– Anesthesia

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

INHALATIONAL INDUCTION AGENTS   MAC – minimum alveolar concentration = smallest concentration of inhalational agent at which 50% of patients will not move with incision •  Small MAC → more lipid soluble…

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– 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,…

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– 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…

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– 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…

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– 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)…

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– 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…

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– 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…

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