Surgical Treatment of Thyroid Tumor PDF

## Surgical Treatment of Thyroid Tumor: A Structured Guide ### 1. Optimal Surgical Treatment of Thyroid Tumor * **Total/near-total thyroidectomy with central lymph node dissection** ### 2. Surgeon's Tactics in Case of Small Intestine Inversion * **Manual reduction & resection of affected segment...

## Surgical Treatment of Thyroid Tumor: A Structured Guide ### 1. Optimal Surgical Treatment of Thyroid Tumor * **Total/near-total thyroidectomy with central lymph node dissection** ### 2. Surgeon's Tactics in Case of Small Intestine Inversion * **Manual reduction & resection of affected segment** ### 3. Convulsions After Strumectomy * **Hypocalcemia** ### 4. Complication Following Endoscopic Papillosphincterotomy for Choledocholithiasis * **Post ERCP pancreatitis** - Symptoms include pronounced pain in the epigastrium, radiating to the lumbar region, repeated vomiting, muscle tension in the anterior abdominal wall, WBC - 14,5x109/L; amylase - 450 U/L. ### 5. Postoperative Complication of Perforated Appendicitis * **Subphrenic abscess** - Symptoms in this case include pain in the right half of the chest, chills on the 7th day after surgery, fever is 40C, effusion in the right pleural sinus, high standing of diaphragm's right part, restriction of its mobility, and a volumetric formation with fluid in the right subdiaphragmatic space. ### 6. Examination Method for Confirming Choledocholithiasis * **Intraoperative cholangiography** ### 7. Frequent Complication of Penetrating Stomach Ulcer * **Perforation with peritonitis** ### 8. Type of Invagination Obstruction * **Intussusception** ### 9. Optimal Amount of Surgical Intervention for Ileum's Invagination into Cecum * **Right hemicolectomy** ### 10. Definition of Richter's Infringement * **Infiltration of neoplasm into the wall of adjacent hollow organ without penetrating its lumen** ### 11. Explanation of Muscle Tension in Right Iliac Region During Perforation of Duodenal Ulcer * **Irritation of peritoneum by gastric contents** ### 12. Definition of Menetrie's Disease * **Gastric mucosal hypertrophy with giant folds** ### 13. Localization of Gastric Cancer with Least Clinical Symptoms * **Cardial localization** ### 14. Surgery Indicated for Inoperable Cancer of Gastric Outlet and Pyloric Stenosis * **Gastrojejunostomy** ### 15. Interpretation of Stoik's Operation * **Gastrojejunostomy without resection of stomach ulcer** ### 16. Optimal Operational Tactics for Perforated Subcardial Stomach Ulcer * **Resection of ulcer & drainage of abdominal cavity** ### 17. Optimal Operational Tactics for Inoperable Stomach Tumor Complicated by Decompensated Stenosis of Exit Section * **Gastroenterostomy (bypass surgery)** ### 18. Contributing Factor to Strangulation Obstruction * **Narrowing of intestinal lumen** ### 19. Type of Acute Intestinal Obstruction with Bloody Discharge from Rectum * **Ulcerative colitis** ### 20. Preliminary Diagnosis for Severe Cramping Abdominal Pains, Vomiting, Swollen and Slightly Painful Abdomen, No Fever, "Kloiber Cups" on X-Ray * **Intestinal obstruction due to intussusception** ### 21. Optimal Surgeon's Tactics for Acute Intestinal Obstruction, Inversion of Small Intestine Detected * **Manual reduction of intussusception** ### 22. Optimal Tactics for Intestinal Obstruction with Mobile Tumor of Sigmoid Colon, No Metastases, Proximal Area Expanded * **Resection of tumor with primary anastomosis** ### 23. Optimal Amount of Surgical Intervention for Ileal Intussusception Detected in Blind * **Ileocecal resection** ### 24. Scope of Surgery for Acute Intestinal Obstruction with Non-Viable Section of Small Intestine * **Resection of non-viable intestine with end to end anastomosis** ### 25. Form of Acute Intestinal Obstruction Where Conservative Treatment is Indicated * **Paralytic ileus** ### 26. Frequent Etiology of Obstructive Colonic Obstruction * **Colorectal cancer** ### 27. Characteristic of Sonorous Peristaltic Noises in Early Period of Disease * **Intestinal obstruction** ### 28. Course of Action for Patient with Strangulated Inguinal Hernia and Spontaneous Reduction of Hernias * **Surgical treatment in hospital** ### 29. Features of Acute Appendicitis in Elderly * **All of these (Atypical presentation, delayed diagnosis, high risk of perforation & mortality)** ### 30. Contraindication to Surgical Treatment of Acute Appendicitis * **Periapendicular infiltrate** ### 31. Complications of Acute Pancreatitis Requiring Emergency Surgery * **Abscess of lesser sac** ### 32. Radiological Sign Characteristic of Perforated Stomach Ulcer * **Free air under diaphragm (Rigler's sign)** ### 33. Complication Assumed for Patient with Long-term Course of Gastric Ulcer and Constant Pain with Irradiation in the Back * **Penetration of gastric ulcer into pancreas** ### 34. Complication of Peptic Ulcer of Duodenum with Belching, Vomiting, and Food Taken The Day Before * **Gastric/duodenal obstruction with pyloric stenosis** ### 35. Diagnosis for Patient with Alcohol-Induced Shingles, Vomiting, Severe Condition, High Heart Rate, Acrocyanosis, Painful Abdomen, Dulling Percussion Sound * **Hemorrhagic pancreatic necrosis** ### 36. Characteristic Symptom of Soreness During Palpation in Left Rib-Vertebral Corner * **Kehr's sign** ### 37. Indication of Serous Effusion and Plaques of Steatonecrosis During Laparoscopy * **Fatty pancreatic necrosis** ### 38. Most Common Location of Traumatic Diaphragmatic Hernias * **Left-sided** ### 39. Bleeding from Upper Gastrointestinal Tract that Can Be Stopped with Blackmore Probe * **Bleeding from esophageal varices** ### 40. Likely Causes of Postcholecystectomy Syndrome with Attacks of Hepatic Colic and Short-term Jaundice * **Residual or recurrent choledocholithiasis** ### 41. Preliminary Diagnosis for Patient with Strengthened Postoperative Scar, Soft Elastic Tumor-like Formation in the Scar Area * **Postoperative ventral hernia** ### 42. Diagnosis for Patient with Pain in Right Iliac Fossa, Nausea, Vomiting, Dry Mouth, Weakness, and Pain Starting from the Epigastrium, Moving to Right Iliac Fossa, Dry Overlaid Tongue, Painful Abdomen on Palpation in Right Iliac Fossa * **Acute appendicitis** - Symptoms include positive symptoms of Voskresensky, Bartomier-Michelson. ### 43. Preliminary Diagnosis for Patient with Epigastrium Pain, Bitterness in Mouth, Pain Associated with Spicy and Friedman, Dry and Overlaid Tongue, Painful Abdomen on Palpation * **Acute cholecystitis** - Symptoms include positive Mayo-Robsonsymptom ### 44. Preliminary Diagnosis for Patient with Throbbing Pain in the Anus, Increased Pain with Defecation, Rise in Body Temperature, Swelling in the Pararectal Area, Hyperemic Skin, and Fluctuation Symptomispositive * **Pararectal abscess** ### 45. Characteristic Symptom of Acute Cholangitis * **High temperature** ### 46. Causes of Intermittent Jaundice * **Choledocholithiasis, tumor of the head of pancreas** ### 47. Phenomenon Included in the Concept of Richter Infringement * **Invasion of neoplasm into wall of adjacent organ,without involving mucosa** ### 48. Suspected Disease for Patient with Epigastric Pain Similar to Previous Ones, Ulcerative, Localized in the Same Area but Left, Vomiting, Weight Loss, Emaciated, Pale Skin, Sharply Painful Epigastric Region, and Four Crosses in Gregersen's Reaction * **Zollinger-Ellison syndrome (ZES)** ### 49. Complication Suspected for Patient with Severe Pain in the Epigastrum, Radiation to Lumbar Region, Repeated Vomiting, Muscle Tension, Forced Bent Position, Painful Epigastric Region, Elevated Blood Leukocytes and Amylase * **Acute pancreatitis** ### 50. Complication of Postoperative Period Suspected for Patient with Complaints of Pain in the Right Side of the Chest, Chills, Increase in Body Temperature, Forced Bent Position, Painful Right Hypochondrium and Chest, Right Pleural Effusion, High Standing Right Dome and Limited Mobility of Diaphragm, Bulky Fluid Formation in Subphragmatic Space, Elevated WBC * **Subphrenic abscess**