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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_891_Библиотеки_им_академика_М_И_Перельмана

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Pregnancy
INDEX
breast cancer in, 139 breast changes in, 137 injuries during, 62 laparoscopy in, 117
physiologic changes in, 62 Preload, 106–107, 110 Preoperative evaluation, 377–378 Preoperative prehabilitation
programs, 367 Pressure ulcers, 134 Priapism, 338 Primary aldosteronism, 327 Primary hemostasis, 21 Primary hyperparathyroidism, 326 Primary immune
thrombocytopenia, 23 Primary microbial peritonitis, 41 Primary sclerosing cholangitis, 246, 276 Primary survey, of trauma, 49, 59 Primitive neuroectodermal
tumors, 154 Principalist approach, to medical
ethics, 369 Process measures, 98 Proficiency-based simulation
training, 388 Progesterone, 139 Prognostic marker, 85 Proinflammatory cytokines, 9 Prokaryotes, 119 Prokinetic agents, 224, 224t Prolactin, 139 Prolapse, rectal, 245, 250 Proliferative phase, of wound
healing, 73f, 74 Promoter region, 119 Prophylactic antibiotics
for colectomy, 246 for human bites, 133–134 for inguinal hernias, 316 for overwhelming postsplenectomy
infection, 306
for surgical infections, 38–39, 45, 102
PROPPR trial. See Pragmatic
Randomized Optimal Platelet
and Plasma Ratios trial Prostaglandin E, 168 Prostate cancer, 338 Prostatitis, 338 Prosthetic grafts, 195 Protein C, 22 Protein synthesis, 120 Prothrombin, 21 Prothrombin complex concentrates, 24 Proton pump inhibitors, 216, 226 Proto-oncogenes, 154
Proximal left subclavian artery, 60–61 PRRs. See Pattern recognition
receptors Pseudoaneurysms, 181, 183 Pseudohyponatremia, 13 Pseudomyxoma peritonei, 260 Pseudo-obstruction, colonic, 251 Pseudostratified ciliated columnar
cells, 147f PTC. See Papillary thyroid cancer PTFE. See Polytetrafluoroethylene PUD. See Peptic ulcer disease Pudendal nerve, 242 Pulmonary artery banding, for
truncus arteriosus, 165 Pulmonary artery catheters, 109, 109f Pulmonary artery occlusion pressure,
106–107, 109 Pulmonary artery slings, 166,
167f–168f Pulmonary blood flow, 162 Pulmonary contusions, 58, 63 Pulmonary edema, 14, 174 Pulmonary embolism, 101, 200 Pulmonary function studies, in lung
cancer, 152 Pulmonary hypertension, 154 Pulmonary vein isolation, 177 Pulmonary venous obstruction,
after total anomalous
pulmonary venous
connection repair, 165, 166f Pulmonary-to-systemic flow ratio, 162 Pulse pressure, 17 Pulse pressure variability, 110, 110f Pulse volume recording, 190 Pulsus paradoxus, 55 Push enteroscopy, 238 PVI. See Pulmonary vein isolation Pylephlebitis, 41 PVR. See Pulse volume recording Pyogenic abscesses, 41, 272, 272f Pyogenic pericarditis, 178 Pyruvate kinase deficiency, 301
Q
Quality measurements, Donebedian
model of, 98 Quid chewing, 144
R
Radial nerve, 355, 355f Radiation enteritis, of small intestine,
238–239 Radiation therapy
for breast cancer, 140 description of, 138
dysphagia treated with, 210
soft tissue sarcoma risks, 311 Radical lymphadenectomy, 238 Radical mastectomy, 141 Randomized controlled trials, 381 Ranson’s criteria, 289, 289t RCC. See Renal cell carcinoma RCTs. See Randomized
