Surgery Mnemonics

SURGERY MNEMONICS

Pancreatitis: treatment MACHINES : Monitor vital signs Analgesia/ Antibiotics Calcium gluconate (if deemed necessary) H2 receptor antagonist IV access/ IV fluids Nil by mouth Empty gastric contents Surgery if required/ Senior review Appendicitis: Alvarado's scoring system for diagnosis MANTRES: Migratory pain (1) Anorexia (1) Nausea (1) Tenderness (2) ebound tenderness (1) R ebound Elevated temperature (1) eucocytosis (2) Shift to left (1)  !core "#$ % no appendicitis& !core '# % doubtful& !core  or more % appendicitis is confirmed& Post operative order list c!ec"#$p %A&R : %luids aboratories Activity &ital signs ral allowances R x *medications+ C!ild#P$g! classification ,Pour Another (eer At Eleven,: PAlbumin (ilirubin Ascites Encephalopathy !coring (each is either 1. 2 or " points): - (greater than 12 sec&): 1#" or $# or 0& lbumin: 0"&' or 2&#"&' or less than 2& 3ilirubin: less than 2 or 2#" or 0"& scities: none or slight or moderate 4ncephalopathy: 4ncephalopathy: none or 1#2 (sub5ective) or "#$ (sub5ective)  6nterpretation: 7lass : '# points (candidate for surgical liver resection)& 7lass 3: #8 points (consider chemoemboli9ation or ;)& ;)&

7lass 7: 1