Thyroid/Parathyroid/Adrenal
Anomalous branch, usually from innominate artery directly to the isthmus
Thyroid ima artery
Percentage of blood loss in class III hemorrhagic shock
30-40%
Gateway structure to carotid bifurcation
Common facial vein
Where does the posterior rectus sheath end?
Arcuate line
Replaced left hepatic artery branches off of _______, and traveling in_________?
Left gastric, gastrohepatic ligament
Type of cells develop from 4th and 5th branchial pouches that produces calcitonin?
Parafollicular (C cells)
3 components of Cushing’s reflex
Bradycardia, HTN, altered respirations
A patient experiences ipsilateral mouth droop after a carotid endarterectomy. What structure was injured?
Marginal mandibular nerve
Name the boundaries of the Hesselbach’s triangle?
Rectus, inguinal ligament, and epigastric
What is the components of MELD score?
Creatinine, INR, BUN, Sodium
Aldosterone:renin activity ratio > 25
Hyperaldosteronism, Conn’s syndrome
Formula to calculate CPP
CPP = MAP - ICP
Doppler finding and motor/sensory exam in a patient with acute limb ischemia Rutherford class IIB?
No arterial signal, diminished motor and sensory
What is the triangle of doom (boundaries) and what does it “contain”?
Apex at the iliopubic tract, medially by vas deferens and laterally by gonadal vessels. Contains iliac vessels
What is Todani classification type I and what is the treatment?
Fusiform dilation of extrahepatic biliary. Resection with hepaticojejunostomy
Serum chloride to phosphate ratio > 33 used to diagnose
Hyperparathyroidism
Trauma patient with elevated LY30 on TEG/ROTEM should receive
TXA
A rare and severe form of DVT causing swollen blue leg up to the buttocks, with motor and sensation intact
Phlegmasia cerulea dolens
Name a hernia that contains a Meckel’s diverticulum?
Littre hernia
The incision for sphincteroplasty of the ampulla of Vater should be made at the ____o’clock position.
11 o'clock
What group of nodes are found within the anterior suspensory ligament?
Delphian nodes (level VI)
What is the diagnosis in patient with portal hypertension leads to splanchnic vasodilation which decreases effective arterial blood volume and renal perfusion
Hepatorenal syndrome
A patient with buttock claudication, impotence, and absence of femoral pulses, what is this syndrome?
Leriche syndrome
Laparoscopic/robotic inguinal hernia repair and tack mesh to Cooper’s ligament and get a large arterial bleeding, what is the vessel likely being injured?
Corona mortis
A patient with hepatic hemangioma presents with consumptive coagulopathy and thrombocytopenia, what is this syndrome?
Kassabach-Merritt syndrome