Term
|
Definition
Asymmetric
Border Irregularities
Color Variation
Diameter > 0.6cm and Dark color |
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Term
|
Definition
| test for patency of radial and ulnar arteries prior to ABG |
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Term
|
Definition
constant dullness to percussion in the left flank/LUQ and resonance to percssion in the right flank.
Seen with splenic rupture/hematoma |
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Term
|
Definition
| columnar metaplasia of the distal esophagus |
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Term
|
Definition
| ecchymosis over the mastoid process in patients with basilar skull fractures |
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Term
|
Definition
Triad seen in pt's with Cardiac Tamponade
1. JVD
2. Decreased or muffled heart tones
3. Decreased blood pressure |
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Term
|
Definition
seen with fat emboli syndrome
1. mental status change
2. petechiae (often in axilla/thorax)
3. dyspnea |
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Term
|
Definition
| Metastatic disease to the rectouterine (pouch of Douglas) or rectovesical pouch creating a "shelf" that is palpable on rectal examination |
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Term
|
Definition
| Right subscapular pain resulting from cholelithiasis |
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Term
|
Definition
seen with gastric volvulus
1. emesis followed by retching
2. epigastric distention
3. failure to pass an NGT |
|
|
Term
|
Definition
seen with carcinoid syndrome (think FDR)
1. Flushing
2. Diarrhea
3. Right sided heart failure |
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|
Term
|
Definition
seen with cholangitis
1. Fever (chills)
2. Jaundice
3. Rght upper quadrant pain |
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Term
|
Definition
| twitching of facial muscles upon tapping the facial nerve in pts with hypocalcemia |
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Term
|
Definition
| Enlarged nontender gallbladder seen with obstruction of the common bile duct, most commonly with pancreatic cancer. |
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|
Term
|
Definition
bluish discoloration of the periumbilical area due to retroperitoneal hemorrhage tracking around to the anterior abdominal wall through facial planes
seen with acute hemorrhagic pancreatitis |
|
|
Term
|
Definition
Signs of increased intracranial pressure
1. HTN
2. Bradycardia
3. Irregular respirations |
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Term
|
Definition
| Empy right lower quadrant in childen with ileocecal intussusception |
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Term
|
Definition
| used to differentiate an intra-abdominal mass from one in the abdominal wall; if mass is felt where there is tension on the musculature, then it is in the wall |
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Term
|
Definition
| ecchymosis of the inguinal ligament seen with retroperitoneal bleeding |
|
|
Term
|
Definition
anal fistulae course in a straight path anteriorly and curved path posteriorly from midline
(think of a dog with a straigth anterior nose and curved posterior tail) |
|
|
Term
|
Definition
| ecchymosis or discoloration of the flank in pts with retroperitoneal hemorrhage as a result of dissecting blood from the retroperitoneum |
|
|
Term
|
Definition
| crunching sound on auscultation of the heart resulting from emphysematous mediastinum; seen with Boerhave's syndrome, pneumomediastinum, etc |
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|
Term
|
Definition
| claf pain on forced dorsiflexion of the foot in patients with DVT |
|
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Term
|
Definition
Pain along the inner aspect of the thigh
seen wiith an obturator hernia as the result of nerve compression |
|
|
Term
|
Definition
severe left shoulder pain in pts with splenic rupture
resullt of referred pain from diaphragmatic irritation |
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|
Term
|
Definition
visible peristalsis of the ureter in response to squeezing or retraction
used to identify the ureter during surgery |
|
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Term
|
Definition
| metastatic tumor of the ovary (classically from gastric cancer) |
|
|
Term
|
Definition
wall tension = perssure x radius
thus the colon perforates preferentially at the cecum because of the increased radius and resultant increased wall tension |
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Term
|
Definition
| One third the distance from the anterior iliac spine to the umbilicus on a line connecting the two |
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Term
|
Definition
| tenderness at McBurney's point in pt with appendicitis |
|
|
Term
| Meckel's Diverticulum Rule of 2's |
|
Definition
2% of the population have one
2% of those are symptomatic and they occur within approx. 2 ft of the ileocecal valve |
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Term
|
Definition
| lower quadrant pain due to ovulation |
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|
Term
|
Definition
cessation of inspiration while palpating under the right costal margin
Pt cannot continue to inspire deeply because it brings an inflamed gallbladder under pressure.
