Mnemonics for Surgery
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SURGERY -Mnemonics
Anatomy
Abdominal wall muscles
Mnemonic: TIRE
T Transversus abdominis
I Internal oblique
R Rectus abdominis
E External oblique
Bowel components
Mnemonic: Dr Jones Investigates Carefully And Cuts Randomly
From proximal to distal:
D Duodenum
J Jejunum
I Ileum
C Caecum
A Appendix
C Colon
R Rectum
Clinical conditions
Initial management of all surgical emergencies
Mnemonic: 4 Aʼs, 2 Cʼs, 2 Nʼs (could be remembered as a set of GCSE results!)
A ABC assessment
A Analgesia, eg morphine
A Anti-emetic
A Aggressive fluid resuscitation – IV fluids and electrolyte replacement
C Central venous pressure (CVP) line – may be needed
C Catheter (urinary)
N Nil by mouth (NBM)
N Nasogastric (NG) tube
Post-operative complications
General immediate
Mnemonic: PROBS
P Primary haemorrhage/Pain
R Reactive haemorrhage
O Oliguria – acute urinary retention
B Shock/Sepsis
General early
Mnemonic: ABCDE
A Analgesia- or Anaesthetic-related nausea + vomiting
B Breakdown of wound or anastomosis due to infection or haematoma –
dehiscence / ↓ BP – ↓ fluid input → hypovolaemia →↓ BP
C Confusion – acute
D DVT leading possibly to PE
E Elevated temperature – pyrexia
General late
Mnemonic: RIB
R Recurrence of malignancy
I Incisional hernia
B Bowel obstruction
Lumps and bumps
Examining
Mnemonic: 3 Sʼs, 3 Cʼs, 3 Tʼs and the Fʼer
3Ss Site, Size, Shape
3Cs Colour, Consistency, Contour
3Ts Tenderness, Tethering, Transillumination
Fʼer Fluctuance
Hernias
Groin lump: differential diagnosis
Mnemonic: Surgeons Like To Manage Various Hernias
S Spermatic cord (lipoma, hydrocoele)/Skin (sebaceous cyst)
L Lymph nodes
T Testicle (ectopic, undescended)
M Muscle (psoas abscess)
V Vascular (femoral artery aneurysm, saphena varyx)
H Hernias (inguinal, femoral)
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