Resident Readiness General Surgery (82 page)

Read Resident Readiness General Surgery Online

Authors: Debra Klamen,Brian George,Alden Harken,Debra Darosa

Tags: #Medical, #Surgery, #General, #Test Preparation & Review

BOOK: Resident Readiness General Surgery
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Insulin
diabetic, type 1,
277
–279
diabetic, type 2,
278
–279
exogenous basal/prandial,
279
hypoglycemia/hyperglycemia,
278
lispro/aspart,
278
nutritional requirement,
277
    components,
278
f
pump,
277
types of,
277
Insulin therapy, lack of,
280
International normalized ratio (INR),
351
Internships,
7
,
21
Interventional radiology (IR),
78
,
293
Intra-abdominal abscess (IAA),
133
,
134
,
262
adjunctive treatment for,
135
etiologic classification,
134
in post colectomy,
133
–136
Intracellular electrolyte shifts,
258
Intravenous unfractionated heparin (IVUH),
285
IOM report,
297
Ischemia,
34
reperfusion injury,
118
Ischemic bowel,
64
Isoproterenol,
178
Isotonic solutions,
251
J
Jackson-Pratt (JP) drain,
293
Jaw-dropping experimental design,
190
Jitters
case of,
7
taking care of health,
10
–11
teamwork,
10
time management and efficiency,
9
trenches, simple rules from,
8
–9
K
Korsakoff psychosis,
126
KUB
reading and using,
213
–217
L
Lab abnormalities,
110
Labetalol,
208
Laboratory tests,
107
–112
LABS 101,
107
–111
tips to,
111
β-Lactam,
65
Lactated Ringer’s (LR) solution,
247
,
270
Laparoscopic appendectomy,
201
Laparoscopic cholecystectomy,
265
Laparoscopic right colectomy,
186
Laparotomy,
201
Large gastric bubble,
216
Leaking triple A,
167
Left ventricular end-diastolic volume (LVEDV),
187
Leiden deficiency, factor V,
286
–287
Leukocyte esterase,
111
Leukocytes,
110
Leukocytosis,
133
,
332
,
334
Levetiracetam,
121
Lidocaine,
346
Limb ischemia, acute
in acute right lower extremity pain,
113
–119
cause of,
113
common causes of,
117
t
Limb-threatening ischemia,
116
Lipoma, removal,
341
field block technique,
345
,
345
f
local anesthetics, classes,
341
–345
    epinephrine,
341
–342
    pain, minimization,
343
,
344
    risk of,
343
mechanism of action,
343
,
344
,
346
picture of,
342
f
useful technique,
344
–345
Liver abscess, liver fluid collection suspicious for,
327
f
Local anesthetics, classes,
341
–345
agent,
342
t
anxiety, medications for,
343
bicarbonate,
343
buffering,
343
bupivacaine,
341
,
342
epinephrine,
341
–342
esters,
341
field block technique,
345
,
345
f
lidocaine,
341
,
342
lipoma, picture of,
342
f
needle, small,
343
pain, minimization,
343
,
344
problems,
343
risk of,
343
wound pretreatment,
344
Lorazepam, for acute confusion postoperatively,
149
Lower leg, fascial compartments of,
119
f
Low-molecular-weight heparin (LMWH),
285
Low-risk procedures,
93
LR, composition of,
248
Lung, pneumoperitoneum,
330
LUQ,
214
Lysis catheter,
118
M
Magnesium-containing medications, elimination,
258
Maladaptive expressions,
308
Maladaptive traits,
307
,
309
Malignant tumors,
84
Massive fluid resuscitation,
131
Massive inflammatory response,
77
Mean arterial pressure (MAP),
201
Mean corpuscular volume (MCV),
121
Mechanical obstruction,
84
Mechanical valve, in mitral position,
287
Meckel diverticulum,
59
Medical errors,
297
–299
coping mechanisms,
299
disclosure of,
298
,
300
mistakes, disclosing,
298
–299
research,
300
risk management office,
298
Medical records,
37
Medication administration record (MAR),
142
Medication reconciliation,
36
Medicine’s
To Error is Human
report,
297
Menorrhagia, platelet disorder,
349
t
Mental status, altered
acute confusion postoperatively,
150
–153
high-risk causes of,
150
t
Mentor,
17
Mesoappendix,
59
Metformin,
279
Methicillin-resistant
Staphylococcus aureus
(MRSA),
80
,
101
,
104
Metoclopramide,
219
Metoprolol,
37
,
190
,
205
Mood dysregulation,
311
,
312
Morality, surgical intern,
305
–306
Morphine,
144
Motor vehicle accidents,
39
–46,
121
–128
alcohol withdrawal,
121
–127
tips to,
44
–45,
127
trauma primary survey,
39
–44
Motor vehicle crash (MVC).
See
Motor vehicle accident
Mucosal bleeding, platelet disorder,
349
t
Multiorgan dysfunction syndrome (MODS),
77
Murphy sign,
47
,
51
,
52
Myocardial infarction, acute,
166
Myocardial ischemia,
173
,
195
evidence of,
92
Myriad data,
26
N
Narcotic pain medication,
207
Narcotics,
202
administration of,
222
Nasogastric tube,
254
Nasogastric tube (NGT),
86
Nasopharynx, anatomy of,
86
,
87
f
Nausea,
213
–218
Nausea and vomiting
complaint of,
83
–89
small bowel obstruction,
83
–88
tips to,
88
Necrotizing soft tissue infection (NSTIs),
267
–270
diagnosis of,
268
–269
features characteristic of,
268
hallmarks of,
268
physical exam findings of,
268
f
radiographic evidence of,
269
f
tips to,
270
treatment of,
269
–270
Negative inspiratory force (NIF),
163
Neurologic disorders,
242
Neurotransmitter systems,
122
NG tube,
87
,
221
Nitrates,
111
Nitroglycerin,
209
Nociceptive nerves, irritation of,
47
Nonhemorrhagic hypovolemia,
203
Normal saline (NS),
247
Normothermia,
333
Note writing,
21
–30
acute event specifics,
28
–29
admission note specifics,
26
–27
communicate pertinent data,
21
consult note specifics,
27
daily progress,
27
–28
general approach to,
21
–26
postoperative check specifics,
28
preparation of,
28
procedure note specifics,
29
–30
purpose of,
21
sample template
    admission/consult H+P,
23
f
,
26
    brief operative note,
25
f
    procedure note,
24
f
    SOAP note,
24
f
,
26
system developement,
21
NSAID, acetaminophen,
144
O
Ohm’s law,
71
,
74
Ondansetron,
222
Online medical records,
25
Operating room,
185
Operative notes,
29
Opioids,
143
,
145
side effect of,
143
Opioid schedule,
143
Oral pain medications,
144
Oral pain regimen,
144
Orders, for admissions,
36
–37
Osmotic laxatives, for constipation,
230
Outsourcing,
14
Ovarian cyst,
59
,
60
Oxygen-carrying capacity,
95

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