controlled trials Reading frame, 120 Reasonable person standard, 370 Reconstructive surgery, 361–362 Rectal biopsy, for Hirschsprung
disease, 334 Rectal cancer
endorectal ultrasound for, 242–243
total mesorectal excision for, 249 Rectopexy, abdominal, 250 Rectovaginal fistula, 253–255, 254f Rectum
adenocarcinoma of, 256
distention of, 241
foreign body entrapment in, 255
layers of, 256
prolapse of, 245, 250
questions regarding, 241–257
wall of, 242, 242f Rectus abdominis diastasis, 307 Recurrent laryngeal nerve,
212–213, 323 Refeeding syndrome, 19 Regional anesthesia, 245 Renal artery disease, 193 Renal artery revascularization, 193 Renal blood flow
intra-abdominal pressure
effects on, 116
pneumoperitoneum effects on, 115 Renal cell carcinoma, 337, 339 Renal failure, 91 Renal tubular acidosis, 17 Replantation, of limb or digit, 356 Resection
of colon, 243–244, 378
of colorectal cancer, 248, 367
of distant metastases, 85
laparoscopic, of colon, 378
minimally invasive, 243 Restrictive cardiomyopathy, 178 Resuscitation
for burns, 69
endpoints in, 35
fluids for. See Fluid resuscitation
for shock, 35 Resuscitative thoracotomy, 49 RET tyrosine kinase receptor gene,
324–325
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Retained surgical items, 99, 99t, 103 Retrograde embolization, 108 Retrograde pyelogram, 338 Retroperitoneal fibrosis, 309 Retroperitoneal infections, 309 Retroperitoneum, 309 Retropubic urethropexy, 343 Reverse-transcriptase PCR, 124 Reynolds pentad, 284 Rhabdomyomas, 180 Rheumatic disease, 175–176 Rheumatic fever, 174–175 RI. See Rothman Index Rib(s)
fractures of, 63
“onion-peel” appearance of, 154 Right colectomy, 243 Right hemicolectomy, 260 Right hepatic artery, 282, 289 Right ventricular outflow tract
obstruction, 161, 170 Rituximab, 302 Rivaroxaban, 24 RNA, 120 RNA gel blot analysis, 124 RNA polymerases, 119 Robotic prostatectomy, 117 Robotic surgery
description of, 243 inguinal hernia repair using, 319 laparoscopic surgery versus,
116–117, 117f, 319
transabdominal preperitoneal, 319 Rothman Index, 108 Roux-en-Y gastric bypass
complications of, 233–234
gastric stasis after, 224
illustration of, 228f
nutritional deficiencies after, 234
small bowel obstruction after, 234 Roux-en-Y hepaticojejunostomy,
285, 287 RT. See Resuscitative thoracotomy Rubber band ligation, for
hemorrhoids, 252 “Rule of nines,” 65, 66f R-value, 28 RVOT. See Right ventricular outflow
tract obstruction RYGB. See Roux-en-Y gastric bypass
S
S phase, of cell cycle, 83, 121 SAA. See Splenic artery aneurysm Saccular aneurysms, 181 Sacral fractures, 352 Sacroiliitis, 246
Saddle anesthesia, 350 Saline
hypertonic, 14
normal, 14, 18 Salivary gland-type tumors, 147 Sarcoma
breast, 312
Ewing, 154–155
soft tissue, 311–312 Scar
hypertrophic, 80–81
remodeling of, 75 SCC. See Squamous cell carcinoma Schatzki ring, 219 Schwann cell basal lamina, 77 Scimitar sign, 196 SCIP. See Surgical Care Improvement
Project Sclerosing adenosis, 137 Sclerosing cholangitis, 246, 276, 280 Sclerosing mesenteritis, 309 Scrotum, 316–317 Scurvy, 79 Seborrheic keratoses, 136 Second-degree burns, 67 Second-degree hemorrhoids, 252 Second-impact syndrome, 347 Secretin stimulation test, 225–226 “Seed and soil” theory,
