SURGERY RECALL PDF
Surgical recall / Recall series editor and senior editor, Lorne H. Blackbourne, M.D., F.A.C.S., Trauma, Burn, and Critical Care Surgeon,. San Antonio, Texas. Surgical Recall 6th Edition. Now in its Sixth Edition, Surgical Recall allows for rapid-fire review of surgical clerkship material for third- or fourth-year medical. Medical Books PDF · February 11, ·. Surgical Recall 8th Edition Surgical Recall 8th Edition Written in a rapid-fire question-and-answer format.
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Surgical Recall is a high-yield reference offering coverage of both general surgery and surgical subspecialties. It is a compact and portable. Surgical Recall 8th Edition PDF - If you found this book helpful then please like, subscribe and share. Автор пина:MEDICAL BOOKS FREE PDF. Находите и прикалывайте свои пины в Pinterest!.
What are the possible complications? What are the indications for tonsillectomy? Inadequately treated recurrent acute or chronic tonsillitis.
What is the associated microbiology? Mixed aerobes and anaerobes which may be PCN-resistant. Severe throat pain, drooling dysphagia, odynophagia, trismus, cervical adenopathy, fever, chills, malaise. Bulging, erythematous, edematous tonsillar pillar; swelling of uvula and displacement to contralateral side.
IV antibiotics and surgical evacuation by incision and drainage; most experts recommend tonsillectomy after resolution of inflammatory changes. Infection and inflammation of the floor of the mouth sublingual and submandibular. What is the source?
What are the most common sites? Lip, tongue, floor of mouth, gingiva, cheek, and palate. Linked to smoking, alcohol, and smokeless tobacco products alcohol and tobacco together greatly increase the risk , HPV on the rise. Nodal metastasis? Radiation, surgery, or both for small lesions; localized lesions can usually be treated surgically; larger lesions require combination therapy, possible mandibulectomy and neck dissection.
Depends on stage, site, and etiology: What is the potential for malignancy? How do benign and malignant tumors differ in terms of history and physical examination? What is the diagnostic procedure? FNA; never perform excisional biopsy of a parotid mass; superficial parotidectomy is the procedure of choice for benign lesions of the lateral lobe.
What are the indications for postop XRT? Postoperative radiation therapy if high-grade cancer, recurrent cancer, residual disease, invasion of adjacent structures, any T3 or T4 parotid tumors.
What is the most common benign salivary tumor? What is the second most common benign salivary gland tumor? Describe the lesion. Slow-growing, cystic mass is usually located in the tail of the superficial portion of the parotid; it rarely becomes malignant. What is the most common malignant salivary tumor? What is the second most common malignant salivary tumor in adults?
What is the differential diagnosis?
Epiglottitis, bacterial tracheitis, foreign body, diphtheria, retropharyngeal abscess, peritonsillar abscess, asthma. What are the indications for intubation? If airway obstruction is severe or child becomes exhausted. What type of secondary infection occurs? Secondary bacterial infection streptococcal, staphylococcal. What age group is affected? Can usually be made clinically and does not involve direct observation of the epiglottis which may worsen obstruction by causing laryngospasm.
Involves immediate airway support in the O. What is the most common site?
Hoarseness, throat pain, dysphagia, odynophagia, neck mass, referred ear pain. Tend to remain confined to supraglottic region, though may extend to vallecula or base of tongue. May invade thyroid cartilage, cross midline to invade contralateral cord, or invade paraglottic space.
Congenital branchial cleft cysts, thyroglossal duct cysts. What is the usual etiology in adolescents? Inflammatory cervical adenitis is 1 , with congenital also possible. What is the usual etiology in adults? Malignancy squamous is 1 , especially if painless and immobile. What are the seven cardinal symptoms of neck masses? Dysphagia 2. Odynophagia 3. Hoarseness 4. Stridor signifies upper airway obstruction 5. Speech disorder 7. What comprises the workup? Full head and neck examination, indirect laryngoscopy, CT scan and MRI, FNA for tissue diagnosis; biopsy contraindicated because it may adversely affect survival if malignant.
What is the workup of node-positive squamous cell carcinoma and no primary site? Triple endoscopy laryngoscopy, esophagoscopy, bronchoscopy and biopsies of likely sites, PET scan. Surgical excision for congenital or neoplastic; two most important procedures for cancer treatment are selective and modified neck dissection. What is the role of adjuvant treatment in head and neck cancer?
Removal of lymph nodes in levels 1 to 5 with preservation of one of the three following structures: What are the contraindications?
Distant METS 2. Fixation of vital structures e. One or more of the lymph node groups in levels 1 to 5 are preserved based on the location of the primary tumor.
What are the advantages when compared to modified radical neck dissection? Decision to perform a selective neck dissection is based on the location of the primary tumor and its likelihood to metastasize to a specific size. Trismus, fragment mobility and lacerations of gingiva, hematoma in floor of mouth.
Malunion, nonunion, osteomyelitis, TMJ ankylosis. Fracture through the frontal process of the maxilla, through the orbital floor and pterygoid plate; midface is mobile. Le Fort III?
Fracture of the zygomatic complex; involves four fractures: Frontozygomatic suture 2. Inferior orbital rim 3. Zygomaticomaxillary suture 4. Zygomaticotemporal suture. Are mandibular fractures usually a single fracture? What must be ruled out and treated with a broken nose nasal fracture? Septal hematoma; must drain to remove chance of pressure-induced septal necrosis.
