Thyroidectomy

RIA SEN
 
R-Recurrent laryngeal nerve
I-inf thyroid artery(a/w)
A-away(ligated)

S-sup. Thyroid artery
E-ext. Laryngeal nerve(a/w)
N-near (ligated)

Pierre Robin Syndrome(PRS)

PRS=

P- Palate cleft only
R- Respiratory obstruction(cyanotic spells)
Retracted Tongue
S- Small mandible(micrognathia)

Clinical Features of Gastric Cancer

Silent LION

L = Lump
I = Insidious onset features
O = Obstructive features
N = New onset dyspepsia
S = Silent presentation (with no complaints but features of metastatic disease such as left supraclavicular lymph node)

highly radiosensitive tumours

Learn With Semi English Medium
L- Lymphoma
W- Wilms tumour
S- Seminoma
E-Ewings sarcoma
M-Medulloblastoma

Causes of Post-Operative Fever:

The 5 W’s For Remembering Common Causes of Fever Post-Operation:
WATER, WIND, WALK, WOUND, & WEIRD DRUGS

* WATER = urinary tract infections
* WIND = atelectasis or pneumonia
* WALK = deep vein thrombosis
* WOUND = surgucal wound infection
* WEIRD DRUGS = drug induced fever

glassgow coma scale

electronic voting machine- 4,5,6 score of glass gow coma scale
eye openig-4
verbal-5
motor-6

EXAMINATION OF A LUMP

INSPECTION - 5S MNOP
5S - site, size, shape, surface, skin
M- Margin
N- Number
O= 2C= colour, cough impulse
P= pulsatility, peristalsis

PALPATION - 2T, confirmation of INSPECTION findings, 2F 2T 2C 2P 2R 1L

2T= temperature, tenderness

2F= fluctuation, fixity

2T= transillumination, thrill

2C= consistency, compressibility

2P= pressure effects, effects of pressure
(difference between pressure effects and effects of pressure = for example a soft tissue sarcoma of the upper extremity compressing on the radial nerve causing WRIST DROP - here the effect of compressing on the mass with the examining finger = EFFECT OF PRESSURE and wrist drop = PRESSURE EFFECT)

2R= reducibility, regional examination(eg lymph nodes etc.)

1L= layer (layer=intraperitoneal or retroperitoneal or parietal)

in short
Inspection - 5S MNOP
Palpation - INSPECTION + 2(TFT CPR) + 1L