of metastasis, 84 SEER registry, 248 Seldinger technique, 109 Self-expanding stents, 189, 282 Sengstaken-Blakemore tube, 211 Sentinel lymph node biopsy
for breast cancer, 139 for melanoma, 132
Sepsis
incidence of, 43 postsplenectomy, 51, 299
survival rates for, 43 Sepsis syndrome, 46 Septic shock
characteristics of, 32
hyperglycemia in, 33
insulin resistance in, 33
treatment of, 33 Sequential Organ Failure Assessment
score, 38 Serine/threonine kinase receptors, 122 Serotonin, 21 Serum calcium, 15 Serum osmolality, 15 Serum sodium, 18 Sestamibi scans, 326 Sex hormones, 133 Sexually transmitted infections, 135
SGLT1. See Sodium glucose
co-transporter 1
Shock
blood loss percentages, 32–33 cardiogenic, 29, 34, 55–56, 56f categories of, 29 compensated, 35 cytokine elevations after, 32 hemorrhagic, 19, 30 hypotension in, 35 hypovolemic, 29, 31–32 neurogenic, 29–31, 35 obstructive, 29, 35 questions regarding, 29–36 resuscitation for, 35, 62 septic, 32–33 signs and symptoms of, 32–33 tension pneumothorax as
cause of, 29
trauma-induced coagulopathy
caused by, 23 traumatic, 29 treatment of, 33–34 vasodilatory, 33 vasogenic, 29
Short bowel syndrome, 239 Shoulder dislocation, 352–353 Shouldice repair, 321 SICU. See Surgical intensive care unit Side-to-side anastomoses, 244, 245f Sigmoid colectomy, 244, 250 Sigmoidectomy, 256 Silver sulfadiazine
for burn wounds, 68–69 neutropenia caused by, 68–69
Simple pneumothorax, 56, 58 Simulation, 387–388 Simulation training, 388 Sinus bradycardia, 115 Sirolimus, 89t, 90 SIRS. See Systemic inflammatory
response syndrome
SJS. See Stevens-Johnson syndrome Skin
epidermis, 133 Langerhans cells of, 133 lesions of, 135–136 partial thickness wounds of, 132 stratum basale of, 132 stratum spinosum of, 133 wound healing of, 76t
Skin cancer
basal cell carcinoma, 129, 135 melanoma. See Melanoma squamous cell carcinoma, 130, 136
Skin-sparing mastectomy, 141 Skull base fractures, 346–347
INDEX
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SLNB. See Sentinel lymph
INDEX
SMA. See Superior mesenteric artery SMAD4 protein, 123 Small bowel obstruction
Small intestine
Small saphenous vein, 197 Smoke inhalation injury, 66 Smoking, 144 “Sniff Test,” 149 SOAPs. See Surgical, anesthetic, and
Social media, 389–390 Sodium
Sodium chloride, 14, 18 Sodium glucose co-transporter 1, 236 Sodium thiosulfate, for cyanide
SOFA score. See Sequential Organ
Soft tissue sarcomas, 311–312 Soft-tissue infections,
Solid organ injuries, 61 Somatostatin, 293 Somatostatin receptor
Somatostatin receptors, 292 Somatostatinoma, 293 Sorafenib, for hepatocellular
Source control, 38 Southern blotting, 124
node biopsy
closed loop, 236 laparoscopic surgery for, 237 after Roux-en-Y gastric bypass, 234 treatment of, 237 water-soluble contrast agent
imaging of, 236
Crohn disease of, 237 enterocutaneous fistula of, 237 fluid in, 235 ileum, 235 ischemia of, 251–252 jejunum, 235 length of, 235 malignancies of, 237 mesentery of, 308 obstruction of. See Small bowel
obstruction questions regarding, 235–239 radiation enteritis of, 238–239 short bowel syndrome, 239 transplantation of, 239
obstetrical providers
aldosterone-mediated
reabsorption of, 17 serum concentration of, 18
poisoning, 66
Failure Assessment score
necrotizing, 42, 134
scintigraphy, 226
carcinoma, 277
