#pimp questions

[medicatedon]

Complication of AAA repair

IMA is often sacrificed, leading to colonic ischemia, most likely at sigmoid

tx of colonic ischemia - sigmoidectomy with mucous fistula and end colostomy

[medicatedon]

Claudication

Conservative management - 

PACE - pentoxifylline, ASA, cessation of smoking, exercise

[medicatedon]

Medullary Carcinoma

Four M’s - MEN II, aMyloid, Median lymph node dissection, Modified neck dissection (if lat nodes are positive)

[medicatedon]

Mastectomy

Nerves to worry about: thoracodorsal, long thoracic

Post-op: likely two JP drains (axillary, chest wall) with serosanguinous fluid, remove when <30cc/day or at POD14

long thoracic n injury can lead to damage to the serratus anterior innervation, leading to “winged scapula”

cutaneous nerve to preserve is the intercostobrachial nerve

“radial scar” on mammogram is a spiculated mass with central lucency with or without calcification, associated with tubular carcinoma, get bx

for DCIS, perform simple mastectomy for diffuse involvement or >1cm , otherwise lumpectomy w radiation therapy