Large guts
3 arteries that supply the colon
Right, middle, and left colic arteries
1st line treatment for C Diff
Surgical plan if : while in a lap appendectomy for suspected appendicitis, you notice the appendix looks normal but the terminal ileum is severely inflamed
What is appendectomy?
Eczematous skin changes at the nipple which on biopsy shows clear cytoplasm and large nucleoli
What is Paget's disease?
Margins need for DCIS
what is 2mm?
Most important prognostic factor in colon cancer
Treatment for recurrent C Diff
What is fidaxomicin?
Surgical plan if: while in OR for lap appendectomy for suspected appendicitis, appendix looks uninflamed but appears to have a 1.5cm suspicious mass at the tip of the appendix
what is appendectomy?
Landmark study performed on adult patients with hormone positive breast cancer confirming no need for additional axillary dissection if three or less positive lymph nodes on sentinel biopsy
What is the z11 trial?
Normal CBD diameter in healthy 40 yo M
what is < or = 6mm?
LN harvest recommended during colectomy for colon cancer
Total colectomy
Surgical plan for 25 yo M with medically controlled Crohns and no surgical history presents for obstructive symptoms related to severe terminal ileum stricture
What is small bowel resection and ileocolic anastomosis
Deep liver slit below which you should avoid dissection in a lap chole bc risk of CBD injury below this level
What is Rouviere's sulcus?
Normal transverse colon diameter in a healthy 40 yo M
Percent of FAP syndromes that are spontaneous
what is 20%
What is total (procto)colectomy with end ileostomy?
70 yo M with no known PMH presents to the ED complaining of nausea, vomiting, bloating, and obstipation x 3 days. ED resident got a KUB consistent with SBO and called you for evaluation. You arrive to the room. Patient denies hx of surgery. Abdominal exam shows distention and no evidence of scars. What is the most likely diagnosis?
What is an incarcerated hernia?
the site of watershed anastomosis between the ascending left colic artery and the marginal artery of Drummondoccurring in the region of the splenic flexure
Griffith’s point
T3 breast lesion size
>5cm
Extraintestinal manifestations of UC that do not improve with colectomy
PSC, ankylosis spondylitis
Surgical plan for 40 yo M with hx of well controlled UC found to have high grade dysplasia on C-scope bx x 2
Surgery plan for Crohn's patient with refractory colitis in the cecum, descending colon, and sigmoid colon?
What is total colectomy with end ileostomy?
The family criteria for the diagnosis of Lynch syndrome
What is the Amsterdam criteria?
Normal appendix diameter in a healthy 40 yo M
what is 7mm or less?