Sphincter of Oddi, 279, 290 Spinal cord ischemia, 183 Spleen
accessory, 300 aneurysms of, 304 cysts of, 303–304 functions of, 301 hereditary spherocytosis of, 297, 301 ligaments of, 300, 301f metastases to, 298 platelet sequestration in, 22 questions regarding, 297–306 traumatic injury to, 51
Splenectomy
cancer risks after, 299 for chronic hemolytic anemia, 300 in chronic myelogenous
leukemia, 303 complications of, 305–306 description of, 54 indications for, 297–299 infections after, 302, 305–306 laparoscopic, 299, 305 for neutropenia in Felty syndrome,
304–305 open, 299, 305–306 overwhelming postsplenectomy
infection, 305–306 in polycythemia vera, 303 sepsis after, 51, 299
Splenic artery, 299 Splenic artery aneurysm, 304 Splenic vein thrombosis, 304 Splenocolic ligament, 300, 301f Splenomegaly, 299 Splenorenal ligament, 300 Splenorrhaphy, 51 Split-thickness skin grafts, 361 Spontaneous abortion, 22 Squamocolumnar junction, 209 Squamous cell carcinoma
of esophagus, 209 of hand, 360 of lung, 149 precursor lesion to, 136 of skin, 130
“Square-root sign”, 178 SSIs. See Surgical site infections SSTRs. See Somatostatin receptors SSV. See Small saphenous vein Stab wounds, 59, 60t Staging
of breast cancer, 137 of colorectal cancer, 248 of lung cancer, 152 of sarcoma, 312 of Wilms tumor, 332t
Staphylococcus epidermidis, 46 Staphylococcus sp.
description of, 134
S. aureus, 140, 359 Steatorrhea, in Crohn’s disease, 268 Stellate cells, 236 Stents
balloon-expandable, 189
pancreatic duct, 295
self-expanding, 189, 282
ureteral, 338
vascular, 189–190 Steroids. See Corticosteroids Stevens-Johnson syndrome, 133 Stewart-Hamilton equation, 108 Stomach
carcinoid tumors of, 230
duodenal ulcers, 226–227
gastric antral vascular ectasia of,
230–231, 231f gastrin secretion, 223 gastrointestinal stromal
tumors of, 230 Ménétrier disease of, 231, 231f parietal cells of, 224, 231 peptic ulcer disease of, 223,
226–228, 227f–228f surface epithelial cells of, 231 Zollinger-Ellison syndrome of,
225, 231
Stratum basale, 132 Stratum spinosum, 133 Streptococcus sp., 134 Stress, caloric adjustments after, 11 Stress incontinence, 342–343 Stroke, 190, 346f Structural measures, 98 Stryker device, 51 Sturge-Weber syndrome, 362 Subclavian artery
malperfusion of, 187 proximal left, 60–61
Subfalcine herniation, 345 Sublay technique, for mesh repair
of abdominal incisional
hernia, 308
Subphrenic abscess, 51 Subtotal colectomy, 244 Subtotal parathyroidectomy, 326 Subvalvular aortic stenosis, 163 Superficial burns, 66 Superficial spreading basal cell
carcinoma, 135
Superficial spreading melanoma,
130, 130f
Superior laryngeal nerve injury,
100, 323
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Superior mesenteric artery
anatomy of, 265f injuries to, 61 in mesenteric ischemia, 192
stenosis of, 192 Superior thyroid artery, 323 Supernumerary parathyroid
glands, 325 Suppurative thrombophlebitis, 203 Supracolic injuries, 61 Surface epithelial cells, gastric, 231 Surgery
ambulatory, 385–386 anorectal melanoma treated
with, 250
after bare coronary stent
placement, 364
bowel preparation for, 246 cost-effectiveness of, 374f diversity in, 5 in elderly, 365–368 genomic, 119–125 global, 373–376 hand, 355–360 major adverse cardiac events
screening, 172
