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Step III

Step III - Surg 1

QuestionAnswer
What is Murphy’s sign and what is it used for RUQ palpation causes inspiratory arrest in pt d/t pain; acute cholecystitis
What is Courvoisier’s sign and what does it indicate Painless palpation of enlarged GB; pancreatic cancer
Endoscopy is a confirmatory diagnostic test for what conditions upper/lower GI bleeding, esophageal tearing/obstruction, PUD
What is a frequent complication of ERCP Pancreatitis
What is the best test to confirm acute cholecystx HIDA
What is the initial diagnostic test for acute cholecystx U/S
What is the confirmatory diagnostic test for choledocholithiasis ERCP/MRCP
What is the initial diagnostic test for choledocholithiasis U/S
Which recurrent laryngeal nerve is more prone to injury in thyroidectomy R>>L
What other surgeries can place recurrent laryngeal n at risk for trauma Anterior cervical laminectomy, carotid aa surgery
Double bubble is seen in what diseases Annular pancreas, duodenal atresia, malrotation
Define Evisceration removal of the contents of the globe while leaving the sclera and extraocular muscles intact
Define Enucleation removal of the eye from the orbit while preserving all other orbital structures
Define Exenteration most radical of the three procedures and describes the removal of the eye and adnexa, along with part of the bony orbit
MCC endophalmitis S. epi >> staph > strep; E. coli >> pseudo, proteus, haemophilis; candida, aspergillus
photophobia with spared visual acuity. Blepharospasm and bulbar conjunctival injection on physical examination. Dx Corneal abrasion
elderly, periorbital pain, visual deficits, IPSILAT headache, “seeing halos around objects.” PE shows FIXED mid dilated pupil. Dx Acute closed angle glaucoma (IOP)
BEST test for dx corneal abrasion Slit lamp >> woods lamp
First line tx for acute angle closure glaucoma Acetazolamide (CA-Inhibitor which lowers bicarb production in ciliary epithelium)
Tc for corneal abrasion TMP/polymyxin B
Created by: DrINFJ
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