Reflex review in Surgery S.

Wichien (SNG KKU)

Sx correctable HT -renalRA stenosis, unilat parenchyma dz -adrenalconn, Cushing, phaeochromo -aortacoarctation Fever Post LC d2 -fever+jxcollection -fever+guardingperforation Post pancreatitis wk2 -masspseudocyst -feverinfected necrosis SSI d1 -S.pyogenes -pseudomonas -C.perfringen Diarrhea Steatorrhea -chro.pancreatitis -blind loop syndrome -s/p ileal resection Asso dz -HIVCMV -B12defblind loop synd -psychilaxative (melanosis coli) Bloody diarrhea -dilated colon+UCtoxic megacolon -elderly+AF+MIischemic colitis -AML+post CMTtyphlitis Young -meckel diverticulitis -Dieulafoy -solitary rectal ulcer -Peutz jegher synd Diarrhea with. -PUgastrinoma -NMEglucagonoma -mucous+hypoKpolyps -palpitate+flushingcarcinoid -erythema nodusumIBD -green tea colorVIPoma Post op diarrhea -AAAischemic colitis -pouchpouchitis -s/p vagotomy Urine in Sx -pneumaturiacompli diverticulitits -calculihyperparathyroid Obstipation Bed ridden -olgiwie synd -sigmoid volvulus Female+elderly -obesedgall stone ileus -thinobturator hernia Vomiting with -dysphagiaachalasia -chest painnutcracker, DES -UGIBmallory weiss synd -UGIB+severe chest paineso.perforate -s/p gastric Sx Food contentE-loop synd Bile contentA-loop synd Painalkaline reflux gastritis Genetic -autosomal dominantmost -autosomal recessivePK, congenital PCLD -mismatch repair geneHNPCC -tumor suppressor genemost -oncogene RETMEN2 K rasca pancreas, ca GB PradHPT Country -asianIHD stone, rt side diverticulitis -mid eastperiodic peritonitis -saudihydatid cyst -south Americachagas No cancer risk -skin caseborrheic keratosis -ca esophagusschatzki ring -HCCHAV, Wilson, PSC -ca stomachRT, RYGB, PPI -CHCAGS, CP, BA Smoking & ca -H&N, esophagus, stomach, pancreas, lung, RCC, cervix, bladder, liver *not GB, colon, thyroid, breast

Reflex review in Surgery S.Wichien (SNG KKU)

Dont 3 -UGIBendo Tx -bleeding/infected diverticulum -FNAbreast, thyroid -BCTmargin -achalasiadilate/botox Conservative Tx Trauma -duodenal hematoma -blunt liver, spleen kidney Vascular -initial Tx lymp+venous dz -blue toe synd -beurger dz -standford type B Esophagus -asymp diverticulum -hiatal hernia T1 Stomach -initial Tx postgastrectomy synd -except A-loop synd Appendix -typhlitis Abdo wall/omentum/mesenteric/retroP -initial rectus hematoma -omental infarction -mesenteric panniculitis -asymp omental cyst/mesenteric cyst -retroperitoneal fibrosis Hernia -umbilical H < 5cm -pregnancy -ascitis Endocrine -prolactinoma -intra op adrenal incidentaloma -micro.metas LNPTC,carcinoid,gastrinoma Protective ileostomy -ultra low AR -previous RT -perforated stercoral ulcer -difficult anastomosis in elderly -PCD of diverticulitis abscess in hi risk pt Prophylactic Sx Bilat mastectomy -BRCA 1,2 -fam breast ca -ca breast < 4yr -LCIS Bilat SO -BRCA 1,2 -fam ovarian ca -Lynch synd 2 -post men+abdo.operation Total proctocolectomy -FAP -UC+dysplasia Esophagectomy -BE+severe dysplasia Gastrectomy -hereditary gastric ca Thyroidectomy+CLND -MEN 2a5 yr -MEN2b1 yr Biopsy -Barrett esophagus2 cm above EGJ * 4 -GUboarder *4-7 -UC4 Q q 10 cm Investigation String of bead sign -gut obstruction -renal a stenosis -FMD -Beurger dz -PSC Scan -SRSgastrinoma -NP59Conn -MIBGphaeochromocytoma -DISIDABA -HIDAcannot in jx -albumin colloidFNH Imaging -u/s2 cm -CT0.5-1 cm -IO u/s<0.5cm MRI better CT in.. -ca rectum -liver hemangioma -retroperitoneal tumor -abdo wall desmoid