surgery oral exam review n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Surgery Oral Exam Review PowerPoint Presentation
Download Presentation
Surgery Oral Exam Review

Loading in 2 Seconds...

play fullscreen
1 / 9

Surgery Oral Exam Review - PowerPoint PPT Presentation


  • 151 Views
  • Uploaded on

Surgery Oral Exam Review. Lori F Gentile, MD. University of Florida Department of Surgery. Oral Exam Review Outline. What to expect How to approach exam Important things, not so important things Facts. Case scenarios Diagnosis, Workup, Treatment, Follow-up 30-60 minutes, 2+ topics.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Surgery Oral Exam Review' - luz


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
surgery oral exam review

Surgery Oral Exam Review

Lori F Gentile, MD

University of Florida

Department of Surgery

oral exam review outline
Oral Exam Review Outline
  • What to expect
  • How to approach exam
  • Important things, not so important things
  • Facts
format

Case scenarios

Diagnosis, Workup, Treatment, Follow-up

30-60 minutes, 2+ topics

Format
some practical tips
Some Practical Tips
  • Goal: Demonstrate as much knowledge of surgery as possible in limited amount of time
    • Control/Guide the discussion – don’t be passive
    • Think of the differential
      • Most common
      • Most urgent
    • Don’t use eponyms unless you know what they mean
    • Perform multiple steps at a time
    • “Think out loud”
    • Know what to look for when ordering a test
    • Be quick
      • Practice, practice, practice
general outline
General Outline
  • CC & location
    • Clinic, ER, etc.
  • Stable/unstable – ABC
  • History – CC, HPI, pertinent: PMH, PSH, Meds, (Allergies), SH, FH
  • Physical – Vitals, inspection, auscultation, percussion, palpation
  • Labs / Studies
  • Management – stabilize, consults, +/- surgery
example
Example
  • 50M acute abd pain seen in ER
    • “First assess if stable/unstable, if they are stable…”
    • “Assess ABC if they are awake and talking, not pale or diaphoretic”
    • “Wide differential, narrow by OPQRST…”
    • “Concerned about dx1, dx2, dx3… therefore ask about x,y,z”
    • “A complete head to toe physical examination focused on…”
      • Vitals – Temp 102
      • Inspect – sitting upright, leaning forward
      • Inspect – Grey Turner sign, Cullen’s sign, Fox’s sign
eponyms signs
Eponyms / Signs
  • Grey Turner sign
  • Cullen’s sign
  • Fox’s sign (inguinal)
sample case cont
Sample case cont.
  • 50M acute abd pain seen in ER
    • Labs / Imaging – BMP (calcium), amylase, lipase, WBC
      • More labs? - Glucose, AST, LDH, HCT, BUN (Ranson’s criteria)
      • Imaging – RUQ US (stones, CBD dilatation), CXR (effusions), CT scan (severity, hemorrhage, gas)
    • NPO, resuscitate, Abx, ERCP/sphincterotomy, CT guided drainage of abscess, surgery only for infected pancreatitis
less important things to know
Less important things to know
  • Intra-operative details
    • How to do colectomy, how to do cholecystectomy
    • Except melanoma (No shave biopsies)
  • Lists of numbers
    • Specific numbers in Ranson’s criteria
    • Percentages
  • Cancer staging
    • Except colon cancer, melanoma
    • Stage IV = metastatic