Fast Track Surgery: General, Vascular and Urology - PasTest

Chvostek’s signCompartment syndromeCourvoisier’s lawCullen’s signCushing’s triadCushing’s syndromeDercum’s diseaseDumping syndrome1. Fever with rigors2. Jaundice3. RUQ painSeen in hypocalcaemia. Tapping overfacial n. causes twitching of facialmusclesCondition of increased pressure in aconfined anatomical space adverselyaffecting circulation and threateningthe function and viability of tissuestherein‘If, in the presence of jaundice, amass is present in the right upperquadrant, the jaundice is unlikely tobe due to stones.’ (The cause istherefore most likely carcinoma ofpancreatic head, since in gallstonesthe gallbladder is fibrotic andshrivelled)Periumbilical ecchymosis 2ry toretroperitoneal haemorrhage (as seenin haemorrhagic pancreatitis)Seen in raised ICP. Consists of:1. ↑BP2. Bradycardia3. Irregular respirationsClinical syndrome of glucocorticoidexcess. If due to excess ACTH levels(as in pituitary tumour or ectopicproduction), known as Cushing’sdiseaseMultiple, painful lipomatosis (mainlytruncal)Seen after gastric vagotomy,pyloroplasty and gastrojejunostomy.Caused by rapid passage of large21