ABFAS CBPS TREATMENT UPDATED
EXAMINATION TEST
◉ extra "treatments" for infection requiring hospitalization for CBPS
(4).
Answer: stabilize medically, admit hospital, refer/consult: ID,
medicine, vascular, IV antibiotics
◉ diagnostic procedures to always consider (3).
Answer: arterial doppler, diagnostic block, biopsy
◉ question/case about a surgical workup on a female under 45,
have to remember what?.
Answer: urine pregnancy, serum pregnancy, HCG lab test
◉ every _____case you palpate _____nodes.
Answer: infection or tumor; lymph
◉ every surgical workup CPBS should get these 4 things by default.
Answer: pedal pulses, skin exam, gait exam, silfverskiold exam
,◉ african american surgical workup, hx of sickle cell I need to order
what.
Answer: Sickledex - presence of abnormal hemoglobin S (HbS),
which causes sickle cell disease
◉ what PE and diagnostics should be ordered in a CPBS case
workup for a traumatic injury?.
Answer: doppler exam, compartment pressures, vitals, tetanus (if
open)
◉ 32 year old african american female with painful bunion, smoker,
hx of sickle cell disease, what to remember we order?.
Answer: serum nicotine, sickledex, urine/serum pregnancy, HCG
◉ 38 year old female, trimal ankle, hx of RA and diabetes what are
we making sure to check before surgery (6).
Answer: Rheumatoid factor, C spine X ray, glycohemoglobin A1C,
fingerstick glucose, urine/serum pregnancy/HCG, compartment
exam
◉ extra things to check for vasculopath surgical workup.
Answer: popliteal pulse, arterial doppler, TCPO2, temperature skin,
CTA
,◉ extra things to order for admitting a patient to hospital with
infection, when patient takes warfarin (4).
Answer: INR, prothrombin time, "medical management of
anticoagulants", probably an H&H too
◉ uncontrolled diabetic infection, admitting to hospital, homeless,
hx drug abuse I am ordering.
Answer: blood alcohol, methamphetamines, opioids, cocaine, heroin,
serum nicotine, fingerstick, A1C, urine drug screen?
◉ dorsiflextion/external rotation test, order for: ________.
Answer: syndesmotic injury, Lisfranc injury
◉ failed fusion, nonunion, initial encounter what are we ordering as
part of workup?.
Answer: nonunion panel! ESR, CRP, cbc, TSH, Vit D, serum albumin,
serum calcium, serum nicotine, perhaps CT scan
◉ what are 1 PE test and 2 lab tests to order for a patient with
cancer in a surgical workup or just in general to see how they are
doing?.
Answer: CD4 lymphocytes, lactate dehydrogenase serum (monitors
cancer progression), lymph node exam
, ◉ surgical workup for 66 year old male, faint pulses, considering a
fusion, every day drinker/alcohol use, hx of gout what am I
ordering/checking?.
Answer: serum alcohol, ALT/AST, uric acid, arterial doppler, skin
temperature, pulse exam, vit D
◉ diabetic wound, infected what orders to place while we admit to
hospital? give 3 must have PE examinations too.
Answer: order wound culture, blood culture, A1C/fingerstick,
VITALS!; do ulcer exam, MUST PROBE WOUND, "color drainage",
crepitus, lymph nodes, equinus, edema
◉ 61 year old female, hx of stent in legs, hx gastric bypass, has ankle
soft tissue mass that is painful; what workup and tests?.
Answer: palpate mass, transillumination of mass, skin exam, serum
Vit D, serum albumin w/ bypass!, then do aspiration biopsy, then
incisional/needle biopsy
◉ infected diabetic wound, polymicrobial cultures, admitting to
hospital for surgery, what are some diagnoses to put in?.
Answer: osteomyelitis acute, infection joint/septic joint, gas
gangrene, **septicemia**, plantar space infection
◉ PEDS: distinguish Barlow test, Ortolani test, Chaddox and
Babinski reflexes.