Seen in acute cholecystitis |
|
|
Term
|
Definition
Pain upon internal rotation of the left with the hip and knee flexed.
seen in pts with appendicitis/pelvic abscess |
|
|
Term
| pheochromocytoma symptoms triad |
|
Definition
First three letters in the word
Palpitations
Headache
Episodic Diaphoresis |
|
|
Term
| Pheochromocytoma Rule of 10's |
|
Definition
10% bilateral
10% malignant
10% in children
10% extra abdominal
10% have multiple tumors |
|
|
Term
|
Definition
pain illicited by extending the hip with the knee in full extension
seen with appendicits and psoas inflammation |
|
|
Term
|
Definition
| bilateral black eyes as a result of basilar skull fracture |
|
|
Term
|
Definition
1. Fever
2. Jaundice
3. Right upper quadrant pain
(Charcot's triad)
4. mental status change
5. shock/sepsis
Seen in pts with suppurative cholangitis |
|
|
Term
|
Definition
Palpation of the LLQ resulting in pain in the RLQ
seen in appendicitis |
|
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Term
|
Definition
1. cholelithiasis
2. hiatal hernia
3. diverticular disease |
|
|
Term
|
Definition
indirect hernia sac in the pediatric patient.
Sac feels like a finger of a silk glove when rolled under the examining finger |
|
|
Term
| Sister Mary Joseph's Sign |
|
Definition
| metastatic tumor to umbilical lymph nodes |
|
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Term
|
Definition
| metastatic tumor to left supraclavicular node (classically due to gastric cancer) |
|
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Term
|
Definition
Carpal Spasm after occlusion of blood to the forearm with BP cuff
seen in hypocalcemia |
|
|
Term
|
Definition
| RLQ pain from a perforated peptic ulcer due to succus/pus draining into the RLQ |
|
|
Term
|
Definition
| Decreased pulmonary vascular markings on CXR in a pt with pulmonary embolus |
|
|
Term
|
Definition
Evidence for insulinoma
1. hypoglycemia (<50)
2. CNS or vasomotor symptoms
3. Relief of symptoms with administration of glucose |
|
|
Term
| What is Boerhave's Syndrome |
|
Definition
|
|
Term
| What is Budd Chiari syndrome? |
|
Definition
| thombosis of hepatic veins |
|
|
Term
| what is Cushing's Syndrome |
|
Definition
| excessive cortisol production |
|
|
Term
| What is Fitz-Hugh Curtis syndrome |
|
Definition
| perihpeatic gonorrhea infection |
|
|
Term
| What is Gardner's Syndrome |
|
Definition
GI polyps and associated findings of Sebaceous cysts, Osteomas, and Desmoid tumors
Polyps have a high malignancy potential |
|
|
Term
|
Definition
| Heparin-Induced Thrombocytopenic Thrombosis Syndrome |
|
|
Term
| What is Leriche's syndrome |
|
Definition
Claudication of buttocksand thighs
Impotence
Atrophy of legs
Seen in iliac occlusive disease |
|
|
Term
| What is Mallory Weiss Syndrome? |
|
Definition
| post-emesis/retching tears in the gastric mucosa |
|
|
Term
| What is Mendelson's syndrome? |
|
Definition
| Chemical pneumonitis after aspiration of gastric contents |
|
|
Term
| What is Mirizzi's syndrome? |
|
Definition
| extrinsic obstruction of the common hepatic bile duct from a gallstonein the gallbaldder or cystic duct |
|
|
Term
| What is Munchausen syndrome? |
|
Definition
|
|
Term
| What is Ogilvie's Syndrome? |
|
Definition
| massive nonobstructive colonic dilation |
|
|
Term
| What is Peutz-Jeghers syndrome? |
|
Definition
| Benign GI polyps and buccal pigmentation |
|
|
Term
| What is Plummer-Vinson Syndrome? |
|
Definition
Syndrome of
1. Esophageal webs
2. iron-deficiency anemia
3. dysphagia
4. spoon-shaped nails
5. atrophic oral and tongue mucosa
