Things I've noticed that are over-emphasized in the OR/floor

[Mr Cookie Pants]

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As I've traveled through 3rd year, I've been asked a few pimp questions a day. I have noticed that there are some repeats, especially on surgery and OB.

1. Scarpa's Fascia is the single most important thing in the human body.
2. Knowledge of the Platysma is the key to a successful Carotid Endarterectomy, Mediastinoscopy, Central line placement, etc. It's crucial.
3. Sampson's artery in the round ligament allows you to be a highly successful GYN Oncologist, C-sectioner or pap smearer.


Any more?

 

[MilkmanAl]

3. Sampson's artery in the round ligament allows you to be a highly successful GYN Oncologist, C-sectioner or pap smearer.

...right until you snip clean through the ureter. Oops! (One of my friends saw that twice during GYN surgery. Hilarious...Well, maybe not for the patient.)

 

[Depakote]

...right until you snip clean through the ureter. Oops! (One of my friends saw that twice during GYN surgery. Hilarious...Well, maybe not for the patient.)

😱



Ins and Outs are the most important part about managing your patient. You really can't set volume goals unless you've calculated the I/Os for the entire month-long hospital stay. (weighing the patient and insensible losses... forget 'em 🙄)

 

[DrBowtie]

As I've traveled through 3rd year, I've been asked a few pimp questions a day. I have noticed that there are some repeats, especially on surgery and OB.

1. Scarpa's Fascia is the single most important thing in the human body.
2. Knowledge of the Platysma is the key to a successful Carotid Endarterectomy, Mediastinoscopy, Central line placement, etc. It's crucial.
3. Sampson's artery in the round ligament allows you to be a highly successful GYN Oncologist, C-sectioner or pap smearer.


Any more?

I thought #3 was a trick question given how FA tells you round ligament has nothing in it.

 

[CardiacIntensivist]

Sounds like the OP got a few questions wrong and is now pitching a fit. 🙄

 

[Mr Cookie Pants]

Sounds like the OP got a few questions wrong and is now pitching a fit. 🙄

Actually those are all ones I got right. It's just every surgery it's "what am i cutting through" and there's no real discussion of the case for the most part. But without fail, on multiple services, those q's got asked. And this thread was supposed to be tongue in cheek too.

 

[turkeyjerky]

Sounds like the OP got a few questions wrong and is now pitching a fit. 🙄

sounds like someone doesn't have a sense of humor

 

[cpants]

For a med student on a surgical rotation, the most important thing to review before every case is the layers you will be cutting through/closing. You literally get asked that every case. Anatomy of the inguinal canal is huge too.

 

[BigRedder]

Actually those are all ones I got right. It's just every surgery it's "what am i cutting through" and there's no real discussion of the case for the most part. But without fail, on multiple services, those q's got asked. And this thread was supposed to be tongue in cheek too.

As far as the surgeon is concerned, knowing what you are cutting is probably the only actually important information.

 

[pingouin]

2. Knowledge of the Platysma is the key to a successful Carotid Endarterectomy, Mediastinoscopy, Central line placement, etc. It's crucial.

While closing after a parathyroidectomy, I was asked by my senior resident "Which animal has the largest platysma?"



My answer: Platypus? (Why not- same prefix, right?)

His answer: Horse

 

[gro2001]

While closing after a parathyroidectomy, I was asked by my senior resident "Which animal has the largest platysma?"



My answer: Platypus? (Why not- same prefix, right?)

His answer: Horse

I would have guessed giraffe...

 

[pingouin]

I would have guessed giraffe...

That would've been my first guess, but I was feeling a little punchy b/c it was my very last day on the rotation and he wasn't grading me.

 

[deleted6669]

...right until you snip clean through the ureter. Oops! (One of my friends saw that twice during GYN surgery. Hilarious...Well, maybe not for the patient.)

from a general surgeon:
name common ob procedures:
abd. hyst
vaginal hyst
BTL
c-section
sever r ureter
sever L ureter