1st line management of symptomatic varicose veins - ANSWERSEndothermal ablation
2nd line treatment of symptomatic varicose veins - ANSWERSFoam sclerotherapy
What is trendelenberg procedure - ANSWERSSapheno-femoral junction ligation
Usual infections of epididymo-orchitis - ANSWERSGonorrheaand chlamydia
Non infective cause of epididymis-orchitis - ANSWERSAmiodarone
Nerve roots of obturator nerve - ANSWERSL2-L4
At which point do the inferior epigastric vessels enter abdomen - ANSWERSArcuate line
What happens below arcuate line - ANSWERSAponeurosis of abdo muscles lie in the anterior aspect of
rectus sheath
Posteriorly lies transversals fascia and peritoneum
Use of loop ileostomy - ANSWERSDefunctioning of colon
E.g following rectal cancer surgery
Does not decompress the colon if IC valve competent
Erich lymph nodes do posterior third of the tongue tumours metastasise to - ANSWERSBilateral deep
cervical lymph nodes. There is cross communication with deep cervical lymph nodes
, Lymph node drainage of tip of tongue - ANSWERSSubmental
Lymphatic drainage of mid portion of tongue - ANSWERSSubmandibular and then to deep cervical
Lymphatic drainage of anterior two thirds of tongue - ANSWERSIpsilateral deep cervical nodes
Outcomes following colorectal surgery - ANSWERSprimary anastomosis
Stoma
Stoma and then anastamosis
Indications for right hemicolectomy - ANSWERSPerforated caecum
caecal cancer
ascending colon cancer
hepatic flexure cancer
Indications for left hemicolectomy - ANSWERScancer
diverticular disease
Usually performed in the elective setting
Commonly see a primary anastamosis
Indications for Hartmann's procedure - ANSWERSObstructing cancer
Perforation
Diverticular complications
Performed in the emergency setting
For any pathology affecting the sigmoid or recto-sigmoid colon.
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