12.07.2015 Views

Fast Track Surgery: General, Vascular and Urology - PasTest

Fast Track Surgery: General, Vascular and Urology - PasTest

Fast Track Surgery: General, Vascular and Urology - PasTest

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Krukenburg tumourLeriche’s syndromeMcBurney’s point <strong>and</strong> signMendelson’s syndromeMirrizi’s syndromeMurphy’s signObturator signOgilvie’s syndromeP<strong>and</strong>a eyesPeutz–Jegher’s syndromePlummer–Vinson syndromeMetastatic tumour to ovary,classically from stomachSeen in iliac occlusive disease.Consists of:1. Buttock claudication2. Buttock atrophy3. ImpotencePoint: Starting from the umbilicus, apoint 2/3 along a line drawn from theumbilicus to the right ASISSign: Pressure on this point causespain in acute appendicitisChemical aspiration pneumonitisfollowing aspiration of gastriccontentsExtraluminal compression of CBDfrom a cystic gallstone. May causeobstructive jaundiceSeen in cholecystitis. Palpation ofRUQ causes pain on inspiration asinflamed gallbladder movesdownward <strong>and</strong> ‘hits’ the palpatingh<strong>and</strong>Seen in appendicitis <strong>and</strong> pelvicabscess. Pain on internal rotation ofright lower limb with knee <strong>and</strong> hipflexedMassive non-obstructive colonicdilation.Syn: pseudo-obstructionSee Raccoon eyesSyndrome of benign GI polyps withcircumoral pigmentationSyndrome of the oesophageal webs<strong>and</strong> dysphagia caused by irondeficiency. May develop into SCC(10%)23

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