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RFPR Surg Recall

Surgical Recall: Rapid Fire Power Review

QuestionAnswer
Elderly woman, small bowel obstruction, air in biliary tract Gallstone ileus
Elderly woman, pain down inner aspect of thigh Obturator hernia (Howship-Romberg sign)
Abdominal pain, hypotension, abdominal pulsatile mass Ruptured abdominal aortic aneurysm
Abdominal pain out of proportion to abdominal exam Mesenteric ischemia
Arm pain & syncope w/ arm movement Subclavian steal syndrome
Increasing creatinine on ACE inhibitor Renal artery stenosis
Child w/ midline neck mass Thyroglossal duct syst
Child w/ lateral neck mass Branchial cleft cyst
Crush injury & dark urine Myoglobinuria
Emesis, chest pain radiating to back, mediastinal air Boerhaave's
Lower GI bleed & technetium pertechnetate scan Meckel's diverticulum
Flushing, diarrhea, right-sided heart failure Carcinoid
Pneumaturia & LLQ pain Colovesicular fistula
Desmoid tumor, osteoma, colon cancer Gardner's syndrome
Epigastric pain radiating to back & flank ecchymosis Hemorrhagic pancreatitis
Pancreatitis & palpable epigastric mass Pancreatic pseudocyst
Liver abscess w/ anchovy paste Amebic abscess
RUQ pain, travel, exposure to sheep Hydatid cyst
Caput medusa Portal HTN
45yoF w/ RUQ pain for 12h, fever, leukocytosis Acute cholecystitis
Elderly man w/ large nontender palpable gallbladder Pancreatic cancer (Courvoisier's sign)
Female taking OCPs w/ liver mass Hepatic adenoma
Liver tumor w/ central scar Focal nodular hyperplasia
Pancreatic mass, gallstones, diabetes, diarrhea Somatostatinoma
RUQ bruit & CHF in young adult Liver hemangioma
Excruciating pain w/ bowel movement Anal fissure
Abdominal pain, diarrhea, anal fistulae Crohn's
EKG w/ peaked T waves Hyperkalemia
Buccal mucosa w/ pigmentation Peutz-Jehgers
LLQ pain, fever, change in bowel habits Diverticulitis
Elevated urine 5-HIAA Carcinoid
Institutionalized, abdominal pain, vomiting, distension w/ proximal colonic dilation Sigmoid volvulus
Infant w/ projectile vomiting Pyloric stenosis
Newborn w/ failure to pass meconium in 1st 24h Hirschsprung's
Infant w/ bilious vomiting Malrotation
Newborn w/ abdominal defect & umbilical cord on sac Omphalocele
Teenager w/ knee pain & "onion skinning" on x-ray Ewing's sarcoma
Pulmonary capillary wedge pressure <18, CXR w/ bilateral pulmonary infiltrates, PaO2:FiO2 ratio <200 Acute respiratory distress syndrome
Increased peak airway pressure, low urine output, urinary bladder >25mmHg Abdominal compartment syndrome
Newborn w/ inability to pass an NGT Esophageal atresia
Traumatic blinding in one eye followed by blindness in contralateral eye 2 weeks later Sympathetic opthalmia
Miotic pupil, ptosis, anhydrosis Horner's
Traumatic head injury, conscious in ER followed by unconsciousness Epidural hematoma ("lucid interval")
Worst headache of life SAH
Hematuria, flank pain, palpable abdominal mass Renal cell carcinoma
60yo WM w/ painless hematuria Bladder cancer
RUQ pain, jaundice, fever Cholangitis
Epigastric pain radiating to back w/ nausea & vomiting Pancreatitis
Tearing chest pain radiating to back Aortic dissection
40yoM w/ tachycardia, HTN, confusion on post-op day 2 Alcohol withdrawal
Marfanoid body habitus, mucosal neuromas MEN2B
Psammoma bodies Papillary thyroid cancer
Sulphur granules Actinomyces infection
Thyroid tumor w/ amyloid tissue Thyroid medullary cancer
Palpable neck tumor & hypercalcemia Parathyroid cancer
HTN, diaphoresis (episodic), palpitations Pheochromocytoma
Jejunal ulcers Zollinger-Ellison syndrome
Pituitary tumor, pancreatic tumor, parathyroid tumor MEN1
Necrotizing migratory erythema Glucagonoma
Medullary thyroid cancer, pheochromocytoma, hyperparathyroidism MEN2A
Hypokalemia refractory to IV K+ supplementation Hypomagnesemia
Newborn w/ pneumatosis Necrotizing enterocolitis (NEC)
Child w/ abdominal mass that crosses midline Neuroblastoma
Child <4yo w/ abdominal tumor that doesn't cross midline Wilms' tumor
Currant jelly stools & abdominal colic Intussusception
Femur fracture, respiratory fracture, petechiae, mental status changes Fat embolism
Hearing loss, tinnitus, vertigo Meniere's disease
Adolescent boy w/ nasal obstruction & recurrent epistaxis Juvenile nasopharyngeal angiofibroma
Child <5yo sitting upright & drooling w/ "hot potato" voice Epiglottitis
Angina, syncope, CHF Aortic stenosis
Tobacco use, asbestos exposure, pleuritic chest pain Mesothelioma
Supracondylar fracture & contracture of forearm flexors Volkmann's contracture
Tibia fracture, pain out of proportion, pain on passive foot movement, palpable pulses Compartment syndrome
25yoM w/ liver mass w/ fibrous septae & no history of cirrhosis or hepatitis Fibrolamellar hepatocellular carcinoma
EKG w/ flattening of T waves & U waves Hypokalemia
Central pontine myelinosis Too-rapid correction of hyponatremia
Polydipsia, polyuria, constipation Hypercalcemia
Factor VIII deficiency Hemophilia A
Abdominal pain, fever, HYPOtension, HYPERkalemia, HYPOnatremia Adrenal insufficiency (Addisonian crisis)
Massive urine output & HYPERnatremia Diabetes insipidus
Increased urine osmolality, HYPOnatremia, low serum osmolality SIADH
IV abx, fever, diarrhea C. diff pseudomembranous colitis
Bleeding gums & wound dehiscence Vitamin C deficiency
Fever, central line, HYPERglycemia Central line infection
Appendectomy followed by fever & abdominal pain on post-op D7 Peritoneal abscess
Advancing crepitus, fever, blood blisters Necrotizing fasciitis
High INTRAoperative fever Malignant hyperthermia
Confusion, ataxia, opthalmoplegia Wernicke's encephalopathy
Tracheal deviation, decreased breath sounds, hyperresonance Tension pneumothorax
Hypotension, decreased heart sounds, JVD Pericardial tamponade
Four ribs broken in 2 places & pulmonary contusion Flail chest
Otorrhea (clear) & Battle's sign Basilar skull fracture
Ulcer & decreased pain w/ food Duodenal ulcer
Vomiting, retching, epigastric pain Mallory-Weiss tear
Fever on post-op D1 w/ "bronze" weeping, tender wound Clostridial wound infection
Hematochezia & tenesmus Rectal cancer
Upper GI bleed, jaundice, RUQ pain Hemobilia
Gallstones, epigastric pain radiating to back, nausea Gallstone pancreatitis
18yoF w/ bloody nipple discharge Ductal papilloma
Irritability, diaphoresis, weakness, tremulousness, palpitations Insulinoma
Created by: mem2124