EXAMINATION TEST
◉ extra "treatments" for infection requiring hospitalization for CBPS
(4).
Answer: stabilize medically, admit hospital, refer/consult: ID,
medicine, vascular, IV antibiotics
◉ diagnostic procedures to always consider (3).
Answer: arterial doppler, diagnostic block, biopsy
◉ question/case about a surgical workup on a female under 45,
have to remember what?.
Answer: urine pregnancy, serum pregnancy, HCG lab test
◉ every _____case you palpate _____nodes.
Answer: infection or tumor; lymph
◉ every surgical workup CPBS should get these 4 things by default.
Answer: pedal pulses, skin exam, gait exam, silfverskiold exam
,◉ african american surgical workup, hx of sickle cell I need to order
what.
Answer: Sickledex - presence of abnormal hemoglobin S (HbS),
which causes sickle cell disease
◉ what PE and diagnostics should be ordered in a CPBS case
workup for a traumatic injury?.
Answer: doppler exam, compartment pressures, vitals, tetanus (if
open)
◉ 32 year old african american female with painful bunion, smoker,
hx of sickle cell disease, what to remember we order?.
Answer: serum nicotine, sickledex, urine/serum pregnancy, HCG
◉ 38 year old female, trimal ankle, hx of RA and diabetes what are
we making sure to check before surgery (6).
Answer: Rheumatoid factor, C spine X ray, glycohemoglobin A1C,
fingerstick glucose, urine/serum pregnancy/HCG, compartment
exam
◉ extra things to check for vasculopath surgical workup.
Answer: popliteal pulse, arterial doppler, TCPO2, temperature skin,
CTA
,◉ extra things to order for admitting a patient to hospital with
infection, when patient takes warfarin (4).
Answer: INR, prothrombin time, "medical management of
anticoagulants", probably an H&H too
◉ uncontrolled diabetic infection, admitting to hospital, homeless,
hx drug abuse I am ordering.
Answer: blood alcohol, methamphetamines, opioids, cocaine, heroin,
serum nicotine, fingerstick, A1C, urine drug screen?
◉ dorsiflextion/external rotation test, order for: ________.
Answer: syndesmotic injury, Lisfranc injury
◉ failed fusion, nonunion, initial encounter what are we ordering as
part of workup?.
Answer: nonunion panel! ESR, CRP, cbc, TSH, Vit D, serum albumin,
serum calcium, serum nicotine, perhaps CT scan
◉ what are 1 PE test and 2 lab tests to order for a patient with
cancer in a surgical workup or just in general to see how they are
doing?.
Answer: CD4 lymphocytes, lactate dehydrogenase serum (monitors
cancer progression), lymph node exam
, ◉ surgical workup for 66 year old male, faint pulses, considering a
fusion, every day drinker/alcohol use, hx of gout what am I
ordering/checking?.
Answer: serum alcohol, ALT/AST, uric acid, arterial doppler, skin
temperature, pulse exam, vit D
◉ diabetic wound, infected what orders to place while we admit to
hospital? give 3 must have PE examinations too.
Answer: order wound culture, blood culture, A1C/fingerstick,
VITALS!; do ulcer exam, MUST PROBE WOUND, "color drainage",
crepitus, lymph nodes, equinus, edema
◉ 61 year old female, hx of stent in legs, hx gastric bypass, has ankle
soft tissue mass that is painful; what workup and tests?.
Answer: palpate mass, transillumination of mass, skin exam, serum
Vit D, serum albumin w/ bypass!, then do aspiration biopsy, then
incisional/needle biopsy
◉ infected diabetic wound, polymicrobial cultures, admitting to
hospital for surgery, what are some diagnoses to put in?.
Answer: osteomyelitis acute, infection joint/septic joint, gas
gangrene, **septicemia**, plantar space infection
◉ PEDS: distinguish Barlow test, Ortolani test, Chaddox and
Babinski reflexes.
