ACE THE ACEM
  • Home
  • Reviews
  • COURSE SCHEDULE
  • ENQUIRE
  • LOGIN
  • Our team
  • Blog

Surgical Conditions 1 completed on the Bootcamp course

8/12/2019

0 Comments

 
Click here Today we covered some key areas in surgery for the acem exam.

Mesenteric ischemia 
The 4 key patterns of presentation include
embolic - AF or ventricular aneurysm related  - 50% of all MI
thrombosis
low flow states
venous thrombosis
each of these have a specific risk factor profile which are distinct
recognising aetiology, sensitive or specific findings on clinical assessment, and diagnosis on CTA is important, as well as severity grading or assessment of complications such as infarction and organ failure is key.
Management options of 
laparotomy for bowel resection or
embolectomy
​vs angiography for clot retrieval or local papaverine is considered 
Picture
Pancreatitis
diagnostic criteria - 2 of 3 - lipase Elevation, clinical features, imaging findings
classification -oedematous vs necrotic 
severity assessment - based on organ failure 
prognostic scores : be ale to compare and contrast
- BISAP - renal function, effusion, gcs, sirs, 60 yo
ransons, apache, sirs, 
have some knowledge of imaging of the pancreas

Toxic megacolon was covered in detail, reviewing the 2 common presentations from IBD or clostridium difficile. Imaging diagnosis of tvs colon > 6 cm and 
diagnostic criteria including systemic illness and anaemia, wcc elevation, sirs
the treatment options varied with underlying cause
associations of metabolic alkalosis, hypokalaemia, dysmotility agents

Clostridial infecting and predictors or risk factors for clostridial such as antibiotic use, COPD, hospital admission were discussed in detail.

Lastly we covered MCQ golden rules:

read the question
assess if you have the knowledge in an area, or not 
your gut feeling is only good if you have reviewed the area concerned
always study the topic highlighted in the mcq
know why an option is correct and why incorrect

good resources for MCQ:

de Alwis Emergency medicine mcq
Dunn mcq's / Tintinalli mcq's
​emcee practice

 

0 Comments



Leave a Reply.

    Archives

    June 2020
    May 2020
    December 2019
    September 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019

    Categories

    All

    RSS Feed

Picture
Ben Lepke
Email- ben@1medical.com.au
Mobile- 0403585665
www.1medical.com.au

​​
Picture
ACE THE ACEM PTY (Ltd)
​ABN 99838418137​
Email  admin@acemexam.org
​Useful EM links
emergencypedia.com
litfl.com
www.ilcor.org/home/​​
www.tpched.org
​www.gcs16.com/fellowship-examination.html
emdojo.com​
​

​
Please like our Facebook page Ace the Acem Fellowship Preparation ​for our latest updates
  • Home
  • Reviews
  • COURSE SCHEDULE
  • ENQUIRE
  • LOGIN
  • Our team
  • Blog