Trauma/Emergencies — Flashcards

Flashcard 181: _____ commonly presents in adolescents with sudden testicular pain, swollen testicle, and absent cremasteric reflex

Answer: Testicular torsion

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 182: A(n) _____ sign of extremity vascular trauma includes history of bleeding

Answer: soft

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 183: Crepitus, subcutaneous emphysema, “persistent air leak despite chest tube placement” = _____

Answer: tracheobronchial injury

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 184: What is the treatment for a pseudoaneurysm? _____

Answer: Ultrasound-guided thrombin injection (forms a fibrin clot to stop blood flow to aneurysm)

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 185: What is the likely diagnosis in an elderly patient that presents with marked weakness in the upper extremities compared to the lower following a motor vehicle accident? _____

Answer: Central cord syndrome

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 186: Clavicle fracture: 1) Most often located _____ and are treated _____

Answer: middle

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 187: The treatment for recurrent sialolithiasis is _____

Answer: sialadenectomy (surgical removal of the gland)

Extra: For recurrent sialolithiasis, conservative management (hydration, sialogogues) is usually insufficient; definitive treatment involves surgical excision of the affected salivary gland (sialadenectomy).

Flashcard 188: Reperfusion of a limb following arterio-occlusive ischemia for longer than 4-6 hours can lead to intracellular and interstitial edema with possible _____ syndrome

Answer: compartment

Extra:  https://onlinemeded.org/spa/surgery-subspecialty/ortho-injuries/acquire?ref=anki  - The edema compresses blood flow

Flashcard 189: Treatment for aortic regurgitation is _____ before LV dysfunction occurs

Answer: aortic valve replacement

Extra: In aortic regurgitation (AR), aortic valve replacement (AVR) is indicated for: 1. Symptomatic patients with severe AR. 2. Asymptomatic patients with severe AR and LV dysfunction (LVEF < 50-55%). 3. Asymptomatic patients with severe AR and severe LV dilatation (e.g., LVESD > 50 mm).

Flashcard 190: What is diagnosis and treatment of TE fistula? What do you need to look out for? _____

Answer: Feeding tube coiling; Surgery; Look for VACTERL anomalies