Names in Surgery¶
Trauma¶
- Vermet syndrome - cranial nerve compression by Occipital trauma
- log roll - rotate pt
DVT¶
- saphena varix
- mayThurmer syndrome - Right illac arter compress vein to form DVT
- Homan sign
- Moses sign
- Wells criteria - predict DVT by Surgery type
- Paegt schrotter disease - axillary vein block by thoractic outlet obstruction in limb elevation
Variocse veins¶
kippel trenuay syndrome - absent deep veins of leg
@ Sphano-Femoral-Junction incompitence
Tredlenburg test - rapid filling
Morrisey’s cough impulse - bulbing of faulty point on cough
Schwart test - bulge when tapped
@Perforators
Tredlenburg test - slow filling
multiple tornqet test - by levels of perforators
for DVT
modified Perthe's test - check if Deep veins occluded in DVT by blocking Superficial veins
Arterial¶
- Leriche syndrome - impotance by aortic obstruction
- Crawford classification - thoraco-abdominal aneurysm types
- deberky & stanford
- Ortner’s syndrome
Thoracic outlet obstruction¶
- Adson test <Youtube > <Roos/elevated arm stress test >
- Upper Limb Tension
A-V fistula¶
- Nicoladoni/Branharny Sign - at compressing arterial fully => :downarrow:
lymphatics¶
- vischow node/Troisier sign
- BRUNNER’S CLASSIFICATION
- Stemmer's sign - cannot pinch the toe skin due to edema og lower limb
- Neubulowit surgery - microvascualr reconstruction
- HOMaNS procedure
- Thompson's Reduction
- Charles procedure
Oral cancers¶
- Buschke Lowenstein - outward growing penile cancer
- Verrucous carcinoma/Ackerman tumor - oral SCC that grows outward
- Patterson Kelly Broun syndrome - also known as Plummer-Vinson syndrome,
- Commando operation - oral cancer surgery
- Weber Ferguson approach - mandible reach
- visor approach - reach buccal ca
- Lip Split approach- reach buccal ca
- Abbe estlander Slap - lip flap from opposite good lip
- Delphian lymph - lymph draining from thyroid
Salivary glands¶
- Stenson’s duct
- Wharton’s duct
- Fasciovenous plane
- milan system - FNAC guide for Salivary biopsy reporting
- Modified Blair Incision - for parotid ca surgery
- Newman § Seabrook surgery
- frey syndrome - Sweating on salivation after post-parasympathic ganglion invasion to cheek
Skin & Soft tissue¶
- Moh’s micrographic surgery - layer by layer resction and examnation
- Hutchinson's melanotic freckle- flat melanoma in elderly pts
- Clarke's classification - melanoma Staging by layer s
- Breslow classification - melanoma by depth spread by cm
- Stewart-Treves syndrome
Thorax¶
Trauma¶
- modified Bauxlaw - mortality in Burn pt including inhlational injury
- colorado classification of concession type
Breast¶
- Coopers ligament
- Rotter’s lymph
- achinclossi
- patey
- schollion
Throid¶
- Pizzilo
- Laheys
- criles
- Pemberton sign
- hartley dunhill procedure - Near total thyroidectomy
- Jol’s thuroid retractor
- Plumbersdisease/Toxic multinodular goiter - hot & cold nodule in iodine uptake scan
- Chvostek Sign - tap on facial nerve to twich face
- trousse sign - bp cuff
- Dalrymple sign - upper sclera of eye visisble
- Moebius Sign - loss of accumudation on severe toxicity
- Stellwag sign - less blinking
- wan graffe sign - lid lag
- joffrey sign - Absence of forehead worinkling when patient looKs up.
- Von Recklinghausen disease of bone.
- Casanova test
Adrenal -¶
- Pass score
- Mc Farlane => adrenal cortical ca classification based on size
GI- names¶
Esophagus¶
- Zargar’s Classification.- ** Grading & Prognossis** of corrosive injury staging via endoscopy in 48hrs
- waterston criteria - for esophageal atresia repair
- Cameron haight procedure - join esophagus fistula type-b,c,d
- Nissen’s fundoplication
- Dor
- belsey
- Toupet
- Seattle protocol
- Orringer
- ivor lewis
- mckeown
- Cameron ulcers
- mackler triad
- Hamman’s sign
Stomach¶
- valentino syndrome - mimics pain of appendicitis due to anterior gastric ulcer perforation
- kocherisation - mobilsation of deuodenum
- Peterson Hernia - Anti-colic Rou-en-Y path hernia
- stemmer hernia - in retro-colic rou-en-y hernia
- carney triad
- Carney Strotokis syndrome
- Borcharot Triad
- Warren shunt
- Sigiura procedure
- Forest criteria
- Child Pugh
- Bleed criteria
- Rockall scoring system.
