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RFPR Surg Recall
Surgical Recall: Rapid Fire Power Review
| Question | Answer |
|---|---|
| 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
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