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GENERAL SURGERY MNENONICS

Abdomen inspection :
"5 Ss"
• Size
• Shape
• Scars
• Skin lesions
• Stoma

CT scan indications in trauma setting:
"Uncle Noman ARgues ABout Kids"
• Unconcious pt after head trauma

• Neck injury; to confirm vertebral fracture when Xray is equivocal

• Aortic Rupture (after Xray, Before Aortogram)

• Abdominal penetrating wound; when gloved finger in ER cant say for sure if theres penetration

• Kidney injury leading to blood in urine; blunt abdominal trauma

Compartment syndrome signs and symptoms :
"5 Ps"
• Pain
• Palor
• Pulseless
• Paresethesia
• Pressure (increased)

Disease Description: Organization of Answer:
"In A Surgeon's Gown, Physicians May Make Some Clinical Progress"
• Incidence
• Age
• Sex
• Geography
• Predisposing factors
• Macroscopic appearance
• Microscopic appearance
• Spread
• Clinical features
• Prognosis

Fistulas Conditions Preventing Closure :
"FETID"
F - Foreign body
E - Epithelialization
T - Tumor
I - Infection
D - Distal obstruction

Initial management of all surgical emergencies :
"4 As, 2 Cs, 2 Ns"
• ABC assessment
• Analgesia, eg morphine
• Anti-emetic
• Aggressive fluid resuscitation - IV fluids and electrolyte replacement
• Central venous pressure (CVP) line - may be needed
• Catheter (urinary)
• Nil by mouth (NBM)
• Nasogastric (NG) tube

Lump examination:
"3Ss, 3Cs, 3Ts, 1F"
• Site
• Size
• Shape
• Contour
• Colour
• Consistency
• Tenderness
• Tethering
• Transillumination
• Fluctuance

Swollen leg: unilateral swelling causes :
"TV BAIL"
T - Trauma
V - Venous (varicose veins, DVT, venous insufficiency)
B - Baker's cyst
A - Allergy
I - Inflammation (cellulitis)
L - Lymphoedema

Ulcers edge types :
"PURE F"
P - Punched-out (eg trophic, arterial)
U - Undetermined (eg pressure, TB)
R - Rolled (eg BCC)
E - Everted (eg SCC)
F - Flat (eg venous)

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