- Glasgow Blatchford
- AIMS 65
intestinal obstruction¶
- Nobles plication , Charles philip procedure : for Recurrent adhesions
- Type 1/ wind sock deformity : duodenal atresia
- Neuhauser sign ; soap buuble like in X-ray of meconial ileus
- Bishop koop surgery /end-side -ileo-ilostomy : for meconium ileus
- Hartman procedure - colon procedure in emergency
- heineke-mikulicz - long strictures mng
- Finney strictuoplasty ; long strictures mng
- [ swenson ,svave duhavel ] = megacolon correction
Appendix¶
- Alvarado score /MANTRALS
- pointing sign [patient points pain area ]
- Rovsing sign
- obturator sign
-
non -specfifc sign Dunphy sign: Pain on coughing. Aaron sign: Pain in epigastrium on pressing right iliac fossa. Tenhorn sign: Pain in right iliac fossa on pulling right testis.
-
mcburny's incision
- Grid-iron - split muscle in mcburny point
- Rutherford morris : cut muscles in mcbury point
- lanz : at crease of bikini
- low midline : for perfroated appendix
- Oschener Sherren Regime
Hernia¶
- Hesselbach triangle
- myopectineal Orifice of Fruchoud
- Deep ring occlusion test
- RINg iNVagination test
- zieman 3 finger test
- Bassini hernio-raphy
- Shouldiee hernio-raphy
- Lichtenstein tension free mesh repair
- Total Extra-Peritonear repair[ TEP]
- Trans abdominal pre-peritoneal repair[ TAPP]
bowel tumors¶
- bianchi procedure => longitudina ldissesction on anastomosis of bowel to increse length
- STEP procedure = use staples as zig-zap to delay transit
- hincheys - CECT classification for diverticulitis from diverticulum
Spleen¶
- Kehr’s sign : refers to left shoulder pain caused by the irritation of the inferior surface of the diaphragm due to bleeding from a splenic rupture when a person is lying down and the legs are elevated
Liver¶
- Brisband calssification - surgical resection based on segements
- counard classification - segments of liver based on vessels
- MEDS - prognosis after surgery and liver failure score
- PEDS - pediatric liver failure score
- childpugh - score for liver failure
- Quincke’s triad - jaundice, right upper quadrant pain, and upper gastrointestinal bleeding
- Kassabach-Merritt Syndrome - large hemangioma => eating up platelets => bleeding disorders
Bilira Tree & GB¶
- Rouviere’s sulcus
- R4U line:
- Phrygian cap - a foldin GB => whole GB looks like cap
- Tokyo concesus diagnosis & severity grading
- Hartmann pouch - valve at neck of GB
- Murphy sign @ acute cholecystitis - press on R.Hypochondrium ,patient stops breathing in pain
- Boas sign @ acute cholecystitis - Hyperesthesia over the region of lath rib.
- Rokitansky Aschoff sinuses - H/P invagination of muscosa into muscualris
- Xanthogranulomotous cholecystitis. - rupture of Rokitansky sinus
- Rigler’s triad : . Features of small bowel obstruction. Pneumobilia + Air in biliary tree, , Radiopaque shadow in ®) iliac fossa.
- Mirrizi syndrome - GB stone @ neck compressing CBD
- Bouveret syndrome- GB stones via cholecysto-duodenal-fistula , obstructs gastic opening
- Rigler’s triad - in GB stone ileus x-ray presentation
- Charcot triad in choleo-docho-lithiasis- = intermittent jaundice , intermitten pain , intermittent fever
- reynod's pentad = Charcot + altered mental status + shock/hypotension
- Burhene technique - CBD stones with T-tube insersion mng
- Kocher incision - for open Cholcystectomy
- Alagille syndrome
- Kasai Procedure /porto-enterostomy
Pancreas¶
- Milwoukee Classification - sphinter of oddi dusfunction classification
- cullen sign - discoloration around umblicus
- gray ternur sign - discoloration on flanks
- Fox Sign - discoloratin in inguinal
- Glascow scale - A.Pancretitis severity scores
- Ranson criteria - A.Pancretitis severity scores
- Bathazar score/ CECT score - BEST A.Pancretitis severity scores
- D'egidio classiciation - Pseudo cyst calssification
- TIGARO classification - causes of Chronic pancreatits -Puestow’s - chronic pancreatitits join full jejunun into pancreas
- Duval - chronic pancreatitis join end of pancreas to jejenum
- Beger’'s procedure - cut head of pancrease
- frey = beger + Puestow
- ohasi triad - IPMN diagnosis
- Courvoisier’s law - periampullary pacreatic cancer CBD dialtion -> GB distention in stones the GB is shrinked by fibrosis by stone
- Chevror/RooF top incision - form whipples procedure
- Lonamire transverso procedure - modified whipples with pylorus of stomach left
- Passaro’s triangle ; m/c site of the gastrinoma'
- verner Morrison syndrome - VIPoma
Colon¶
- Duke /modified astler colle classification : colon ca staging
- : Perioral melanosis - Putz-jugler syndrom symptom
- Nigro regime : Anal squamous cancer chemo txt to prevent colostomy
Anus¶
- Bascom’s technique
- Rhomboid flap
- Horydakis technique-
- Goodsall’s rule
- Park's classification with MRI of fistula tract
- Thiersch wiring
- Delmore procedure
- Altemeier repair
- Posterior Sagital ano-rectoplasty