– Pediatric Surgery

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

  Foregut – lungs, esophagus, stomach, pancreas, liver, gallbladder, bile duct, and duodenum proximal to ampulla   Midgut – duodenum distal to ampulla, small bowel, and large bowel to distal ⅓ of…

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– Trauma

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

  1st peak for trauma deaths (0–30 minutes) – deaths due to lacerations of heart, aorta, brain, brainstem, or spinal cord; cannot really save these patients; death is too quick   2nd…

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– Colorectal

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

  Colon secretes K and reabsorbs Na and water (mostly in right colon and cecum)   4 layers – mucosa (columnar epithelium) → submucosa → muscularis propria → serosa •  Muscularis mucosa –…

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– Biliary System

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

  Gallbladder lies beneath segments IV and V   Cystic artery branches off right hepatic artery •  Is found in the triangle of Calot (cystic duct [lateral], common bile duct [medial], liver [superior])…

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– Vascular

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

  Most common congenital hypercoagulable disorder – resistance to activated protein C (Leiden factor)   Most common acquired hypercoagulable disorder – smoking ATHEROSCLEROSIS STAGES   1st – foam cells → macrophages that have…

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– Small Bowel

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

  Small intestine – nutrient and water absorption   Large intestine – water absorption   Duodenum •  Bulb (1st portion) – 90% of ulcers here •  Descending (2nd) – contains ampulla of Vater (duct of…

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– Thoracic

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

  Azygous vein runs along the right side and dumps into superior vena cava   Thoracic duct runs along the right side, crosses midline at T4–5, and dumps into left subclavian vein…

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– Pancreas

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

  Head (including uncinate), neck, body, and tail   Uncinate process – rests on aorta, behind SMV   SMV and SMA – lay behind neck of pancreas   Portal vein – forms behind the…

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– Liver

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

  Hepatic artery variants •  Right hepatic artery off superior mesenteric artery (#1 hepatic artery variant; 20%) courses behind pancreas, posterolateral to the common bile duct •  Left hepatic artery off left gastric…

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– Stomach

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

  Stomach transit time 3–4 hours   Peristalsis – occurs only in distal stomach (antrum)   Gastroduodenal pain sensed through afferent sympathetic fibers T5–10   Blood supply •  Celiac trunk – left gastric, common hepatic…

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