1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.

25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42.

Adson- respiratory Halsted clavicle and first rib Wright hyperabduction Diapraghm and intercostal pair in secondary muscles Roos test additional neuro component False 2nd layer is middle intercostal Pair deep muscles levatores and rhomboid Pectusexcavatum except: pain wit rest Benign except plasmacytoma Blow out lytic aneurysmal bone cyst Sclerotic margin with radiolucent nidus osteoid osteoma Metastatic disease mos common ribs Rib fractures 6-9 ribs Radiotherapy stage 1 unoperable Mediastinoscopy stage 4 operable Costophrenic 300 ml Transudative 0.3 and 0.55 Cause (of # 17?) liver cirrhosis Chylothorax conservative management 1 month Pneumothorax emergent closed tube thoracostomy Except reexpansion edema 2 stairs - lobectomy Posterolateral thoracotomy except: coracoid Anterolateral thoracotomy except: posterior axillary line Except: inferior border of 5th rib ?? smoking 4 wks or pneumonia 1 wk treatment ACA most common histologic type BAC highly differentiated Squamous cell Ca central extrinsic compression Small cell lung Ca central aggressive Small cell lung Ca neurosecretory granule SPN except increase in size Necrotizing Klebsiella Differential diagnosis of TB Histoplasmosis Aspergillosis septae and hyphae Nocardiosis sulfur granules Massive hemoptysis 800 cc blood losss Amoeba right lower lobe Echinococcus hypersensitivity Paragonimiasis hemoptysis Bronchoalveolar lavage Pneumocystis Lingula part of upper left lobe

43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63.

cysts Right bronchus shorter, less acute angle more downward Enteric cyst duplication Enteric cyst anomalies of vertebral column Pericardial aspiration Bronchogenic cyst- most common Bronchogenic cyst subcarina Lymphomas: Hodgkin reed- sternbeirg Hodgkin mustard Non Hodgkin anthracycline Non Hodgkin mistaken for seminoma 90% prognosis Hodgkin Seminoma radiation Seminoma no AFP Non seminoma increase HCG Teratoma teeth like Example yolk sac malignant non seminoma Neurilemoma most common Paraganglioma carny syndrome Paravertebral ganglioneuroma or paraganglioma VIP neuroblastoma MIBG paraganglioma

Clovis hindikonamaalalaang questions d2..answerslng 2.. hehehe 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. LLdc, flexed knees Anxious and rolling Ecchymosis Decrease FDP and increase INR Albumin Decrease Cl metabolic alkalosis Amebic liver abscess Necrosis Debridement Colon cut off sign Pancreatic fistula somatostatin analogue Tenderness Palpation blumer s shelf BUN Leave it alone Adenocarcinoma

17. Serum lactescent alcohol Amputation Indication except metabolic Cause DM Procedure- syme s Chopart talonavicular and calcaneucuboid Boyd talus and calcaneum Equinus complication Boyd s if without infection Syme -0.5 cm above ankle Syme thick soft tissue and tough skin Phantom except psychosomatic Ill- fitting socket most common gait abnormalities Neuroma cut at higher level Most saved thumb IP disarticulation Full thickness skin flap Wrist disarticulation Preserve pronation and supination More difficult more proximal Lost tactile sensation Epiphysis Bone overgrowth complication in child Phantom unknown cause Phantom limb painless Mitten - early Pediatric surg Capillary refill test normal < 1 sec Gauge of intravascular volume liver Major risk factors lack of hair and increase insensible loss Daily fluid requirement p 2048 of sabiston table 71 1 Minimum urine output - 1-2ml/kg Electrolyte requirements sodium 2 meq/kg; potassium 1-2 meq/kg ET inner diameter calculation: 4 + (patient s age in years) divided by 4 Estimate of blood volume 80 ml/ kg First branchial remnants front or back of the ear Classic tx of thyroglossal duct cyst sistrunk Sistrunk removal of central portion of hyoid bone VACTERL vertebral, anoractal, cardiac, tracheal, esophageal, renal, limb Pyloric stenosis projectile emesis

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42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54.

55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66.

Olive palpation of pyloric tumor Classic sign of duodenal atresia double bubble sign ( air filled stomach and duodenal bulb) Hallmark of NEC - pneumatosisintestinalis Most common lead point of intussusception meckel s diverticulum Diagnostic and therapeutic procedure of choice in intussusception hydrostatic reduction by enema Hirschprung disease absent auerbachs and meissners Gastroschisis right side of umbilical cord, no sac covering Locate testicle ultrasonography Posterolateral location of hernia Bochdalek Surgical management of biliary atresia kasai Most common site of neuroblastoma adrenal medulla Most common presentation of wilms tumor palpable abdominal mass

Neurosurgery and vascular 1. 2. 3. 4. 5. Fig 72-3 . p 2092 oofsabiston Done in px with impaired renal function MRI Presentation of aortic dissection abrupt excruciating pain Tx of type B aortic dissection pain control and correction of hypertension Required in surgical tx or aortic root hypothermia and circulatory arrest

Clovis e2 lngtalagaangnkasulat and nkamarksabukko.. God bless Clovis