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thenewmaster's version from 2017-01-17 13:22

Section

Question Answer
echinococcus vs amebic liver cystechino - do surgical excision. amebic - metro
MCC of hematochezia in young patient?meckel
immediate surgery for paraesophageal or hiatal hernia?paraesophageal
mallet fingerinjury of the distal extensor tendon that prevents extension
trigger fingernodule at flexor tendon that prevents full extension
jersey fingeinjury of distal phalanx at flexor tendon that prevents flexion
osgood schlatter diseaseknee pain over tibial tubercle (attachment of patellar tendon) seen with growing adolescents
memorize
horizontal vs vertical lie of the tests: horizontal in torsion (pain on elevation), vertical in epididymitis (relief on elevation)
Question Answer
anterior dislocation of shoulderadducted and external rotated (shaking hands).
posterior dislocation of shoulderadducted and internally rotated
memorize
hip fracture - shortened and externally rotated
Question Answer
click when knee extendedtorn meniscus
White blood cell reactions (febrile reactions)by PATIENT antibodies directed against donor antigens on transfused WBC
TRALIDONOR antibodies attach to patient wbc specific antibodiesMassive transfusion is transfusion of a volume of blood greater than or equal to one blood volume in 24 h (eg, 10 units in a 70-kg adult). When a patient receives standard resuscitation fluids of packed RBCs (colloid) plus crystalloid (Ringer's lactate or normal saline) in such large volume, the plasma clotting factors and platelets are diluted, causing a coagulopathy (dilutional coagulopathy). This coagulopathy worsens the consumptive coagulopathy due to major trauma itself (ie, as a result of extensive activation of the clotting cascade) and leads to a lethal triad of acidosis, hypothermia, and bleeding.
Normal plts but incr bleeding time & PTT?vWD
memorize
electrical burn - monitor with EKG