|
Term
What is SIRS?
Sepsis?
Sev. Sepsis
Septic shock |
|
Definition
SIRS= 2 SIRS critieria
Sepsis = 2 + Infection
Sev sepsis = 2+Inf + Organ disfuniton
Sept shock = 2 + Inf + organ dis + Hypotention
SIRS- 2 criteria
Sepsis - infection
Sev Sepsis- organ disfunc
Septic shock - hypotention |
|
|
Term
what are the most common symptoms of Ischemic bowel disease?
BITest?
MATest? |
|
Definition
abdominal pain after eating, bloody diarrhea
CT
Angiograpy |
|
|
Term
What is the treatment for ischemic bowl disease?
What has referred pain to the ----?
Right shoulder/scapula
Tip of penis/perineum
Costovertebral angle |
|
Definition
IV saline followed by surgical intervention removing necrotic bowl
Gall bladder/ peritonitis
Prostate
Pyelonephritis, nephrolithiasis |
|
|
Term
What is the most common site for GI infarction? x2
What are the ass S&S of Esophageal perforations? x4 |
|
Definition
The watershed areas: splenic and hepatic flexures
Severe/ acute onset of exruciating retrosternal chest pain
Odynophagia- pain on swollowing
Hamman sign- crunching heard upon palpation of the thorax "snap,crackle, and pop"
Pain that radiates to the LEFT sholder |
|
|
Term
What is the most common cause of Esophogeal proliferation?
What is the MATest?
What is the treatment? |
|
Definition
iatrogenic from procedures
esophogram using diatrizoate meglumine and diatrizoate sodium solution (Gastrografin)
Surgery |
|
|
Term
what is a complication of an Esophageal tear that has a high mortality?
What is the most common cause of gastric proliferation?
What are the ass S&S of Gastric Perforation? |
|
Definition
Mediastinitis
Ulcer disease
Acute, progressive worsening abdominal pain
Radiates to Right shoulder |
|
|
Term
What is BITest&R of a gastric proliferation?
MATest? |
|
Definition
upright CXR shoing free air under the diaphram
CT |
|
|
Term
| What are the 4 steps of treatment of Gastric proliferation? |
|
Definition
Stop eating (NPO)
Suction (NG tube)
Saline with antibiotics
Surgical repair |
|
|
Term
What is the Dx test for Abdominal abscess
what is the treatement? |
|
Definition
CT
incision and drainage is the only therapy |
|
|
Term
| What are the Ass S&S of bowl obstruction? |
|
Definition
intermittent crampy abd pain
N/V, fever
High pitched 'tinkling' sound |
|
|
Term
What is the BITest and resluts for Bowl obstruction
MATest and results?
other important finding? |
|
Definition
Xray showing multiple air fluid levels 'step ladder'
CT shows transition zone from dialted loops of bowel
elevated WBC, Acidosis |
|
|
Term
| What is the treatment for a Bowel obstruction? |
|
Definition
NPO
NGtube to help decompress the bowl
IV fluid hydration-
Surgical resection |
|
|
Term
what is considered fecal incontinence?
What is the BITest?
and MATest? |
|
Definition
uncontroled fecal matter for mor than 1 months
Sigmoido or anoscopy
anorectal manometray |
|
|
Term
| What are the treatment options for fecal incontinence? |
|
Definition
Medical therapy: fiver dextranomer/ hyaluronic acid
Biofeedback: control exercises and Musc strength exercises
Colorectal surgery |
|
|
Term
what are Comminuted fractures
what is the most common stress fracture
What test should be done for a stress fracture
What is the treatment? |
|
Definition
broke into multiple pieces (crus)
Metatarsals
CT or MRI must be conducted
reduce physcial activity and casting if persistant surgery |
|
|
Term
What is the treatment for an open fracture?
What are the ass S&S of Fat embolism |
|
Definition
surgery is always the answer
Confustion
Pectechial rash on upper ext and trunk
SOB and tachypnea with dyspnea |
|
|
Term
What are 3 diagnostic tests and results of Fat Emboli?
What is the treatment? |
|
Definition
ABG shoing PO2 below 60
CXR shows infilitrates
UA shows fat droplets
Keep PO2 over 95%
if hypoxic intubation followed by mechanical ventilation |
|
|
Term
What are the 6 P's of compartment syndrome?
what is the Tx? |
|
Definition
Pain
Pallor
Paresthesia
Paralysis
Pulselesness
Poikilothermia- cold to touch
immediate fasciotomy |
|
|
Term
What is the diagnostic test for knee ligamnet pain/probelms
What has ---
Positive anterior drawer sign
--------Posterior
Popping sound? |
|
Definition
|
|
Term
what is the Character of the pain of AAA?
What is dx test
Other tests?
Treatment? |
|
Definition
Dull
CT or MRI
US- to size
if over 5 cm surgery |
|
|
Term
| What is the Mneumonic for Post-op fever assessment? x5 |
|
Definition
Wind-Atectasis/pneumonia
Water- UTI
Walking-DVT/PE
Wound- Infections and cellulits
Wonder- Drug fever or Deep abscess |
|
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