Study Guide Exam And Actual Answers.
The preoperative diagnoses included congenital chylous ascites and chylothorax. The term
congenital means a ______. What was the postoperative diagnosis? - Answer condition that
exists at the time of birth; diffuse intestinal and mesenteric lymphangiectasis
Dr. Worthit discussed the indications for the present operation in which a prior thoracotomy
was performed to determine if the recurrent chylothoraces and chylous ascites were due to a
thoracic duct leak which could be surgically closed. From your knowledge of word parts, what is
a thoracotomy? The current procedure involves an exploration of the abdomen accessed
through a ___ transverse incision - Answer surgical incision into the thorax or chest cavity;
supraumbilical
During the thoracotomy, a large amount of chylous ascites was found flowing across the
diaphragm. Dr. Rodder opened the diaphragm, which caused a "fountain of chylous fluid exiting
through the diaphragmatic hole". The hole was closed and an abdominal exploration was
scheduled. Which of the list of organs are contained in the abdominal cavity? (Check all that
apply) - Answer small intestines
pancreas and stomach
The surgeon described that Michael Smith was brought from the Pediatric Intensive Care Unit to
the operating room. The boy was transferred to the OR table and placed in a dorsal position.
Dorsal means ______. - Answer on his back
A supraumbilical transverse incision was used to explore the abdomen. The supraumbilical
region, according to anatomic reference terms for the thorax and abdomen, is also the ______
region. - Answer epigastric
The surgeon describes diffuse dilation of the lymph vessels involving the small bowel
mesentery. The mesentery is _____. He found that the bowel involvement included the ileum,
cecum and ____. - Answer a fused double layer of the parietal peritoneum that attaches parts
of the intestine to the interior abdominal wall; a portion of the ascending colon
The surgeon further noted that two thirds to three quarters of the distal small bowel and a
portion of the colon were damaged. Because there was so much involvement of the bowels, the
surgeon determined that removal of the involved area would not be a viable option for the
patient. What is the definition of distal? What is the recommendation for this patient? - Answer