SURGERY
1. Least incidence of breast cancer is in the lower inner quadrant (6-8%). Maximum incidence is in the upper outer quadrant 2. Multicentric tumors are contraindications for BC
3. Involvement of supraclavicular lymph nodes in breast cancer makes it Stage III C
4. Tubular cancer has the best prognosis
5. Stent used for esophageal cancers – expandable metallic stents. Names: Choo, Dua 6. Most common tumor of appendix: Mucinous adenocarcinoma
7. Tumor in appendix more than 2cm in size – right hemicolectomy
8. Marion's disease - bladder neck stenosis. given in bailey - prostatism sans prostate - that means symptoms of BPH without enlargement of the gland 9. Intra-op liver laceration, 3 cms, stable vitals: suture. 10. Compressibility of muscle is not a criteria used during debridement of wounds
11. Blunt trauma abdomen with hematuria: IOC – CECT if stable. Single shot IVU if unstable
12. Adder head appearance – ureterocele 13. Peritoneal dialysis is not curative
14. Surg intervention not required in..SDH/EDH/depressed #/ Diffuse axonal injury: NOT required for Diffuse axonal injury.
15. All are complication of bariatic surgery except? Kidney stones Vitamin deficiency GIT disturbances Pulmonary embolism. All are complication but if I have to choose one I will go for pulmonary embolism…as it is not a direct consequence of bariatric surgery
16. Incision preferred in blunt trauma abdomen: Midline
17. Incision preferred in children: Transverse incision..usually infraumblical
18. Units of PSA – nanograms
19. Treatment of primary CBD stones: ERCP with sphincterotomy
20. Extrahepatic choledochal cyst: resection of cyst followed by hepatico-jejunostomy or choledochojejunostomy 21. Site of IM injections in the gluteal region: upper outer quadrant
22. Warm and dry peripheries in Neurogenic shock. In addition – bradycardia and hypotension
23. Tendons and nerves should be repaired immediately following injury
24. Hernia which presents as gastroenteritis – Richeter’s hernia. Portion of bowel gets strangulated and patient initially presents with features of gastroenteritis
25. Young and fit patients- abdominal rectopexy. Abdominal rectopexy has least recurrent rates but complications like constipation and erectile dysfunction. Perineal procedures are more suited for old and frail patients but have a higher recurrence rate
27. Bowel injury while inserting trocar: keep the trocar there and convert to an open procedure. This is because the trocar will have a tamponading effect as there might be vascular injury associated with it as well and secondly it guides you to the site of the surgery 28. Flail chest: IPPV 29. Torsion of testis to be repaired within 6 hours 30. Massive blood transfusion: equivalent of blood volume transfused within 24 hours 31. Parathyromatosis, consisting of hyperfunctioning parathyroid tissues scattered throughout the neck, is a rare cause of recurrent hyperparathyroidism after parathyroidectomy. Medical management of patients with parathyromatosis usually is ineffective. Repeated surgery often is necessary, but generally is unsuccessful.
1. Least incidence of breast cancer is in the lower inner quadrant (6-8%). Maximum incidence is in the upper outer quadrant 2. Multicentric tumors are contraindications for BC
3. Involvement of supraclavicular lymph nodes in breast cancer makes it Stage III C
4. Tubular cancer has the best prognosis
5. Stent used for esophageal cancers – expandable metallic stents. Names: Choo, Dua 6. Most common tumor of appendix: Mucinous adenocarcinoma
7. Tumor in appendix more than 2cm in size – right hemicolectomy
8. Marion's disease - bladder neck stenosis. given in bailey - prostatism sans prostate - that means symptoms of BPH without enlargement of the gland 9. Intra-op liver laceration, 3 cms, stable vitals: suture. 10. Compressibility of muscle is not a criteria used during debridement of wounds
11. Blunt trauma abdomen with hematuria: IOC – CECT if stable. Single shot IVU if unstable
12. Adder head appearance – ureterocele 13. Peritoneal dialysis is not curative
14. Surg intervention not required in..SDH/EDH/depressed #/ Diffuse axonal injury: NOT required for Diffuse axonal injury.
15. All are complication of bariatic surgery except? Kidney stones Vitamin deficiency GIT disturbances Pulmonary embolism. All are complication but if I have to choose one I will go for pulmonary embolism…as it is not a direct consequence of bariatric surgery
16. Incision preferred in blunt trauma abdomen: Midline
17. Incision preferred in children: Transverse incision..usually infraumblical
18. Units of PSA – nanograms
19. Treatment of primary CBD stones: ERCP with sphincterotomy
20. Extrahepatic choledochal cyst: resection of cyst followed by hepatico-jejunostomy or choledochojejunostomy 21. Site of IM injections in the gluteal region: upper outer quadrant
22. Warm and dry peripheries in Neurogenic shock. In addition – bradycardia and hypotension
23. Tendons and nerves should be repaired immediately following injury
24. Hernia which presents as gastroenteritis – Richeter’s hernia. Portion of bowel gets strangulated and patient initially presents with features of gastroenteritis
25. Young and fit patients- abdominal rectopexy. Abdominal rectopexy has least recurrent rates but complications like constipation and erectile dysfunction. Perineal procedures are more suited for old and frail patients but have a higher recurrence rate
27. Bowel injury while inserting trocar: keep the trocar there and convert to an open procedure. This is because the trocar will have a tamponading effect as there might be vascular injury associated with it as well and secondly it guides you to the site of the surgery 28. Flail chest: IPPV 29. Torsion of testis to be repaired within 6 hours 30. Massive blood transfusion: equivalent of blood volume transfused within 24 hours 31. Parathyromatosis, consisting of hyperfunctioning parathyroid tissues scattered throughout the neck, is a rare cause of recurrent hyperparathyroidism after parathyroidectomy. Medical management of patients with parathyromatosis usually is ineffective. Repeated surgery often is necessary, but generally is unsuccessful.
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