Trauma
The surgical ward
Medical triads
Surgical anatomy
ABC's of surgery
Medical terms
100
It would be nice to have two of these during a trauma resuscitation for IVs
large bore cannula (typically between 14-16 guage)
100
Mr X, a patient of yours who you recently performed a large colon resection on, who is also a long time smoker is complaining of chest pain radiating to his left arm. You notice some depression in some segments on his EKG. His pain went away with nitro spray and his troponins were elevated...
What is an acute MI?
100
Stasis, hypercoagulability, and vessel wall injury
What is Virchow's triad? (causes of thrombosis)
100
Your aorta branches into the common of these, which then further divide into internal and external branches
What are the iliacs?
100
The ABCDE of of trauma, known more commonly as the primary survey
What are airway, breathing, circulation, disability and exposure?
100
The name given to controlling bleeding in the operating room
What is hemostasis
200
Get in, get out, and straight to the ICU, belly closed or not!
What is a damage control laparotomy? e
200
Ms S, a recent cholecystectomy who bled after surgery and had her anticoagulation held got up to the bathroom and noticed that she became extremely short of breath. Her heart rate is really fast and her X-ray is normal. You notice some changes on her EKG, specifically in S1Q3andT3
What is a pulmonary embolism?
200
Right upper quadrant pain, jaundice, and fever
What is Charcot's triad? (diagnosis of cholangitis)
200
The porta hepatis contains these three structures that supply your liver and gallbladder
What are the hepatic artery, portal vein, and common bile duct?
200
The T and P in ITP and TTP (bonus points for I and T)
What are thrombocytopenic purpura (Immune and thrombotic)?
Purpura and petechiae in the skin. The photograph shows two types of bruising that are often seen with TTP. The larger red, brown, and purple dots are purpura, and the smaller red and purple dots are petechiae.
200
Removal of necrotic tissue and infected material in a wound
What is debridement?
300
Your very last extreme option in a penetrating chest injury in a patient with witnessed unresponsiveness
What is an ER thoracotomy?
300
Ms P, a patient of yours who had a heart attack a while back noticed some palpitations and began feeling panicked. We checked her pulse and noticed it was irregularly irregular.
What is atrial fibrillation?
300
Muffled heart sounds, distended neck veins, and hypotension
What is Beck's triad? (diagnosis of cardiac tamponade)
300
This organ, the main character of the Greek Promethean story, is divided into eight lobes
What is the liver?
300
The ABCDE of melanoma
What are asymmetry, border, color, diameter, and evolution?
300
The term for a patient who makes very little urine and the term for that same patient once they make no urine
What are oliguria and anuria
400
The name of the process of turning the patient to the side, examining their spine for deformities or pain, and performing a digital rectal examination.
What is a log roll?
400
Hi doctor, sorry to wake you. It's just that Ms C, your thyroidectomy from today is complaining of perioral numbness and tingling, as well as in their fingers and muscle cramps and spasms.
What is hypocalcemia (you nicked the parathyroid blood supply).
400
Abdominal pain, ascites, hepatomegaly
What is Budd-Chiari syndrome?
400
So named because they lie next to the thyroid glands, these four pea sized glands play a large role in regulating calcium levels
What are the parathyroid glands?
400
When trying to remember the causes of pancreatitis, a common mnemonic is I GET SMASHED, one S stands for steroids, what does the other S stand for (hint: we all learn this but here in Canada, we never see this)
What are scorpion bites?
400
The term given to a patient who has difficulty swallowing, and the term given to a patient who has pain while swallowing
What are dysphagia and odynophagia?
500
The name of the mark you get on you abdomen after being involved in an MVC, associated with a fracture of the spine and small bowel injury
What is a seat belt sign?
500
Your patient, Mr J, the trauma from today that you did a splenectomy on, well his abdomen is getting distended and tender, and his heart rate is quite high, also his blood pressure is quite low. This evenings hemoglobin came back and it's 52 down from 85 earlier today.
What is a post-operative bleed (hypovolemic shock)
500
Goiter, exophthalmos, peritibial myxedema
What is Grave's disease triad
500
It is the name given for a bridging stretch of land, and also for the bridging stretch of tissue between the thyroid glands
What is the isthmus?
500
The 2 E's in MUDPILES, a common mnemonic used to remember the causes of anion gap metabolic acidosis
What are ethanol and ethylene glycol?
500
Normal people call it chewing, but if you want to be fancy this is the term you'd use
What is mastication
600
According to the PROPPR trial, the ratio of blood products that should be given to patients - plasma:platelets:packed red blood cells?
What is 1:1:1?
Major multisite study showing the efficacy of a well rounded regiment of transfusions, being aware that not only do patients lose blood in traumas, but also the fact that they are coagulopathic
600
Ms R, your diabetic post-operative day number 3 anterior resection is complaining of a lot of abdominal tenderness. She's febrile, tachycardic, and hypotensive. She's also peritonitic. You do an x-ray on her and she has a lot more free air than you'd expect.
What is an anastomotic leak?
600
Coagulopathy, acidosis, hypothermia
Trauma triad of death
600
Recently classified as the newest organ in the human body, it's main purpose is to supply the bowels with blood
What is the mesentery?
600
The G in APGAR score, a scoring system used to assess a newborn baby at 1 and 5 minutes after delivery
What is grimace?
600
The medical term for a sweaty patient
What is diaphoretic
