Exam (elaborations)
General Surgery Rotation exam with correct solutions
- Course
- Institution
General Surgery Rotation exam with correct solutions
[Show more]
Content preview
General Surgery Rotation exam withcorrect solutions
5 W's for postop complicaitons - .......🔷ANSWERS🔶......✔✔ Wind, water, wound, walking,
whooper/wonder drugs
wind (alelectasis) timing and findings - .......🔷ANSWERS🔶......✔✔ FIRST 24-48 hrs postop.
PE: bronchial breathing and shift of trachea toward affected side
water (UTI) timing and findings - .......🔷ANSWERS🔶......✔✔ 48-72 hrs postop
PE: UTI sx, fever, hx of indwelling catheter
wound (infection) timing and findings - .......🔷ANSWERS🔶......✔✔ >72 hrs postop
MC cause of fever during this time pd!
PE: pain at wound site, drainage, erythema, elevation of vitals
walking (thrombophlebitis) timing and findings - .......🔷ANSWERS🔶......✔✔ > 72 hrs post op
PE: indwelling catheters, cellulitic streaking= strep infection; local abscess= staph infection
wonder drugs/whooper (drug fever/abscess) timing and findings - .......🔷ANSWERS🔶......✔✔ > 7
days
PE: persistent fever with neg cultures= drug fever
abdominal abscess= culture that is polymicrobial
STOP questions for obstructive sleep apnea (inc risk of pulmonary comp)
- .......🔷ANSWERS🔶......✔✔ S- snoring
T- tiredness during the day
O- observed apnea
, P- high blood Pressure
Aortic aneurysm/dissection dx - .......🔷ANSWERS🔶......✔✔ U/S is study of choice for AA and for
screening
CT will show bleeding
Thoracic aneurysms may require CT or MRI
Arterial embolism/thrombosis (MC cause and MC location) - .......🔷ANSWERS🔶......✔✔ MC cause
of embolic cerebrovascular accidents= A.fib (80%)
MC location is femoral artery others (iliac arteries, mesenteric arteries, popliteal)
PAD (cause, sx, dx, tx) - .......🔷ANSWERS🔶......✔✔ MC results from atherosclerosis
Sx: weak femoral and distal pulses; claudication, dependent elevation, pain with walking,dependent
rubor, shiny atrophic skin, loss of hair
Dx: angiography is GOLDSTANDARD; doppler or ABI (<.9=significant dz)
Tx: antiplatelet (aspirin, clopidogrel), sx relief use Cilostazol (vasodilatory effect)
Peripheral vascular disorders - .......🔷ANSWERS🔶......✔✔ peripheral arterial disease
varicose veins
thrombophlebitis/ DVT
chronic venous insufficiency
Acute arterial occulusion sx (PAD) - .......🔷ANSWERS🔶......✔✔ pain, pallor, pulselessness,
paresthesias, poikilothermia, and paralysis
vericose veins tx - .......🔷ANSWERS🔶......✔✔ compresssion sclerotherapy for smaller vessels
surgical stripping for larger vessles (saphenous)
Venous stasis ulcers (location and tx) - .......🔷ANSWERS🔶......✔✔ MC location= just above ankle
Tx: stockings and skin grafting
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Fordenken. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now