minimally invasive, 115–117 molecular, 119–125 noncardiac, 172 obesity treated with, 233–234 orthopedic, 351–353 pediatric, 329–336 physiologic monitoring during,
105–113
plastic, 361–362 reconstructive, 361–362 retained surgical items, 99, 99t, 103 robotic, 116–117, 117f women in, 5 wrist, 355–360 wrong-site, 99
Surgical, anesthetic, and obstetrical
providers, 375 Surgical care, globalization of, 376 Surgical Care Improvement Project,
98, 98t Surgical excision
of basal cell carcinoma, 129 of burn wounds, 70 of melanoma, 132
Surgical infection
definition of, 37 intravascular catheters as
cause of, 46–47
prophylactic antibiotics for, 38, 45 questions regarding, 37–47 of retroperitoneum, 309
source control, 38
treatment of, 46 Surgical innovation, 371 Surgical intensive care unit, 50, 61 Surgical palliative care, 367, 370 Surgical research, 371 Surgical site infections, 39t,
39–41, 47, 246 Surgical wounds, 39–40, 40t, 47 Sustentaculum lienis, 301f SvO2. See Fractional saturation of
hemoglobin SVT. See Suppurative
thrombophlebitis Sweat glands, 133 Syphilis
ascending aortic aneurysms
caused by, 183
blood transfusion
transmission of, 27 Syphilitic aortitis, 183 Systemic inflammatory response
syndrome, 37
T
T cells
CD4+, 9 CD8+, 9
helper, 10 T regulatory cells, 9 TACO. See Transfusion-related
circulatory overload Tacrolimus, 88–89, 89t Tamoxifen, 138 TAPP. See Transabdominal
preperitoneal repair TAPVC. See Total anomalous
pulmonary venous
connection Task sharing, 373 TAVI/TAVR. See Transcatheter
aortic valve implantation/
replacement TBI. See Traumatic brain injury TBSA. See Total body surface area TBW. See Total body water; Total
body weight TCD. See Transcranial Doppler;
Transcranial power Doppler T-cell–mediated rejection, 95 TCL. See Transverse carpal ligament TEE. See Transesophageal
echocardiography TEF. See Tracheoesophageal fistula TEG. See Thromboelastography Telemanipulation, 243 Temporal bone fracture, 346
TEN. See Toxic epidermal necrolysis Tension pneumothorax
cardiac failure caused by, 55 diagnosis of, 35 diagnostic criteria for, 58 needle thoracostomy
decompression of, 56, 58 obstructive shock versus, 35 shock caused by, 29 signs of, 56, 58 simple pneumothorax versus, 56, 58 tube thoracostomy for, 56, 57f
TEP. See Totally preperitoneal repair Testes, undescended, 336 Testicular cancer, 337, 339 Tetralogy of Fallot, 161, 170 TF. See Tissue factor TFPI. See Tissue factor pathway
inhibitor
TGF-ß. See Transforming growth
factor-ß
Th1 cells, 10 Th1 cytokines, 9 Th2 cells, 10 Th17 cells, 10 Thalassemia, 302 The Joint Commission, 99 Thermal wounds, 129 Thermodilution method, for cardiac
output, 108
Third-degree burns, 67 Third-degree hemorrhoids, 252 Thoracic aorta disease, 184 Thoracic aortic disease, 183 Thoracic compartment syndrome, 68 Thoracic escharotomies, 68 Thoracoabdominal region,
penetrating trauma to, 59
Thoracotomy
emergency department, 49 for empyema, 102 indications for, 53 trap door, 60
Thrombin, 21–22, 205 Thrombocytopenia
causes of, 22 heparin-induced, 23–24, 173, 205 primary immune, 23
Thromboelastography, 27–28 Thromboembolism, venous, 200,
202, 204, 204f, 366
Thrombolytic therapy
catheter-directed, 201 contraindications for, 201
Thrombomodulin, 22 Thrombopoietin receptor
