July 13, 2009 | In: ABDOMINAL SURGERY
87 ABDOMINAL TUMORS Frederick M. Karrer M.D., Denis D. Bensard M.D. 1. What are the most common malignant solid abdominal tumors in children? Show answer Neuroblastomas, Wilms' tumors, and hepatoblastomas, in that order. Neuroblastomas are...
July 9, 2009 | In: ABDOMINAL SURGERY
CONTROVERSIES 36. What are some of the anatomic issues related to inguinal hernias? Show answer At issue is the iliopubic tract, which is central to the Anson/McVay anatomic description of the inguinal area and featured in the McVay Cooper's...
July 9, 2009 | In: ABDOMINAL SURGERY
56 INGUINAL HERNIA Gregory P. Victorino M.D., Jyoti Arya M.D., James Bascom M.D. 1. "Groin" hernia refers to which three hernias? Show answer Direct and indirect inguinal hernias and femoral hernias. 2. Francois Poupart, a French...
July 9, 2009 | In: ABDOMINAL SURGERY
PILONIDAL SINUS DISEASE 29. What is the most common clinical presentation of a pilonidal sinus? Show answer Pain and swelling in the sacrococcygeal region, which typically are associated with a (sometimes several) chronic draining sinus...
July 9, 2009 | In: ABDOMINAL SURGERY
HEMORRHOIDS 21. What are hemorrhoidal tissues, and what are their normal functions? Show answer Hemorrhoids are cushions of vascular tissue that contribute to anal continence and protect the sphincter mechanism during defecation. Hemorrhoids...
July 9, 2009 | In: ABDOMINAL SURGERY
ANAL FISSURE 14. What is the most common location for idiopathic anal fissure? Show answer 90% are posterior, and 10% are anterior. 15. What are the most common symptoms of anal fissure? Show answer Tearing anal pain and bleeding...
July 9, 2009 | In: ABDOMINAL SURGERY
ANORECTAL ABSCESS AND FISTULA IN ANO 5. What is the most common cause of anorectal abscess? Show answer Ninety percent result from cryptoglandular infection. 6. What are the four potential anorectal spaces used to classify anorectal...
July 9, 2009 | In: ABDOMINAL SURGERY
55 ANORECTAL DISEASE Eric L. Sarin M.D., John B. Moore M.D. 1. What aspect of the initial patient encounter is most important in the diagnosis of anorectal disease? Show answer Clinical history, including duration of complaints,...
July 9, 2009 | In: ABDOMINAL SURGERY
54 COLORECTAL CARCINOMA Kathleen Liscum M.D. 1. What are the top three causes of cancer deaths in the United States? Show answer Lung, breast or prostate, and colon cancer. 2. List a few of the presenting symptoms of patients with...
July 9, 2009 | In: ABDOMINAL SURGERY
53 COLORECTAL POLYPS Carlton C. Barnett Jr. M.D., Michael B. Wallace M.D., M.P.H. 1. What are polyps? Show answer A polyp is an elevation of the mucosal surface that can occur anywhere in the gastrointestinal (GI) tract. Two thirds of...
July 9, 2009 | In: ABDOMINAL SURGERY
52 LOWER GASTROINTESTINAL BLEEDING Kathleen Liscum M.D. 1. Describe the treatment of a patient who presents with lower gastrointestinal (GI) bleeding. Show answer Treatment begins with the ABCs (airway, breathing, circulation). Place two...
July 8, 2009 | In: ABDOMINAL SURGERY
51 UPPER GASTROINTESTINAL BLEEDING G. Edward Kimm Jr. M.D., Allen T. Belshaw M.D. 1. What is upper gastrointestinal (GI) bleeding? Show answer Bleeding from proximal to the ligament of Treitz (the transition point between duodenum and...
July 8, 2009 | In: ABDOMINAL SURGERY
CONTROVERSIES 17. Should all patients with enteroenteral fistulas secondary to Crohn's disease have surgery when the fistula is discovered? Show answer For: Such patients ultimately do poorly, develop further intraperitoneal septic...
July 8, 2009 | In: ABDOMINAL SURGERY
50 INFLAMMATORY BOWEL DISEASE Anthony J. LaPorta M.D., Gilbert Hermann M.D. 1. What two clinical entities encompass the diagnosis of inflammatory bowel disease? Show answer Crohn's disease and ulcerative colitis (acute or chronic). 2....
July 8, 2009 | In: ABDOMINAL SURGERY
49 ACUTE LARGE BOWEL OBSTRUCTION Elizabeth C. Brew M.D. 1. What are the mechanical causes of large bowel obstruction? Show answer The three most common mechanical causes are carcinoma (50%), volvulus (15%), and diverticular disease (10%)....
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