GIT
Gastroduodenal artery is a branch of?
Common Hepatic Artery
Boundaries of Calot's triangle
CHD - Medial
Cystic duct - Lateral
Inferior surface of liver - Superior
End points of resuscitation
1. Base deficit
2. Lactate
3. Mixed venous oxygen saturation
Boundaries of Femoral canal
Inguinal ligament - Anterior
Pecten pubis - Posterior
Lacunar ligament - Medial
Femoral vein - Lateral
What is Dalrymple's sign?
Dalrymple's sign is a widened palpebral (eyelid) opening, seen in thyrotoxicosis causing abnormal wideness of the palpebral fissure.
Mention 2 watershed areas in the gut
1. Griffith's point (Splenic flexure)
- Anastomosis between middle colic & left colic A.
2. Sudeck's point (Rectosigmoid junction)
- Anastomosis between superior & inferior rectal A.
A vertical line extending from GB fossa posteriorly to IVC dividing the liver into right & left lobe is:
Cantlie's line
Ligament clamped in Pringle maneuver
Hepatoduodenal ligament
Littre's hernia is
Meckel's diverticulum within the hernial sac
Components of Breast Conservation Surgery
1. Lumpectomy
2. Sentinel LN biopsy
3. Post-operative RT
Rigler's sign is seen in:
Pneumoperitoneum
Passaro's triangle is formed by junctions of:
1. Cystic duct & CBD
2. D2 & D3
3. Neck & Body of pancreas
Injury to which part of urethra leads to the following features:
Blood in external meatus
Perineal hematoma
Retention of urine
Bulbar urethra
Mention 3 laparoscopic approaches to inguinal hernia repair:
1. TAPP (Transabdominal Preperitoneal) Repair
2. TEP (Totally Extraperitoneal) Repair
3.IPOM (Intraperitoneal Onlay Mesh) Repair
Mention levels of axillary LNs in relation to pectoralis minor muscle
Level I - Lateral
Level II - Posterior
Level III - Medial
Colon cut off sign is due to:
The colon cutoff sign is the abrupt termination of gas within the proximal colon caused by functional spasm of infiltrating phrenicocolic ligament.
What percentage of future liver remnant (FLR) is considered sufficient to prevent post-operative hepatic failure?
25%
Boundaries of Triangle of Safety:
1. Anterior - Lateral edge of pectoralis major
2. Posterior - Lateral edge of LD or mid-axillary line
3. Inferior - Nipple or 5th ICS
Location of spigelian hernia belt:
Transverse 6 cm wide zone above the interspinal plane where spigelian hernia is very common
Indications of surgery in asymptomatic primary hyperparathyroidism:
1. Serum Ca 1 mg/dL above upper limit of normal
2. BMD by DEXA ; T score -2.5 at lumbar spine, total hip, femoral neck or vertebral fracture
3. Creatinine clearance <60 mL/min.
4. Age < 50 yrs
Management of patient with abdominal distension and absolute constipation for 2 days with coffee bean sign on X ray & no signs of peritonitis.
Sigmoidoscopic decompression
Tunnel of Love is created between which 2 structures:
Pancreas & PV-SMV
Right medial visceral rotation maneuver is also known as:
Cattell-Braasch Maneuver
Mention 3 classical approach to femoral hernia repair:
1. Lockwood - Low
2. Lotheissen - Inguinal
3. McEvedy - High
Injury to which nerve leads to change in pitch of voice :
Superior Laryngeal Nerve