Dr High Yield Surgery

What is the management for blunt abdominal trauma with signs of peritonitis?

Perform an exploratory laparotomy (ex-lap).

What should be done if a patient is hemodynamically stable after blunt abdominal trauma?

Get a CT scan of the abdomen.

What is the Beck triad associated with cardiac tamponade?

Hypotension, muffled heart sounds, and jugular venous distension.

What does tracheal deviation indicate in a patient suspected of having a tension pneumothorax?

Needle thoracostomy followed by chest tube.

If there is no tracheal deviation in a patient with suspected tension pneumothorax, what should be done?

Perform chest tube placement.

What imaging is needed for head trauma with a period of unconsciousness?

CT head without contrast.

What is the treatment for an epidural hematoma?

Emergency craniotomy.

What should be done if there is gross hematuria due to renal injury?

Get a CT scan.

What clinical sign indicates a potential urethral injury?

Blood at the meatus.

What symptoms indicate that a patient with an extremity injury should go immediately to the OR?

Pulsatile bleeding, expanding hematoma, bone exposure, or ischemia of the affected limb.

What is the 'ice-cream cone sign' associated with?

Slipped Capital Femoral Epiphysis (SCFE).

What treatment is indicated for a patient with Legg-Calves-Perthes disease?

Supportive care.

What should be done for a patient with a confirmed cauda equina syndrome?

Get an immediate MRI.

What is Marjolin ulcer?

A rare and aggressive form of skin squamous cell carcinoma that arises in chronic wounds or scars.

How long must a patient with a recent MI wait before undergoing surgery?

6 months.

What should be done if a patient has low urinary output after surgery?

Perform a bladder scan.

What is the management for a Mallory Weiss tear?

Get an endoscopy.

What should be done first for SBO?

Get abdominal X-ray

What is the initial treatment for C. difficile colitis?

Oral vancomycin.

If a patient has signs of gallstone pancreatitis, what imaging is preferred?

RUQ ultrasound, not CT.

What is the management for an umbilical hernia in a child?

Leave it alone until age 5.

What is the appropriate intervention for an aortic dissection?

Get a CT angiogram.

What is the initial intervention for strabismus in babies if it persists beyond age 2?

Surgery.

What should be done for septic kidney stones?

Get a percutaneous nephrostomy.

What is the first sign of stroke that requires immediate imaging?

CT without contrast.