– Anal and Rectal

Jun 24, 2017 by in GENERAL SURGERY Comments Off on – Anal and Rectal

  Left lateral, right anterior, and right posterior hemorrhoidal plexuses   External hemorrhoids cause pain when they thrombose •  Distal to the dentate line, covered by sensate squamous epithelium; can cause pain, swelling,…

read more

– Hematology

Jun 24, 2017 by in GENERAL SURGERY Comments Off on – Hematology

NORMAL COAGULATION Three initial responses to vascular injury: vascular vasoconstriction, platelet adhesion, and thrombin generation Intrinsic pathway: exposed collagen + prekallikrein + HMW kininogen + factor XII ↓ activate XI…

read more

– Neurosurgery

Jun 24, 2017 by in GENERAL SURGERY Comments Off on – Neurosurgery

CIRCLE OF WILLIS   Vertebral arteries – come together to form a single basilar artery, which branches into 2 posterior cerebral arteries   Posterior communicating arteries – connect middle cerebral arteries to…

read more

– Cell Biology

Jun 24, 2017 by in GENERAL SURGERY Comments Off on – Cell Biology

  A lipid bilayer that contains protein channels, enzymes, and receptors   Cholesterol increases membrane fluidity   Cells are negative inside compared to outside; based on Na/K ATPase (3 Na+ out/2 K+ in)…

read more

– Cardiac

Jun 24, 2017 by in GENERAL SURGERY Comments Off on – Cardiac

  R → L shunts cause cyanosis •  Children squat to increase SVR and decrease R → L shunts •  Cyanosis – can lead to polycythemia, strokes, brain abscess, endocarditis •  Eisenmenger’s syndrome: shift…

read more

– Immunology

Jun 24, 2017 by in GENERAL SURGERY Comments Off on – Immunology

  Helper T cells (CD4) •  Release IL-2, which mainly causes maturation of cytotoxic T cells •  Release IL-4, which mainly causes B-cell maturation into plasma cells •  Involved in delayed-type hypersensitivity (brings in…

read more

– Wound Healing

Jun 24, 2017 by in GENERAL SURGERY Comments Off on – Wound Healing

  Inflammation (days 1–10) – PMNs, macrophages; epithelialization (1–2 mm/day)   Proliferation (5 days–3 weeks) – fibroblasts, collagen deposition, neovascularization, granulation tissue formation; type III collagen replaced with type I   Remodeling (3…

read more
Get Clinical Tree app for offline access