How can otitis externa be distinguished from otitis media on examination? Otitis externa is characterized by severe pain upon manipulation of the auricle. What is the most common cause of facial paralysis? Sarcoidosis with parotid enlargement, facial nerve paralysis, and uveitis. What is the most common salivary gland site of stone formation?
Submandibular gland. Any cause of bilateral enlargement of the parotid, lacrimal, and submandibular glands.
What are the three major functions of the larynx? Airway protection 2. What is a cricothyroidotomy? Emergent surgical airway by incising the cricothyroid membrane.
Hearing loss, tinnitus, vertigo HTV. What is the most common posterior fossa tumor, and where is it located? Acoustic neuroma, usually occurring at the cerebellopontine angle. What is the most common site of sinus cancer?
What are the most important predisposing factors to head and neck cancer? Excessive alcohol use and tobacco abuse of any form—incidence of HPV- related cancer on the rise! What are the classic features of epiglottitis?
What is the most common malignant neck mass in children, adolescents, and young adults? What is the most common primary malignant solid tumor of the head and neck in children? ENT Surgical Recall. Flag for inappropriate content. Related titles. Jump to Page. Search inside document. Chapter 69 Otolaryngology: Generalized infection involving the external ear canal and often the tympanic membrane What is the usual cause?
Ear pain otalgia ; swelling of external ear, ear canal, or both; erythema; pain on manipulation of the auricle; debris in canal; otorrhea What is the treatment? Fulminant bacterial otitis externa Is it malignant cancer? Usually Pseudomonas aeruginosa What is the classic feature? Severe ear pain, excessive purulent discharge, and usually exposed bone What are the diagnostic tests? Invasion of surrounding structures to produce a cellulitis, osteomyelitis of temporal bone, mastoiditis; later, a facial nerve palsy, meningitis, or brain abscess What is the treatment?
Squamous cell most common; occasionally, basal cell carcinoma or melanoma From what location do they usually arise? Auricle, but occasionally from the external canal What is the associated risk factor?
Excessive sun exposure What is the treatment of the following conditions: Cancers of the auricle? Usually wedge excision Extension to the canal? May require excision of the external ear canal or partial temporal bone excision Middle ear involvement? Usually the result of trauma direct or indirect or secondary to middle ear infection; often occurs secondary to slap to the side of the head compression injury , explosions What are the symptoms?
Pain, bleeding from the ear, conductive hearing loss, tinnitus What are the signs?
Keep dry; use topical antibiotics if there is evidence of infection or contamination What is the prognosis? Epidermal inclusion cyst of the middle ear or mastoid, containing desquamated keratin debris; may be acquired or congenital What are the causes?
Negative middle ear pressure from eustachian tube dysfunction primary acquired or direct growth of epithelium through a TM perforation secondary acquired What other condition is it often associated with? Chronic middle ear infection What is the usual history? Chronic ear infection with chronic, malodorous drainage What is the appearance?
Vesicular infection of the TM and adjacent deep canal What are the causative agents? Unknown; viral should be suspected because of frequent association with viral URI in some instances, Mycoplasma pneumoniae has been cultured What are the symptoms? Thus, dexmedetomidine can be used as an alternative sedative agent to prevent awareness and recall in cardiac surgery.
Keywords: bispectral index, cardiac surgery, dexmedetomidine, propofol, brice questionnaire Introduction Many patients facing surgery dread the prospect of being awake, in pain, and unable to move owing to inadequate general anesthesia. The incidence of intraoperative awareness during general surgery, as reported in the literature, varies between 0.
It is hoped that the use of such monitors during general anesthesia will decrease the likelihood of awareness. Of these monitors, the bispectral index BIS has been most widely adopted in clinical practice. Dexmedetomidine, an alpha2-adrenergic agonist, has been approved for use as a sedative-analgesic. However, little—if any—information has been published on the effect of dexmedetomidine on the depth of anesthesia in cardiac surgery.
The aim of this study was to evaluate the effect of dexmedetomidine on depth of anesthesia and compare it with that of propofol by using BIS values and to study the feasibility of dexmedetomidine and propofol as sedative agents in maintaining depth of anesthesia and in preventing intraoperative awareness. The study was conducted in a prospective, randomized, double-blind manner.
Proper informed consent was taken from all patients included in the study. Patients with infusions of catecholamines or vasodilators before anesthesia were also excluded. Patients were randomly allocated to two groups—dexmedetomidine and propofol—of 30 each, using computer-generated random numbers in sealed envelopes.
Patients were premedicated with oral diazepam 5 mg the night before surgery. Intravenous access was obtained in the operating room. Baseline haemodynamic variables were recorded. EEG electrodes were placed in a bifrontal montage after skin preparation with disinfectant alcohol and slight rubbing.
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Biostatistics For Dummies Pdf. Please enter your comment! Please enter your name here.Sarcoidosis with parotid enlargement, facial nerve paralysis, and uveitis. Can usually be made clinically and does not involve direct observation of the epiglottis which may worsen obstruction by causing laryngospasm.
What are the causative organisms? F] Dr. Surgical excision for congenital or neoplastic; two most important procedures for cancer treatment are selective and modified neck dissection What is the role of adjuvant treatment in head and neck cancer?
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Epidermal inclusion cyst of the middle ear or mastoid, containing desquamated keratin debris; may be acquired or congenital What are the causes?
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