Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2024 - Quick Hits 2
Jan 12, 2024
Join surgical education fellows Nina Clark and Dan Sheese as they delve into high-yield surgical topics for ABSITE preparation. Nina discusses Factor V Leiden and the management of heparin-induced thrombocytopenia. She also explores DVT prevention strategies and vaccination protocols post-splenectomy. Meanwhile, Dan reviews nutrient absorption in the small intestine and the intricacies of Meckel's diverticulum. He shines a light on carcinoid tumors and reveals the critical aspects of colorectal cancer screening, ensuring trainees are well-equipped for success!
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Meckel's Rule Of Twos Refresher
- Meckel's diverticulum is a true anti-mesenteric diverticulum from a persistent vitelline duct and often contains ectopic gastric tissue.
- Remember the 'rule of twos' for location, prevalence, size, age, and ectopic tissue.
Carcinoid Management Steps
- For symptomatic metastatic carcinoid causing flushing/diarrhea, use octreotide for localization and therapy.
- Perform right hemicolectomy for appendiceal tumors >2 cm or with high-risk features.
Carotid Intervention Thresholds
- Intervene on symptomatic carotid stenosis at >50% and on asymptomatic disease at about 60–70% depending on modality.
- Use ICA peak systolic velocity >230 cm/s or ICA:CCA ratio >4 to indicate >70% stenosis on Doppler.