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Random Surgery Trivia!

Random Surgery Trivia!. Surgery Resident Network. Complete, transmural rupture of esophagus Boerhaave syndrome Pre-malignant skin disorder (pigmentation hyperkeratosis ), increased risk of Ca in stomach Acanthosis nigricans

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Random Surgery Trivia!

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  1. Random Surgery Trivia! Surgery Resident Network

  2. Complete, transmural rupture of esophagus Boerhaave syndrome Pre-malignant skin disorder (pigmentation hyperkeratosis ), increased risk of Ca in stomach Acanthosisnigricans Endoscopy reveals a white membrane with a concentric opening ,ring at distal esophagus squamo-columnar junction Schatzki ring Iron-deficiency anemia,esophageal webs, glossitis increased incidence of esophageal Ca Plummer-Vinson syndrome Decreased LES pressure, dysphagia to solids > liquids ("steakhouse syndrome") Scleroderma Increased LES pressure , myotomy Achalasia It is caused by a non–beta islet cell, gastrin-secreting tumor of the pancreas that stimulates the acid-secreting cells of the stomach to maximal activity Zollinger-Ellison syndrome

  3. Describe the findings in this image !

  4. Peaud’orange or edema -may be due to lymphatic blockage (from surgery or radiation), or mastitis. The most feared cause isinflammatory carcinoma, in which the malignant cells plug dermal lymphatics

  5. Line connecting GB bed to IVC divides liver into RIGHT and LEFT lobes • 1.Cantlie’s line • Cystic duct Right border of common hepatic duct and right hepatic duct Inferior border of liver Impacted stone in Hartman's pouch or the cystic duct that causes extrinsic compression of the CBD • 2.Calot’s triangle • 3. Valves of Heister • Spiral mucosal folds in the cystic duct Can prevent the passing of a probe into the CBD 4.Mirrizzi’s syndrome

  6. Describe the findings in this image !

  7. Skin dimpling. Traction on Cooper’s ligaments by a scirrhous tumor distorts the surface of the breast

  8. Premalignant lesion which regresses with H.pylori eradication MALToma Hypertrophic gastritis , thickening of gastric rugae Menetriere disease Cells in fundus + body , HCl (acid) + intrinsic factor Parietal Cells Cells in Fundus , pepsinogen Chief cells T/F - Sporadic gastrinomas are more often multiple and benign. False Achalasia is associated with what type of esophageal CA Squamous ‘Nodule' in the umbilicus, associated with advanced malignancy Sister Mary Joseph Node

  9. Describe the findings in this image !

  10. Density with spiculated borders and distortion of surrounding breast architecture suggesting a malignancy.

  11. Broad spectrum antimicrobial, penetrates eschar, painful, metabolic acidosis. • Sulfamylon • Indicated for post pump platelet dysfunction and renal failure. • DDAVP • Glucagonoma rash • Necrolytic erythema migrans • LaPlace equation? • T=Pr • Bluish lesion over chronic lymphedema site • Lymphangiosarcoma

  12. Nigro protocol • 5FU, Mitomycin, Radiation. • Most common hypercoaguable state • Factor V Leiden • Fluids, PTU, Lugol’s B blocker,Tylenol, Steroid • Thyroid Storm • Most active chemo agent for pancreatic cancer. • Gemcitabine • Popcorn lesion on xray, 10% of pulmonary nodules, wedge resection. • Hamartoma

  13. Main metabolic fuels • Brain • Muscle • Small Bowel • Colon • Kidney Glutamine Glucose and Ketone Glucose Glucose and Glutamine Short chain fatty acids

  14. Describe the findings in this image !

  15. Clustered microcalcifications

  16. Associated with FAP , skull osteomas and desmoid tumors • Gardner's syndrome • Sometimes overlooked in truncalvagotomy leading to ulcer recurrence • Criminal nerve of Grassi • Comes from I cells of duodenum • Cholecystekinin • Amyand's Hernia • Acute appendicitis in an incarcerated inguinal hernia

  17. The End

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