Ashley's random factoids - feel free to ignore

Question 1

Timing of wound dehiscence

Answer 1

1 week

Question 2

What is the most common cause of fever POD 1 & 2

Answer 2

atelectasis

Question 3

Bad thing after long bone fx, joint replacement

Answer 3

fat embolism

Question 4

Bad thing when placing central line

Answer 4

air embolism - air lodges in right atrium - place in Trendelenburg while placing central line

Question 5

Common cause of fever POD 3+

Answer 5

IV phlebitis

Question 6

give what for massive hemorrhage

Answer 6

whole blood

Question 7

give what to raise hematocrit

Answer 7

PRBCs

Question 8

give what for warfarin overdose

Answer 8

FFP (coag factors & plasma proteins)

Question 9

what’s so bad about Demerol

Answer 9

active neurotoxic metabolites

Question 10

narcotics, strongest to weakest

Answer 10

Fentanyl-Dilaudid (hydromorphone)-Percocet (oxycodone)-morphine-tramadol-Tylenol w/ codeine

Question 11

HIDA scan is aka

Answer 11

cholescintigraphy

Hepatobiliary Iminodiacetic Acid Scan

Question 12

why do HIDA scan

Answer 12

cholecystitis, neonatal hepatitis, biliary atresia

Question 13

core needle bx for

Answer 13

breast

Question 14

fine needle aspiration for

Answer 14

body fluids, seromas, thyroid nodules

Question 15

give what for staph/strep cellulitis

Answer 15

penicillin or 1st gen ceph

Question 16

gas gangrene bacteria

Answer 16

C. perfringens

Question 17

hemorrhagic bullae in

Answer 17

necrotizing fasciitis

Question 18

abnormal communication between two epithelialized surfaces

Answer 18

fistula

Question 19

basic approach to burns

Answer 19

cleanse
debride
topical antimicrobials
dressing changes

Question 20

stuff you can put on burns

Answer 20

xeroform
silver sulfadiazine
polysporin
chlorhexidine
povidine-iodine
mafenide
Dakins' solution

Question 21

biggest baddest burn complication

Answer 21

multiple organ dysfunction syndrome secondary to hypoperfusion (early) or sepsis (late)

Question 22

pros of G tube

Answer 22

more physiological
easier to place
can give continuous bolus

Question 23

need J tube instead of G tube if

Answer 23

if recurrent aspiration of gastric contents
regurgitation
delayed gastric emptying

Question 24

when consider PEG/PEJ

Answer 24

if enteral support will be needed more than 4-5 weeks

Question 25

ONLY USE TPN IF:

Answer 25

GI tract cannot be used or no oral intake for 7-14 days

Question 26

what is ‘acute abdomen’

Answer 26

sudden, spontaneous, nontraumatic disorder manifesting in abdominal area for which urgent operation may be necessary

Question 27

examples of acute abdomen

Answer 27

acute appendicitis
bowel obstruction
cholecystitis
cancer
vascular stuff

Question 28

some signs that surgery is needed (acute abdomen)

Answer 28

acidosis
distension
fever, tachycardia
increasing tenderness
mass
hardness
pneumoperitoneum
perforation
paracentesis w/ blood, bile, pus, urine, poop

Question 29

normal ankle-brachial index (ABI)

Answer 29

1.0 or greater

Question 30

ABI with claudication

Answer 30

< 0.6

Question 31

ABI with rest pain

Answer 31

< 0.4

Question 32

medication for claudication

Answer 32

pentoxifylline

increases RBC flexibility

Question 33

surgical options for claudication

Answer 33

1. bypass graft
2. balloon dilation (angioplasty)
3. endarterectomy (remove diseased intima & media)
4. surgical patch angioplasty (place patch over stenosis)

Question 34

what is blue toe syndrome

Answer 34

intermittent painful blue toes secondary to microemboli from a proximal arterial plaque

Question 35

what is best suture for vascular anastomosis to prosthetic graft

Answer 35

synthetic nonabsorbable

Question 36

what is best suture for GI anastamosis

Answer 36

synthetic absorbable

Question 37

electrolyte complication of thyroidectomy

Answer 37

HYPOcalcemia

parathyroids get gone/annoyed -> hypoparathyroid -> hypocalcemia

Question 38

Meckel diverticulum rule of 2s

Answer 38

2% of population
2% symptomatic
within 2 feet of ileocecal valve
2 inches in length
2:1 M:F