SurgeryProcedure.info

CONTROVERSIES 13. Which is preferred: surgical or medical management of descending dissections? Show answer * Initial surgical managementApproximately 25% of patients initially treated medically need an operation eventually. *...

81 DISSECTING AORTIC ANEURYSM Laurence H. Brinckerhoff M.D., David N. Campbell M.D. 1. Why is the term dissecting aortic aneurysm really incorrect? Show answer The correct term should be dissecting aortic hematoma because the lesion is not...

80 SOLITARY PULMONARY NODULE Jamie M. Brown M.D., Marvin Pomerantz M.D. 1. What is a solitary pulmonary nodule? Show answer A solitary pulmonary nodule or "coin lesion" is < 3 cm and is discrete on chest radiograph. It is usually surrounded...

79 LUNG CANCER Jamie M. Brown M.D. 1. How common is lung cancer? Show answer The incidence of lung cancer is approximately 180,000 new cases annually or 54.2 per 100,000 patients. More than 162,000 patients die annually, so the overall...

EMPYEMA 10. What is an empyema, and what causes it? Show answer An empyema is a purulent (infected) effusion. Fluid or blood in the pleural space can be directly innoculated (with bugs) during surgery or trauma (33%) or by contamination from...

PLEURAL EFFUSION 6. What is a pleural effusion? Show answer Pleural fluid is generated in normal adults at a rate of 5-10 L per 24 hours in the combined hemithoraces, but normal adults have only 20 mL of pleural fluid present at any time....

TUBERCULOSIS 1. What are the clinical manifestations of pulmonary tuberculosis? Show answer They can be almost anything or nothing (it has been stated that if you know tuberculosis, you know all of medicine), but the most common symptoms and...

CONTROVERSIES 27. Should the Ross procedure ever be performed? Show answer For: The Ross procedure provides excellent, long-term (sometimes lifelong) hemodynamic relief of aortic stenosis and avoids the need for mechanical valves, thus...

77 AORTIC VALVULAR DISEASE Christopher D. Raeburn M.D., Alden H. Harken M.D. 1. What are the most common causes of aortic stenosis? Show answer Rheumatic heart disease is now a rare cause of aortic stenosis, so the most common causes are now...

BONUS QUESTION 16. What is systolic anterior motion (SAM) of the mitral valve? Show answer SAM is a complication of mitral valve repair. After mitral valve repair, the anterior leaflet of the mitral valve may billow into the left ventricular...

76 MITRAL REGURGITATION David A. Fullerton M.D., Glenn J.R. Whitman M.D. 1. List the causes of mitral regurgitation. Show answer * Rheumatic fever * Endocarditis * Ruptured chordae tendineae * Senile mitral annular...

BONUS QUESTION 19. What is the Lutembacher syndrome? Show answer Mitral stenosis associated with an atrial septal defect. This results in a left-to-right shunt and overworks the right ventricle. References WEB...

75 MITRAL STENOSIS David A. Fullerton M.D., Glenn J.R. Whitman M.D. 1. What causes mitral stenosis? Show answer Rheumatic fever. 2. Which gender most commonly gets mitral stenosis? Show answer Women by a ratio of 3:2. 3....

CONTROVERSIES 15. Is there an advantage to surgical revascularization with all arterial conduits? Show answer The logical extension of the observation that an internal mammary artery has superior patency to a saphenous vein has sparked an...

74 CORONARY ARTERY DISEASE Joseph C. Cleveland Jr., M.D. 1. What is angina, and what causes it? Show answer Angina pectoris reflects myocardial ischemia. Patients often describe the sensation as pressure, choking, or tightness. Angina is...