Uworld Surg corectio
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| 16 YOM has a fall off a bicycle with a brief LOC and no seizure. Stable in ER with samll bruise on forehead. No bony abnormalities. Normal exam. Next step? | show 🗑
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| An alcoholic man has drooling, dysphagia, and fever. He has been sick for 2 days and unable to eat. His mouth is swollen and he feels hot. THere is redness on the whole mouth and on the floor of mouth. He has submandibular crepitus. Dx? | show 🗑
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| show | Anterior cord syndrome (total loss of motor and pain and temp below level of lesion) MRI best to see extent of damage
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| S 31 y/o biker has a direct blow to his lower abdomen and pelvis leaving a party where he drank a lot of fluid. The pain is referred to the left shoulder. What got injured? | show 🗑
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| 24 YOM with 1 w abdominal pain in RLQ exacerbated by motion. For last 2 days, radiates to back, 1 episode of diarrhea 2 days ago. PE has RLQ tenderness without rebound. Flexion of hi elicits pain. WBC elevated. Dx? | show 🗑
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| show | GI malignancy, (chiocises given make pancreaticv carcinoma most liekly)
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| 25 YO motorcyclist brought ot ED after collision with sutomobile. In obvious pain on arrival. Has an urge to void but cant. Genital exam shows blood at the meatus and scotal hematoma. Dx? | show 🗑
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| What is the best managment for a gentlemas with a diabetic ulcer that has abundant cloudy gray discharge, and dusky, friable subcutaneous tissue? | show 🗑
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| show | CT chest w/o contrast
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| 65 YOM has hip pain. Present for several months and is constant. No wt loss or appetitie. PMHx has high BP. Unremarkable PE. Akl phos is high. Normal: gamma glutamyl, normal Ca, normal vit D. Increased uptake in several spots on bone scan. Dx? | show 🗑
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| show | meniscal tear. MRI for definite diagnosis
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| show | retrograde urethrogram followed by surgical exploration of the penis
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| what is standard of care for someone with acute cholecystitis? | show 🗑
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| show | diverticulosis
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| show | RUQ ultrasound to look for stones
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| show | venous valve incompetence
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| show | transfusion reaction
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| show | high norm pH. low pO2, low pCO2
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| What is the mechanism of hyperventialation decr ICP? | show 🗑
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| show | congenital torus palatinus (most common in asians)
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| An old man, falls, breaks hip. cant remeber details. no obvious cause. Next step before OR? | show 🗑
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| An 18 YOM comes with dull aching and fullness of scrotum. Exam shows a soft sided scotal swelling, negative translumination. Swelling increases with a valsalva maneurver. Cause? | show 🗑
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| show | get CT abdomen pelvis w/o contrast
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| A man has snapping that can be felt in right knee on tibial torsion with knee flexd at 90. Dx? | show 🗑
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| show | contrast esophagography
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| show | biopsy for histology and treatment depnding on histology
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| A 39 YO pleontologist has right sided hip pain that makes it difficult to lie on right side sleeping. Says pain is on outer surface of thigh. He has hyperTn and hyperlipidemia. SOmks 1 ppd for 15 years. Dx? | show 🗑
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| a 36 YOW presents to ED with severe epigastric pain and right shoulder pain for 2 hours. 1 epuisode of emesis. She unintenitally fases yesterday Several hours after presenting. pt resolves completely. Dx and cause? | show 🗑
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| 45 YOM immigrant has n/v of partially digested food for 1 month., also lost 5 lb in that time. Appetite is good aside from early satiety. He has a suicide atemt wuth acid injestion 3 months afo. Abdominal exam shows a sucussion splash on epigastrum. Dx? | show 🗑
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| Ca, Phossphate and PTH in vit D deficiency? | show 🗑
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| 33 YOM falls riding bicylce in park. Presents to ED, PE reveals upper abdominal bruises. Abdomen is soft, slightly tender in epigastrum, non distended. 1 weeks later he returns with fever, shaking chills, poor appetite and deep pain. Causes? | show 🗑
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| Next step in child with diaprhagm rupture? | show 🗑
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| show | EBV or viral infection
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| show | atelectasis
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| show | passive elbow flexion and forearm supination to fix nursemaid elbow
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| tonic clonic seizure followed by pt with inability to externally rotate arm. Dx? | show 🗑
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| After PE what is next best step in claudication evaluation? | show 🗑
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| What is the next stpe for an inconclusive fast scan on trauma? | show 🗑
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| Why might a person with celiac disease has a negative IgA anti tissue transglutaminase? | show 🗑
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| show | CXR to eval for pneumoothroax, hemothroax
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Created by:
tjs2123