typically occurs in elderly women, 10% develop squamous cell carcinoma |
|
|
Term
| what is RED reaction syndrome? |
|
Definition
| syndrome of rapid vancomycin infusion resulting in skin erythema |
|
|
Term
| what is refeeding syndrome? |
|
Definition
| hypokalemia, hypomagnesemia, and hypophosphatemia after refeeding a starved patient. |
|
|
Term
| What is Rendu-Osler Weber (ROW) syndrome? |
|
Definition
| Syndromes of GI tract telangiectasia/A-V malformations |
|
|
Term
| What is short gut syndrome? |
|
Definition
| malnutrition resulting from <200cm of viable small bowel |
|
|
Term
| What is another name for Sipple's Syndrome? |
|
Definition
|
|
Term
| What is Tietze's Syndrome? |
|
Definition
costochondritis of rib cartilage, aspectic
treat with NSAIDs |
|
|
Term
| What is Toxic Shock Syndrome? |
|
Definition
| Staph. Aureus toxin induced syndrome marked by fever, hypotension, organ failure, and rash (desquamation especially palms and soles) |
|
|
Term
| What is Trousseau's Syndrome? |
|
Definition
| Syndrom of DVT associated with carcinoma |
|
|
Term
| What is another name for Wermer's Syndrome? |
|
Definition
|
|
Term
| What is Zollinger Ellison SYndrome? |
|
Definition
|
|
Term
| MC indication for surgery with Crohn's disease |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| MC site of breast cancer? |
|
Definition
|
|
Term
| MC vessel involved with a bleeding duodenal ulcer? |
|
Definition
|
|
Term
| MCC of commmon bile duct obstruction? |
|
Definition
|
|
Term
|
Definition
| bile duct obstruction resulting from choledocholithiasis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| bacteroides fragilis (B frag) |
|
|
Term
| MCC of SBO in adults in the US? |
|
Definition
| postop peritoneal adhesions |
|
|
Term
|
Definition
|
|
Term
| MCC of emergency abdominal surgery in the US? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| MC abdominal xray finding with SBO? |
|
Definition
|
|
Term
| MC electrolyte deficiency causing ileus? |
|
Definition
|
|
Term
| MCC of transfusion hemolysis |
|
Definition
|
|
Term
| MCC of blood transfusion resulting in death |
|
Definition
| clerical error (wrong blood type) |
|
|
Term
| MC site of distant mets of sarcoma? |
|
Definition
|
|
Term
| MCC of shock in a surgical pt |
|
Definition
|
|
Term
| MC position of anal fissure |
|
Definition
|
|
Term
| MCC of large bowel obstruction? |
|
Definition
|
|
Term
| MC type of colonic volvulus? |
|
Definition
|
|
Term
| MCC of fever < 48 hrs postop? |
|
Definition
|
|
Term
| MC bacterial cause of UTI? |
|
Definition
|
|
Term
| MC CXR finding with traumatic thoracic aortic injury? |
|
Definition
|
|
Term
| MC abdominal organ injured in blunt abdominal trauma? |
|
Definition
|
|
Term
| MC abdominal organ injured in penetrating abdominal trauma? |
|
Definition
|
|
Term
| MC benign tumor of the liver? |
|
Definition
|
|
Term
| MC malignancy of the liver? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| MCC of epidural hematoma? |
|
Definition
| middle meningeal artery injury |
|
|
Term
|
Definition
|
|
Term
|
Definition
| inguinal hernia (right more than left) |
|
|
Term
| MCC of esophogeal perforation? |
|
Definition
| iatrogenic instrumentation |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| MC type of cancer causing death in males and females? |
|
Definition
|
|
Term
| MCC of free peritoneal air? |
|
Definition
|
|
Term
| MC symptom of gastric cancer |
|
Definition
|
|
Term
| MC site of colon cancer hematogenous spread |
|
Definition
|
|
Term
|
Definition
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|
