I have a bulge/ right sided pain
What is the most common abdominal content to protrude through the abdominal wall
omentum
what is the MC invasive cell type of breast cancer
infiltrating ductal carcinoma
surgeon error
A patient comes in with a deep wound to his foot with necrosis of the subcutaneous tissue that does not extend through the fascia. What stage is it in
III
What is the MCC of small bowel obstruction
adhesions from previous surgery
A spigelian hernia is a hernia where
through the spigelian fascia between the rectus and semilunar muscles
A patient presents with abdominal pain accompanied by recent 10lb weight loss and increased frequency of bowel movements with occasional blood. What is the gold standard diagnosis for the suspected disease
colonoscopy and biopsy
a patient presents with clear straw like fluid from his wound what is the likely diagnosis
wound dishiscence
A patient presents with a singular wound to his right leg. He states that it is painful and constant. He states that it has gotten worse over the past few weeks.You note that the patient has hair loss in the area and shiny skin. What test should you do for the suspected diagnosis
ankle brachial index
What structure divides an upper from a lower GI bleed
Ligament of Treitz
an indirect hernia is ___to the ____vessels
lateral;epigastric
A patient states that they have black stools. Where is the most likely location of the bleed and how do you diagnose the location of the bleed
Upper GI; place an NG tube and aspirate stomach contents if blood upper GI if bile R/O upper GI
A patient presents s/p intra abdominal surgery with persistent diarrhea they likely have a
anastomotic leak
a patient presents with a non healing sacral ulcer with moderate drainage and no fluctuance or erythema. How should you treat it
alginate and silver sulfadiazine
A patient comes in stating she has 10/10 abdominal pain accompanied by vomiting. The abdomen is non acute and non tender. CT shows wall thickening. What is the likely diagnosis
What is the test of choice and what is the definitive test for gallbladder disorders
US;HIDA
A radiologist comes to you with a report stating that he saw a double halo sign on contrast CT and thumbprinting on barium enema. What is the likely diagnosis
ischemic colitis
a patient presents s/p abdominal surgery with abdominal pain and distention. Upon auscultation there are decreased bowel sounds. Abdominal XR shows bowel dilation what is the most likely diagnosis
ileus
a diabetic patient presents with an ulcer on the plantar surface of his foot with erythema, edema, and warmth to the touch. What is the treatment
moxifloxacin
A patient presents with left sided abdominal pain. He is heme positive and states he has an urgent desire to have a bowel movement. What is the likely diagnosis and what artery is usually affected
ischemic colitis;inferior mesenteric artery
A patient presents with persistent nausea and RUQ pain. On HIDA scan you note that the CCK HIDA EF is less than 30% what is the likely diagnosis
Biliary Dyskinesia
What is the gold standard wound dressing
gauze
What is the gold standard diagnosis of breast cancer
mammogram
what is the least absorptive wound dressing
hydrogel/polyurethane adhesive
A patient presents with a distended non tender abdomen. He states that he has not had a bowel movement or passed gas in 4 days. What is the most likely complication of this dsiorder
dehydration