5 yr survival for stage I, IIA, IIB, IIIA, B, C, IV Colon cancer
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MHC and if donor and host are Percutaneous transluminal
matched with the same MHC then angioplasty unless long segment or
the T cells react to minor multiple segments, then open
histocompatibility antigens approach
, I: 92%, IIA: 87%, IIB:63%, IIIA:
Bilateral axillary incision from chest
89%, IIIB: 69%, IIIC: 53%, IV:
to abdomen +/- transverse across at
11% but 40-50% if resectable
top and bottom to make a box
liver or lung mets
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2 of 198
Term
Best topical antimicrobial for burn MRSA infection
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malignancy
0.7 u/ml
Mupirocin
1) Fusiform dilation of the CBD (90%) -- treat with cyst excision and roux-y
hepaticojejunostomy; 2) CBD diverticulum -- treat with cyst excision and closure
of the choledochotomy; 3) CBD cyst within the duodenal -- transduodenal
marsupialization or cyst excision; 4) multiple extrahepatic cyst +/- intrahepatic
cysts (b); 5) Caroli's disease
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Term
Treatment of hyponatremia
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Long clot time: FFP or PCC; MCF (maximal clotting factor = clotting strength) if
abnormal analyze FIBTEM and if normal then plts. If FIBTEM abnormal, fibrin
problem and give cryo. High lysis index indicates shows need TXA (Inhibits
plasmin)
Right hemicolectomy and ileocolic anastomosis
Tis and T1a (invasion of lamina propria) chole is sufficient. T1b-T3 chole + 4b/5
hepatectomy, and regional lymphadenectomy
If severe (<120) and acute, treat with bolus of hypertonic saline (3%) with
goal to increase by 4-6 mEq in a couple hours. If mild-moderate chronic,
then fluid restriction, can also employ fluid restriction if asymptomatic.
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Term
Muir-Torre syndrome
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Associated gene is APC.
hMLH1, hMSH2; sebaceous
Characterized by adenomas
adenomas and colon cancer (can
throughout the GI tract (colon, ileal,
also have GU malignancies and
duodenal) desmoid tumors,
BCC)
osteomas
Similar to Lynch but with
Superficial and deep flexor on the
sebaceous gland tumors in
ventral aspect and extensor on the
addition to colorectal cancer.
dorsal aspect
Autosomal dominant
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Term
ROTEM, when do transfuse what?
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Rate in adults: 5-15%; peds: 10-25%. If presents early: transaminitis and fulminant
liver failure. If late, biliary strictures, hepatic abscesses, recurrent bacteremja —
can great non-op temporarily but ultimately will need new transplant
A clip is placed btwn the infundibulum and the cystic duct, and then a linear
incision is made in the cystic duct , and a cholangiocatheter is placed in the
cystic duct and the biliary system is visualized via fluoroscopy
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