Term
| special considerations in pediatric surgery |
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Definition
| cardiac perfusion, fetal lung immaturity, cold stress, significantly increased risk of infection |
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Term
| main cause of death in children from 1-15yo |
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Definition
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Term
| what is considered in children under 6yo due to poor venous access |
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Definition
| intraosseous (tibial) access |
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Term
| hypertrophy of the circular muscle of the pylorus, usually presents in caucasian males with projectile emesis |
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Definition
| hypertrophic pyloric stenosis (HPS) |
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Term
| palpable "olive tumor" in the epigastrum |
|
Definition
| hypertrophic pyloric stenosis |
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|
Term
| treatment of hypertrophic pyloric stenosis |
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Definition
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|
Term
| when is orchidoplexy performed for cryptorchidism? |
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Definition
| about 6m of age if testes cannot be manipulated into a scrotal position |
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Term
| this condition is fatal without surgery by age 2 |
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Definition
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Term
| treatment for neuroblastoma |
|
Definition
| surgery, chemo, and radiation |
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|
Term
| malignant tumor of renal origin |
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Definition
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Term
| neurosurgery case that presents with new onset seizures |
|
Definition
| cavernous angioma (cavernous malformation) |
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|
Term
| neurosurgery case that presents with intracerebral or subarachnoid hemorrhage |
|
Definition
| arteriovenous malformation (AVM) and fistula |
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|
Term
| major cause of spontaneous intracerebral hemorrhage |
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Definition
|
|
Term
| by what point in time will most saccular aneurysms rehemorrhage? |
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Definition
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Term
|
Definition
| primary intercranial tumors that develop from glia |
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|
Term
| types of extra-axial tumors (arise from outside the brain parenchyma) |
|
Definition
| meningiomas, schwannomas of cranial and spinal nerves, adenomas |
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|
Term
| cause of secondary traumatic brain injury |
|
Definition
| decreased oxygen delivery to the brain |
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Term
| essential components of the initial neuro exam in TBI |
|
Definition
| GCS, and pupillary size and reactivity |
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|
Term
| saddle anesthesia, urinary retention, and significant motor weakness |
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Definition
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|
Term
| treatment of cauda equina syndrome |
|
Definition
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|
Term
| narrowing of the spinal canal with resultant neurologic deficits, present with neurogenic claudication |
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Definition
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|
Term
| treatment of surgical radiculopathy |
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Definition
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|
Term
| compression of the entire cerivcal cord, either by a large herniated disk fragment or osteophytic bony spurs |
|
Definition
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|
Term
| treatment of cervical myelopathy |
|
Definition
| surgical decompression STAT, if untreated --> quadriparesis |
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|
Term
|
Definition
| to restore form and function |
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|
Term
| areas prone to problematic scars and keloids |
|
Definition
| ears, anterior chest, and shoulders |
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|
Term
| know they types of wound closure, primary, secondary, and tertiary |
|
Definition
primary = immediately closed
secondary = no closure
tertiary = delayed closure |
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|
Term
| what type of sutures are less constrictive? |
|
Definition
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|
Term
| sutures left in too long result in _____, taken out too early result in _____. |
|
Definition
too late = tram tracking
too early = wound dihesence |
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|
Term
| when are facial sutures removed? areas of active motion? |
|
Definition
face = 5 days
active motion = 14 days |
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|
Term
| removal of devitalized and contaminated tissues while preserving crtical structures such as nerves, blood vessels, tendons, and bone |
|
Definition
| debridement and irrigation |
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|
Term
| what is the mainstay of wound infection control? |
|
Definition
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|
Term
| nerve responsible for thumb adduction |
|
Definition
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|
Term
| nerve responsible for little finger flexion |
|
Definition
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|
Term
| this injury results in mallet finger, avulsions are most likely to occur at the DIP joint from a jamming injury |
|
Definition
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|
Term
|
Definition
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|
Term
| complication of untreated scaphoid fx |
|
Definition
|
|
Term
| area of tenderness associated with a scaphoid fx? |
|
Definition
|
|
Term
| which has more bacterial isolates, animal or human bites? |
|
Definition
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|
Term
| positive Finkelstein's test |
|
Definition
| De Quervain's Tenosynovitis |
|
|
Term
| treatment of de Quarvain's |
|
Definition
| local steroid injection, immobilization, local heat, NSAIDs, surgical decompression as a last resort |
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|
Term
| pt can flex digit but attempts to extend the digit result in it suddenly snapping back. |
|
Definition
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|
Term
| positive Tinel's and Phalen's test |
|
Definition
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|
Term
| tx for Dupuytren's contracture |
|
Definition
| surgical excision = regional palmar and digital fasciectomy |
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|
Term
|
Definition
| primarily wide radical excision |
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|
Term
| dx and staging of cervical cancer is made using |
|
Definition
| LEEP (loop electrosurgical excision procedure) |
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|
Term
| definitive dx of a pelvic mass requires |
|
Definition
| visual insepction and histologic diagnosis |
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|
Term
| best indicator of traumatic injury to the urinary system |
|
Definition
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|
Term
| indications for renal exploration (transabdominal) |
|
Definition
| persistent renal bleeding, expanding or pulsatile perirenal hematoma and aterial injury |
|
|
Term
| indication for nephrectomy |
|
Definition
| unstable pt who has a normal contralateral kidney |
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|
Term
| treatment for testicular torsion |
|
Definition
| immediate surgical exploration |
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|
Term
|
Definition
| arterial emoblization, or open surgical arterial ligation |
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|
Term
| non-malignant enlargement of the prostate causing obstruction of urinary outflow |
|
Definition
|
|
Term
|
Definition
| UA, serum PSA, serum creatinine, uroflowmetry and postvoid residual |
|
|
Term
|
Definition
| TURP = preferred, open prostatectomy, TUNA |
|
|
Term
| collection of fluid within the tunica |
|
Definition
| hydrocele, surgical correction is only required when pt is symptomatic from the size |
|
|
Term
| painless fluid filled sac above and posterior to the testicle |
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
| often curative procedure for renal cell carcinoma |
|
Definition
|
|
Term
| what is rencal cancer NOT responsive to? |
|
Definition
| radiation and chemotherapy |
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