Scribd Logo
Upload

Welcome to Scribd!

  • 65 views

    Surgery

    Uploaded by

    Mary patrize Gonzales
    This document provides information on various surgical topics in 3 sentences or less per topic: 1. It outlines fluid resuscitation guidelines during surgery based on patient weight and critical illness status, as well as estimates of blood loss for different types of fractures. 2. Key signs of post-operative fever are reviewed, criteria for liver transplantation and diverticulitis classification, and definitions of cardiogenic shock and locations of esophageal constrictions are summarized. 3. Risk factors and cancers associated with BRCA1 and BRCA2 gene mutations are defined, and breast cancer subtypes are categorized by hormone receptor and HER2 status in relation to prognosis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Surgery

    Uploaded by

    Mary patrize Gonzales
    65 views5 pages
    This document provides information on various surgical topics in 3 sentences or less per topic: 1. It outlines fluid resuscitation guidelines during surgery based on patient weight and critical illness status, as well as estimates of blood loss for different types of fractures. 2. Key signs of post-operative fever are reviewed, criteria for liver transplantation and diverticulitis classification, and definitions of cardiogenic shock and locations of esophageal constrictions are summarized. 3. Risk factors and cancers associated with BRCA1 and BRCA2 gene mutations are defined, and breast cancer subtypes are categorized by hormone receptor and HER2 status in relation to prognosis.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides information on various surgical topics in 3 sentences or less per topic: 1. It outlines fluid resuscitation guidelines during surgery based on patient weight and critical illness status, as well as estimates of blood loss for different types of fractures. 2. Key signs of post-operative fever are reviewed, criteria for liver transplantation and diverticulitis classification, and definitions of cardiogenic shock and locations of esophageal constrictions are summarized. 3. Risk factors and cancers associated with BRCA1 and BRCA2 gene mutations are defined, and breast cancer subtypes are categorized by hormone receptor and HER2 status in relation to prognosis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    65 views5 pages

    Surgery

    Uploaded by

    Mary patrize Gonzales
    This document provides information on various surgical topics in 3 sentences or less per topic: 1. It outlines fluid resuscitation guidelines during surgery based on patient weight and critical illness status, as well as estimates of blood loss for different types of fractures. 2. Key signs of post-operative fever are reviewed, criteria for liver transplantation and diverticulitis classification, and definitions of cardiogenic shock and locations of esophageal constrictions are summarized. 3. Risk factors and cancers associated with BRCA1 and BRCA2 gene mutations are defined, and breast cancer subtypes are categorized by hormone receptor and HER2 status in relation to prognosis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    SURGERY

    HOLLIDAY SEGAR METHOD PRBC TRANSFUSION


    / 4ml/kg/hr Any patient w/hgb 7g/dL
    100ml/kgld
    1st 10 kg
    Next 10 kg +50m/kg/d/2 m//kg/hr Criticallyill w/ hgb -
    agldl
    28K9 +20ml 1kg/d / I m)/kg/hr Massive blood loss - 20% total blood

    BP APPROXIMATION BLOOD LOSS IN FRACTURES


    Carotid Pulse -

    160 mmHg Each rib 100-200m/

    Femoral Pulse 70
    matg tibia 300-500mL
    -

    Radial Pulse -

    180 mmHg Femur 888 -

    1000mL

    Pelis >1000 mL
    SURGERY

    5WS of
    POST-Op
    FEVER
    BECK'S TRIAD
    Dilated neck veins
    IND -

    pneumonia? Muffled heart sound


    ATER -

    UT?
    Hypotension
    OUND -

    SSI?

    ALKING PE?
    THEVAGUS NERVE
    -

    ONDER DRUSS -

    Medication

    ① Vagus E
    R
    Vagus
    PORTAL HYPERTENSION
    direct portal venous pressure 15 mmHg
    "H2p"
    -

    splenic pressure 115 mmH9


    ·

    portal venous pressure 20 mmHg Left becomes ANTERIOR


    Right becomes POSTERIOR
    N Pressure:5-10 mmHg
    at esophageal hiatus
    Varices form at 12
    =

    mmig
    10 Parasympathetic Nerve
    supply of the stomach
    SURGERY

    AMSTERDAM CRITERIA
    -
    3
    relativesW.Colorectale
    I must be first degree relatives) HINCHEY CLASSIFICATION
    (Diverticulitis)
    & I successive generations

    ↓ I diagnosed before 50 y18 STAGE1 colonic inflammation


    Local pericolic abscess

    STAGE 11 Peritoneal
    +
    Pelvic abscess

    purulent peritonitis
    MILAN CRITERIA STAGE III
    for Liver transplant Minimal focal contamination
    One nodule <5cm or
    2.3 nodules all 3cm STAGEIV Fical Peritonitis

    No gross vascular invasion


    hepatic spread
    SURGERY
    BLOODY VICIOUS CYCLE CARDIOGENIC SHOCK
    The Lethal Triad ·

    sustained hypotension
    I SBP <90 mmHg for 230 mins)
    A oagulopathy
    cidosis ·

    ↓ Cardiogenic Index
    Temperature (Hypothermial CCI < 2.22/ min/m3)

    Pulmonary Artery Wedge Pressure


    (15mmHg)
    TIME FOR TRANSPLANT
    6-8hrs Heart & lungs
    16 hrs liver ESOPHAGEAL CONSTRICTIONS
    3.4 hrs Pancreas (6
    36-40UVs kidneys
    Cricopharyngeus
    Aorta + Main Bronchus T4-55

    Diaphragmatic Hiatus T18


    SURGERY
    BRCA
    1 BRCA2
    chromosome arm 179 chromosome arm 139
    ↑90% Breast CA 85% Breast (a
    ↑ 40% Ovarian CA 20% Ovarian (a METASTASIS
    BREAST CA
    Female only BOtH SextS BONC
    Lungs
    Causes:Hormone rec. causes:Hormone rec. #
    Pleura
    v. Ductal (a Inv. Ductal Ca
    soft Tissues
    Pleura
    BREASTCA
    Luminal AE R+, PRt, Her2-MC-Good Prognosis
    Luminal B Triple

    Her2 Enriched Her+ER-

    Basal like Triple-Worst Prognosis

    You might also like