"That's SO Twisted!"
"Take a BOW-el"
"No Clapping Matter"
"Battle of the Bulge"
"Rolling Stones"
100
This diagnosis is a gynecological emergency where the ovary becomes rotated to such a degree as to occlude the ovarian artery and/or vein.
What is Ovarian Torsion?
100
A Google search reveals that nobody famous has ever publicly admitted to experiencing this surgical emergency, which occurs when there is a lack of blood flow to the intestine and mesentery.
What is MESENTERIC ISCHEMIA?
100
THESE ARE 2 TYPES of polymicrobial STIs of the upper female genital tract.
What are PELVIC INFLAMMATORY DISEASE and TUBOOVARIAN ABSCESS?
100
Albert Einstein, George C. Scott, & Conway Twitty died from complications of this dilated vessel diagnosis.
What is Abdominal Aortic Aneurysm?
100
This diagnosis is defined as "acute inflammation of the gallbladder.
What is Acute Cholecystits?
200
In ovarian torsion, the torsion of the ovary usually occurs with torsion of the fallopian tube on their shared vascular pedicle around this ligament.
What is the broad ligament?
200
Mesenteric ischemia can be due to embolism, thrombosis (20%), or transient hypoperfusion (25%). About 50% of all cases are due to embolism in the territory of THIS ARTERY, which accounts for the classic finding of periumbilical pain since visceral pain fibers running with the artery are referred to T10.
What is the SMA, or superior mesenteric artery?
200
Apart from the honor of being the first bacterial infection to be specifically documented (in the papyrus scrolls of ancient Egypt), THIS BACTERIUM and CHLAMYDIA are the most common STI's associated with PID and TOA.
What is GONORRHEA?
200
Other than rupturing, AAA's with one of these characteristics also cause symptoms of abdominal, back or flank pain.
What is Rapidly expanding, Compressing adjacent structure, or is an inflammatory or infectious aneurysm?
200
Obstruction of this duct with subsequent inflammation is the primary cause of Acute Cholecystits.
What is the cystic duct?
300
Risk factors for ovarian torsion include (1) increased length of the ovarian ligaments, (2) enlarged corpus luteum during pregnancy, (3) ovarian cysts... and THIS, a type of "growth" famously denied by Arnold Schwarzenegger in the movie Kindergarten Cop.
What is a tumor? (dermoid or other)
300
The most important risk factors for mesenteric ischemia are those that predispose patients to emboli or thrombosis due to vascular disease, which may include patients with atherosclerosis, endocarditis, mechanical valves, and commonly, THIS DIAGNOSIS (which also requires calculating a patient's CHADS2 score).
What is ATRIAL FIBRILLATION?
300
Risk factors for PID and TOA include hx of PID, smoking, douching, recent IUD insertion, recent instrumentation of the cervix, and most importantly THIS.
What is MULTIPLE SEXUAL PARTNERS?
300
These are three of the major risk factors for AAA.
What is HTN, HLD, Smoking, Age >65, Male, Family History?
300
Risk factors for gallstone formation includes female gender, increasing age, parity, and this, a common problem in the U.S. population.
What is obesity?
400
Torsion of the ovary is most often unilateral, with a slight predominance on this side of the body.
What is the R side?
400
20-50% of patients with mesenteric ischemia, particularly those with SMA thrombosis, may experience a prodrome of postprandial pain due to increased blood flow demand after meals. This symptom is commonly referred to as THIS.
What is ABDOMINAL (or intestinal) ANGINA?
400
You can treat most females with PID on an outpatient basis with IM ceftriaxone x 1, plus doxycycline x 14 days, but it is important to remember to do THIS as well.
What is have their partners treated for gonorrhea and chlamydia?
400
Non-ruptured AAA repair is indicated when it is rapidly expanding, associated with peripheral arterial dz or when the aneurysm has reached this size in cm.
What is ≥5.5 cm or 5.0 cm (depending on surgeon)?
400
This is the most commonly isolated baterium in cases of acute cholecystitis.
What is E. coli?
500
The presence of blood flow on color Doppler does not rule out ovarian torsion, but the ABSENCE of blood flow in a twisted vascular pedicle suggests this about the viability of the ovary.
What is not viable/unviable?
500
DAILY DOUBLE!! Here's a ZEBRA worth an extra 500 points for you anatomy lovers out there... An uncommon cause of mesenteric ischemia is mechanical compression of the celiac artery by the celiac ganglion or by THIS LIGAMENT that crosses it.
What is the MEDIAN ARCUATE LIGAMENT?
500
A complication of PID, THIS occurs when infection and inflammation spread to the abdomen, including peri-hepatic structures.
What is FITZ-HUGH-CURTIS syndrome?
500
Patients of this demographic will likely have been screened for AAA based on USPSTF recommendations.
Who are men ≥65 who have ever smoked?
500
Gallstones and bile sludge are a major cause of biliary disease (e.g., Acute Cholecystitis) in the U.S., but the major cause in developing areas of the world is this.
What is a helminthic infection (ascariasis)?
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