antagonists, 302
INDEX
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Thrombosis
INDEX
catheters and, 107 deep vein, 200–202, 202t, 366 graft, 93 mesenteric vein, 206 microvascular, 24–25 splenic vein, 304
Thrombotic thrombocytopenic
purpura, 23–25 Thymomas, 155 Thyroglobulin, 324 Thyroglossal duct cyst, 323, 330 Thyroid cancer
papillary, 281, 324 treatment of, 325
Thyroid gland
arterial supply of, 323
congenital anomaly of, 323 Thyroid hormones, 324 Thyroid nodules, 324 Thyroid surgery, 325 Thyroidectomy, 323–324 Thyroxine, 324 TIC. See Trauma-induced
coagulopathy Time management, 3 TIPS. See Transjugular intrahepatic
portosystemic shunt Tissue factor, 21 Tissue factor pathway inhibitor, 22 Tissue injury, 23 Tissue plasminogen receptor, 22 TKIs. See Tyrosine kinase inhibitors TLRs. See Toll-like receptors TM. See Thrombomodulin TME. See Total mesorectal excision TNM staging
of colorectal cancer, 248
of lung cancer, 152 To Err Is Human, 4 TOF. See Tetralogy of Fallot Toll-like receptors, 7, 9–10, 37 Tonsillar herniation, 345, 345f Total anomalous pulmonary venous
connection, 159, 159f,
165–166, 166f Total body surface area, 65–66, 66f Total body water, 14–15 Total body weight, 14–15 Total colectomy, 244 Total mesorectal excision, for rectal
cancer, 249 Total parathyroidectomy, 326 Total thyroidectomy, 324 Totally preperitoneal repair, 321 Tourniquet, 356 Toxic epidermal necrolysis, 133
Toxic shock syndrome, 134 tPA. See Tissue plasminogen receptor Trachea
anatomy of, 146, 146f blood supply to, 145, 145f cricoid cartilage of, 146, 146f injuries to, 51 stenosis of, 146
upper, 146, 146f Tracheobronchial injury, 59 Tracheobronchial tree, 147, 147f Tracheoesophageal fistula, 330, 331f Tracheostomy
description of, 51
emergent, 56
percutaneous, 101
questions regarding, 144
tracheal stenosis caused by, 146 Tracheostomy tube, 144 Traditional Chinese medicine, 379 TRALI. See Transfusion-related acute
lung injury Tranexamic acid, 27 Transabdominal preperitoneal
repair, 321 Transcatheter aortic valve
implantation/replacement, 368 Transcranial Doppler, 112 Transcranial power Doppler, 191 Transcription
in eukaryotes, 119 in prokaryotes, 119
Transesophageal echocardiography,
172–173 Transforming growth factor-ß, 123 Transfusion
complications of, 26 description of, 25 diseases not transmitted by, 27 indications for, 25–26
Transfusion-related acute lung
injury, 25–27 Transfusion-related circulatory
overload, 27 Transhiatal esophagectomy, 209 “Transition wound,” 77 Transjugular intrahepatic
portosystemic shunt, 271, 273 Translation, 120 Transmural infarction, 176 Transplantation
azathioprine in, 88, 89t bleeding after, 92 cyclosporin in, 88, 89t definition of, 87 donation after cardiac death, 91 graft loss, 93
graft rejection in, 90 graft thrombosis after, 93 heart, 95 hyperacute rejection in, 88 immunosuppression in, 87, 89t, 95 infections in recipients, 90 islet cell, 94–95 kidney. See Kidney transplant liver, 95, 276–277, 280, 287 Mayo protocol for, 276 mycophenolate mofetil in, 88, 89t orthotopic liver, 277 pancreas, 93–95, 94f questions regarding, 87–95 rejection in, 88, 90, 95 screening for, 92 small intestine, 239 tacrolimus in, 88–89, 89t
