Sunday, August 24, 2008

Surgery Mnemonics

Post-operative fever causes Six W's:
Wind: pulmonary system is primary source of fever first 48 hours, may have pneumonia
Wound: infection at surgical site
Water: check IV for phlebitis
Walk: deep venous thrombosis, due to pelvic pooling or restricted mobility related to pain and fatigue
Whiz: urinary tract infection if urinary catheterization
Wonder drugs: drug-induced fever


Scrotum: scrotum swelling differential THE THEATRES:
Torsion
Hernia
Epididymytis, orchitis
Trauma
Hydrocoele, varicocele, hematoma
Edema
Appendix testes (torsion, hemorrhage)
Tumour
Recurrent leukemia
Epididymal cyst
Syphilis, TB


Post-operative complications (immediate) "Post-op PROBS":
Pain
Primary haemorrhage
Reactionary haemorrhage
Oliguria
Basal atelectasis
Shock/ Sepsis


Fistulas: conditions preventing closure FETID:
Foreign body
Epithelialization
Tumor
Infection
Distal obstruction


Oedema causes: localised ALIVE:
Allergic (angio-oedema)
Lymphatic (elephantiasis)
Inflammatory (infection, injury)
VEnous (DVT, chronic venous insufficiency)


GI bleeding: causes ABCDEFGHI:
Angiodysplasia
Bowel cancer
Colitis
Diverticulitis/ Duodenal ulcer
Epitaxis/ Esophageal (cancer, esophagitis, varices)
Fistula (anal, aortaenteric)
Gastric (cancer, ulcer, gastritis)
Hemorrhoids
Infectious diarrhoea/ IBD/ Ischemic bowel


Compartment syndrome: signs and symptoms · 5 P's:
Pain
Palor
P ulseless
Paresethesia
Pressure (increased)


Swollen leg: unilateral swelling causes TV BAIL:
Trauma
Venous (varicose veins, DVT, venous insufficiency)
Baker's cyst
Allergy
Inflammation (cellulitis)
Lymphoedema


F PURE:
Flat (eg venous)
Punched-out (eg trophic, arterial)
Undetermined (eg pressure, TB)
Rolled (eg BCC)
Everted (eg SCC)


Pancreatitis: treatment MACHINES:
Monitor vital signs
Analgesia/ Antibiotics
Calcium gluconate (if deemed necessary)
H2 receptor antagonist
IV access/ IV fluids
Nil by mouth
Empty gastric contents
Surgery if required/ Senior review


Appendicitis: Alvarado's scoring system for diagnosis MANTRELS:
Migratory pain (1)
Anorexia (1)
Nausea (1)
Tenderness (2)
Rebound tenderness (1)
Elevated temperature (1)
Leucocytosis (2)
Shift to left (1)
· Score 3-4 = no appendicitis. Score 5-6 = doubtful. Score 7 or more = appendicitis is confirmed.


Post operative order list check-up FLAVOR:
Fluids
Laboratories
Activity
Vital signs
Oral allowances
Rx [medications]







Free Domain Names @ .co.nr!

3 comments:

samuel pontoh said...

nice share brother.....

kaney said...

Colon blockage symptoms can cause abdominal pain, cramps, stomach bloating, dry hard stools and blood stools. Some colon blockages may occur as a result of colon cancer as tumor growth may the main reason for the obstruction. The possibility of having colon blockages can be greatly reduced by consuming colon cleansers.

Mag Glycinate

Alex said...

Pretty cool post. It’s really very nice and useful post.Thanks for sharing this with us!it’s my first visit.
chicago liposuction
liposuction in chicago
best liposuction chicago
liposuction chicago il
liposuction and cosmetic surgery institute chicago
chicago liposuction institute
liposuction surgery
non surgical liposuction
abdominal liposuction
tumescent liposuction
thigh liposuction
best liposuction doctors in chicago
liposculpture chicago
liposuction stomach
best liposuction surgeons in chicago
breast liposuction
liposuction thighs
inner thigh liposuction
liposuction institute chicago
double chin liposuction
liposuction arms
full body liposuction
leg liposuction
leg liposuction