By Vijay K. Maker, Edgar D. Guzman-Arrieta
This textual content is prepared via organ process and the illustrations spotlight surgical pearls borne of expertise and polished by means of the research of pertinent references. Hand-drawn and illustrated figures convey unique anatomical relationships as we see them in-vivo. A question/answer layout augments the photographs to permit the reader to actively ponder the subject and to appraise his/her wisdom in that sector. The dialogue sections try to give an explanation for not just what the right kind solution is, but in addition why the distractors are mistaken, so that it will inspire dialogue and self-reflection.
Cognitive Pearls as a rule Surgery info the categorical idea methods and institutions that underlie the knowledge of the themes handy, with the rationale of improving the joys and pleasure that in basic terms an educated and well-grounded perform of surgical procedure can provide.
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Additional resources for Cognitive Pearls in General Surgery
Thyroid tissue derived from the medial thyroid anlage is usually free of C cells  (Fig. 12). Adequate treatment of thyroglossal cysts involves complete resection, including the middle portion of the hyoid bone (Sistrunk procedure). Aspiration is fraught with unacceptable rates of cyst recurrence. It is important to note that ectopic thyroid tissue may be the only functioning thyroid tissue in the patient. Hence, before its removal, a thyroid scan must be undertaken. Fig. 12 The foramen cecum near the base of the tongue and the pyramidal lobe of the thyroid are the only remnants of the thyroglossal duct in the adult.
2 The inferior parathyroid, when not found in the usual position, can be in the thymus. 3 The superior parathyroid and lateral lobes of the thyroid develop from the fourth branchial pouch. They have a shorter descent than the inferior parathyroids and hence, end up in the embryologically switched position at a higher level in the posterior and medial part of the thyroid gland. 4 The superior parathyroid, when not found in other aberrant locations, may be intrathyroidal and require ipsilateral thyroid lobectomy for removal Answer c 1 The Neck 35 18.
A chest tube (tube thoracostomy) is typically inserted to drain air or fluid from the pleural cavity. The safest point of entry into the chest cavity is just above the upper border of a rib in the intercostal space. In this location, there is the least chance of injury to the neurovascular bundle. For fluid drainage, a chest tube is inserted laterally near the anterior axillary line and in the safest lower intercostal space for dependent drainage 2 Thoracic Wall and Pleura 53 Fig. 3 Intercostal block.
Cognitive Pearls in General Surgery by Vijay K. Maker, Edgar D. Guzman-Arrieta