whole-pancreas, 95 Transposition of the great vessels, 161 Transthoracic echocardiography,
172–173
Transurethral resection of the
prostate, 339 Transverse aortic arch aneurysms, 185 Transverse carpal ligament, 357 Transverse colectomy, 244 Trap door thoracotomy, 60 Trastuzumab, 125 Trauma. See also Blunt trauma;
Penetrating trauma
airway interventions in, 57–58 cardiogenic shock in, 55–56, 56f gastric injuries from, 62 in geriatric patients, 63 head, 53 inflammatory response after, 7 liver, 50 motor vehicle collisions, 59 neck, 52 in pregnancy, 62 primary survey of, 49, 59 questions regarding, 49–63 solid organ injuries caused by, 61 spleen, 51 tracheal, 51
transcriptional events after, 10 Trauma-induced coagulopathy, 23 Traumatic brain injury
intracranial pressure
monitoring in, 112
medical management of, 348–349 Traumatic shock, 29 Treponema pallidum, 183 Tricuspid atresia, 168 Tricuspid stenosis, 176 tRNA, 119
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Trousseau sign, 16 True aneurysms, 181 Truncus arteriosus, 165 TTE. See Transthoracic
echocardiography
TTP. See Thrombotic
thrombocytopenic purpura T-tube, 281 Tube thoracostomy, for tension
pneumothorax, 56, 57f Tuberculosis, 153 Tumor(s)
appendiceal, 260 carcinoid, 260 carotid body, 191 chest wall, 154 conservative resections, 85 desmoid, 154 esophageal, 209, 213 gastrointestinal stromal, 230, 238, 249 nonseminatous germ-cell, 155 omentum, 308 pancreatic exocrine, 292, 293f pituitary fossa, 328 salivary gland-type, 147
thymic, 155 Tumor markers, 85 Tumor necrosis factor-alpha, 37 Tumor suppressor genes, 124 Tumorigenic transformation of cells, 83 TURP. See Transurethral resection of
the prostate TXA. See Tranexamic acid Type A blood, 25 Type AB blood, 25 Type II error, 382 Type O-negative blood, 25 Typhlitis, 255 Tyrosine kinase inhibitors, 249 Tyrosine kinase receptors, 122
U
Ulcer(s)
Cushing, 349 duodenal, 226–227 malignant transformation of, 80 pressure, 134
Ulcerative colitis
diagnosis of, 257 primary sclerosing cholangitis
and, 246 Ulnar nerve, 355, 355f, 358 Ultrasound
cardiac tamponade evaluations,
55, 56f
endoscopic. See Endoscopic
ultrasound
Ultraviolet radiation exposure, 130 Umbilical stump bleeding, 22 Uncal herniation, 345, 345f Uncomplicated diverticulitis, 247 Undescended testes, 336 Uremia, 23 Ureteral injuries, 338 Ureteral stents, 338 Urinary incontinence, 343 Urinary tract infection, 42–43, 338 Urolithiasis, 338 Urology, 337–339 Uterine leiomyoma, 341 UTI. See Urinary tract infection UV. See Ultraviolet radiation exposure
V
Vaccinations, 135, 298, 342 VADs. See Ventricular assist devices Vaginal cancer, 343 Vagus nerve, 208 Validity, external, 383 Valsalva maneuver, 241 Valve replacement, 174–175, 268, 367 Valvulae conniventes, 235 VAP. See Ventilator-associated
pneumonia Variceal hemorrhage, 271 Vascular endothelial growth factor, 84 Vascular injuries, of extremities,
54–55, 55t Vascular rings, 166, 167f Vascular stents, 189–190 Vascular-type Ehlers-Danlos
syndrome, 182 Vasoactive medications, 271 Vasoactive proteins, 31 Vasodilatory shock, 33 Vasogenic shock, 29 Vasopressin, 31, 271 VEGF. See Vascular endothelial
growth factor Veins
anatomy of, 197–198 hepatic, 265, 266f
