Resident Readiness General Surgery (80 page)

medications,
285
–286

    chronic,
63

Antidiuretic hormone (ADH),
236

Antimicrobial therapy,
270

Antiplatelet medications,
283
,
285
–286,
317

Anxiety disorders,
307
,
308

Aortic arch,
156

Aortic dissection,
166
–167

Aortic valves,
287

Appendectomy, interval,
60

Appendicitis,
48

bout of,
59

Arrhythmias,
250

Arterial circulation

of lower extremities,
115
f

Arterial occlusion, acute,
117

Aspirin, antiplatelet medications,
317

Atherosclerotic disease,
114

ATLS protocol,
129

Atrial fibrillation

history of,
114

Attitude, positive,
10

B

Bacteriuria,
110

Baseline blood pressure,
207

Benzodiazepines,
37
,
125
,
126
t
,
152
,
308

use of,
152

Bernard-Soulier syndrome,
349

Biliary colic,
52

Biliary obstruction,
53

Binge-type drinking, history of,
121

Biopsy,
283

Bladder ultrasound,
244

Bleeding diatheses

hereditary,
349

lab abnormalities,
352

β-Blockers,
190
,
203

Blood acidosis,
161

Blood alcohol level (BAL),
121

Blood, bad,
95
–99

tips to,
97
–98

transfusion reactions,
95
–97

Blood bank directors,
97

Blood clots,
186

Blood elements,
97

Blood gases, interpret venous,
70
t

Blood glucose levels,
278

Blood pressure,
205
–211

postoperative hypertension,
205
–210

tips to,
210

Bones,
156

Bowel

dilated loops of,
228
f

movements,
225
–233

    constipation,
225

    functional constipation, Rome III criteria for,
226
–233

    tips to,
233

BPH, anesthesia,
242

Bradycardia,
177
–179

definition of,
177

Broad-spectrum intravenous antibiotics,
133

Bulge, painful,
101
–105

superficial abscess,
101
–104

tips to,
104

Bulk laxatives, for constipation,
229

Bupivacaine,
346

Burns

extensive,
129
–132

tips to,
131

C

CAGE screening tools,
124
t

Carbapenem,
65

Carbon dioxide excretion,
162

Carcinoids,
59

Cardiac arrhythmia,
169
–172

supraventricular dysrhythmias,
169
–171

tips to,
171

Cardiac output,
72
,
193

afterload,
195

contractility/intrinsic pump function,
195

heart rate and rhythm,
195

parameters of,
194
f

preload,
194
–195

Cardiac silhouette,
156

Cardiac tamponade,
167

Cardiology service,
197

Cardioversion paddle,
170

Catecholamine production,
280

Catheterizations,
243

Catheters,
158

Cefepime,
104

Cefotetan,
59

Cellulitis,
102
,
104

Centers for Disease Control and Prevention (CDC),
96

Central nervous system,
143

Central venous catheter (CVC),
156
,
158

Central venous pressure (CVP),
70
,
80

Cephalosporin,
65

CHADS2 score,
284
–285,
284
t

Chandelier sign,
58

Chest pain,
165
–168,
281

causes of,
166

Chest tube, removal,
301
–302

patient safety,
301
–302

Chest X-ray,
155
–160

reading,
155
–158

tips to,
158
–159

Cholecystitis,
51

acute,
167

    diagnosis of,
53
f

causes of,
53

key feature of,
52

Ciprofloxacin,
59

Circular mucosal folds,
215

Clindamycin,
270

Clinic patients

advice for efficient intern,
319

communication breakdowns,
319

counseling,
318
–319

delegate appropriately,
317

frank discussions/debate,
306

insurance,
315

postoperative,
315
–316

preoperative,
316
–317

professionalism,
318

radiologic imaging,
318

time management,
317
–318

Clonazepam,
307

CNS dysfunction,
220

Cognitive deficits,
150

Colace,
146

Collateralization,
114

Colon cancer, hemicolectomy,
141

Communicate pertinent data,
21

Communication,
21

in admissions,
35
–36

place for,
36

techniques,
307
,
310

Compartment syndromes,
118
,
130

Computed tomographic (CT) scan,
33
,
133

Concomitant trauma,
131

Confusion postoperatively, acute,
149
–154

altered mental status,
150
–153

Congenital coagulopathy

abnormalities,
347
,
348
,
350
,
351
,
352
,
352
t

clotting factor deficiency, laboratory assessment of,
348
t

desmopressin (DDAVP),
350
,
354

inherited disorder,
349

intra-articular hemorrhage,
348
–350,
353
,
354

platelet disorder,
354

platelet disorders, laboratory tests,
351
–352

preoperative hematologic history,
357

type of,
349
t

workup, suspected,
350
–351

Congestive heart failure (CHF),
205

Constipation,
225

bulk laxatives,
229

emollient laxatives,
231

fecal impaction,
231
–233,
232
f

novel agents,
231

osmotic laxatives,
230

stimulant laxatives,
230

treatment of,
229
–230

Consultation, reason for,
27

Consult note specifics,
27

essentials of,
27

purpose of,
27

Conventional therapy,
7

COPD,
261
,
264

Coronary artery bypass surgery,
158
f

Coronary artery disease (CAD),
178
,
205

Coronary ischemia, risk for,
207

Costochondritis,
167

Creatinine kinase,
116

Creutzfeldt-Jakob disease,
96

Cricothyroidotomy,
43

Crohn disease, postoperative orders,
273
–274

acute adrenal insufficiency, mechanism of,
273

steroids perioperatively risks to using,
274

steroids, stress dosage of,
273
–274,
276

Cross-reactivity,
92

Crystalloid fluids,
248
,
248
t
,
249

Crystalloid solutions,
251

CT scan, abdomen.
See
Abdomen, CT scan

CXR,
197

Cyclooxygenase,
283

Cystic duct,
49

Cytokine-mediated process,
152

D

Daily progress note specifics,
27
–28

essentials of,
28

purpose of,
27

Dalteparin,
290

Debriding nonviable tissue,
336

Deep venous thrombosis,
262

Dehydration,
247
–252

IV fluids,
247
–251

tips to,
251

Delirium,
125
,
150
,
153

Dependent personality disorder,
311
,
312

Diabetes mellitus,
285

history of,
241

postoperative orders,
277
–279

type 1

    insulin,
277
–278

type 2

    insulin,
278
–279

    non–insulin dependent,
279

Diaphragm,
52
,
156
,
186
,
214

Digital rectal examination,
228

Digoxin,
171

Dilaudid,
144

Disseminated intravascular coagulation (DIC),
96

Distended abdomen,
213
–218

Distention-induced dysfunction,
243