lower extremity, 197 Vena cava filters, 202, 203f Venae comitantes, 197 Venous anastomosis, 92f Venous disease, 197–206 Venous thromboembolism, 200, 202,
204, 204f, 366 Ventilator weaning, 101 Ventilator-associated pneumonia, 100 Ventilator-induced lung injury, 112 Ventricular assist devices, 179 Ventricular compliance, 106–107
Ventricular septal defect
aortic insufficiency
secondary to, 175 description of, 161–162 in double-outlet right ventricle, 170 holosystolic murmur associated
with, 175 tricuspid atresia without, 168
Vibrio vulnificus, 134 VILI. See Ventilator-induced lung
injury
VIPomas, 294 Virtual reality simulation, 387 Vision, 3, 3t Visual abstracts, 389 Vitamin(s), in wound healing, 79–80 Vitamin A, 78–80 Vitamin B12 deficiency, 224 Vitamin C, 79 Vitamin K
deficiency of, 268 warfarin reversal using, 24
VO2. See Oxygen utilization Vocal cords
anatomy of, 146, 146f leukoplakia of, 143
Volume receptors, 30 Volvulus
cecal, 250–251 endoscopy for, 250–251
Vomiting
metabolic derangements
caused by, 17 postoperative, 378
von Willebrand factor, 21, 24 VSD. See Ventricular septal defect VTE. See Venous thromboembolism Vulvar carcinoma, 342 vWF. See von Willebrand factor
W
Wallerian degeneration, 77 Warfarin, 24, 205, 268 Warm-antibody autoimmune
hemolytic anemia, 299
Wartenberg sign, 358 Wate r
free water deficit, 15 in total body weight, 14–15
Water deficit, 15 Watermelon stomach, 230, 230f Water-soluble contrast agents, 236 Weaning, ventilator, 101 Web-based education, 389–390 West Nile virus, 27 Whipple procedure, 286 Whole-pancreas transplantation, 95
INDEX
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Willingness, 3, 3t Willingness to lead, 3t
INDEX
Willingness to learn, 3t Wilms tumor, 331, 332t Wilson disease, 269–270 Wolff-Parkinson-White syndrome,
169f, 169–170
Women
fluid maintenance
calculations for, 16 in surgery, 5 total body weight in, 15
Wound(s)
burn. See Burn wounds classification of, 39–40, 40t closure of, in Ehler-Danlos
syndrome patients, 75 collagen in, 74 in Ehler-Danlos syndrome
patients, 75 gastric, 62 infection of, 102 malignant, 80 matrix deposition at
site of, 74 skin, 132 stab, 59, 60t
strength of, 74 surgical, 39–40, 40t, 47 “transition wound,” 77
Wound healing
amino acids in, 79 anastomoses, 75 anemia and, 78 arginine effects on, 79 callus formation in, 77 collagen in, 74, 76t diabetes mellitus effects on, 78 fetal, 77 fibroblastic phase of, 73f, 74 full-thickness wounds, 75–76 gastrointestinal tract,
75–76, 76t hypertrophic scars, 80–81 impairment of, 78 inflammation phase of, 73f,
78–79 keloid formation, 80–81, 81f low-oxygen tension effects on, 78 malnutrition effects on, 79 maturation phase of, 73f nutrition in, 79 oxygen delivery during, 78 phases of, 73f, 73–74, 361
polymorphonuclear
neutrophils in, 74 proliferative phase of, 73f, 74 scar remodeling, 75 skin, 76t steroid effects on, 78 vitamins in, 79–80
WPW syndrome. See Wolff-
Parkinson-White syndrome
Wris t
carpal tunnel syndrome of, 357 ganglion cyst of, 360 surgery of, 355–360
Wrong-site surgeries, 99
X
Xenotransplant, 87
Z
Zenker’s diverticulum, 220 ZES. See Zollinger-Ellison syndrome Zika virus, 27 Zollinger-Ellison syndrome, 225, 231 Zona fasciculata, 8 Zone of coagulation, 67, 129 Zone of hyperemia, 67, 129 Zygoma fractures, 144