EPONYMS:

Morrison’s pouch, sphincter of Odi,
Langer’s lines, cover the body,
Virchow’s triad, virchow’s node,
Scarpa’s fascia, should it be sewed?

1/7 #SurgEd
Angle of Louis, McBurney’s point,
Foramen of Winslow, Charcot’s joint,
Auerbach's plexus, keeps the gut well,
The long thoracic nerve of Bell,

2/7
Meckel’s Diverticulum, Toldt’s Line,
Gerota’s fascia, Murphy’s sign;
Pouch of Douglas and Morrison’s Pouch,
Buerger’s test, the leg raise off the couch,

3/7
Cooper’s ligaments, fascia of Camper,
Hartmann’s pouch, Ampulla of Vater,
Halsted’s operation, for hernia or breast,
Tredelenburg’s procedure for clots in the chest,

4/7
Ivor Lewis, Heller and Dor,
Bilroth, Nissen, Courvoisier's law,
Hesselbach's triangle, looking at the groin,
Charcot’s triad, Cullen’s sign,

5/7
Ladd’s procedure, Mayo repair,
Boerhaave’s syndrome, results in a tear,
Denonvillier, of fascial fame,
Calot’s triangle, keeps CBD in frame,

6/7
And finally, appropriately, we end with Cheyne Stokes.
Seems the right time to say “That’s all, folks”
Eponym central, the brave and the bold,
A pain to remember or surgical gold?

7/7

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More from @ChaseSurgical

8 Sep
The Appendix:

It’s existence was discovered in 1506,
Given the name, the caecal appendix,
Vermix by others, or vermiform process,
Latin for ‘worm like’, but we’re starting to digress;
It measures on average, 9 centimetres,
Widest at tip, towards it’s neck down it peters;
Mesentery contains appendicular vessel,
Clip, tie or fry it, at appendix base level;
2/3 are retro, in terms of the caecum,
This can cause stress, as it takes time seek em’.
Sub caecal, pre or post ileal and pelvic,
All can cause trouble, none guaranteed angelic;
Read 7 tweets
20 Aug
The Inferior mesenteric, artery’s course,
Starts at the aorta, the original source,
Originates at, the level of L3,
At the inferior edge, of the 3rd part of Dueee…;
Supplies splenic flexure, to upper rectum,
Of the three splanchnic vessels, this is the small one,
Keeps hind-gut alive, the proctologist’s chum,
Friend of that strange bunch, who work on the bum;
Left colic then sigmoid, branches supply?
Errr.. Left colon and sigmoid?… don’t be a wise guy!
Superior rectal, the terminal branch,
Over upper rectum, holds perfusion ‘Carte Blanche’;
Read 6 tweets
15 Aug
The makings of a surgeon…
Prize if you can name all four. 👍

What makes a surgeon, as good as they can be,
Technical prowess and dexterity?
A sympathetic smile, and good bedside manner?
Mechanical mind? Being good with a spanner?

1/4
An eagle’s eye, at least at the start,
The hand’s of a lady, a lion’s heart?
Decision making, thoughtful with care,
Acceptance of failure, hopefully rare,

2/4
Ready to cut, to leap into action,
A strong arm, appreciation of traction?
Patience and courage, when hoping for the best,
‘Sitting tight’, can be a real test,

3/4
Read 5 tweets
11 Aug
Superior Mesenteric Artery:

The SMA is the next of the splanchnic vessels,
Leaves aorta at L1, to it’s right SMV nestles,
Drops anteroinferiorly behind the neck of the pancreas,
Occlusion up here makes the whole small bowel gangrenous; Image
It’s branches are many, we’ll start from the top,
Pancreas gets a branch, acts as coeliac trunk prop,
Inferior pancreatico duodenal artery,
Adds to the pancreas and duodenal symphony; Image
Then jejunal branches, and ileal next,
And our friend ileocolic, which also supplies appendix;
Right and middle colic, gives Colon its blood and,
The watershed kept alive, by the marginal of Drummond; Image
Read 5 tweets
3 Aug
Recall of gut anatomy wanes and waxes,
So let’s quickly recap the coeliac axis,
The first of three vessels to supply the intestine,
The content of these vessels normally fluid and sanguine;

#SurgEd @roux_group #SoMe4Surgery @ASiTofficial
Arising from the aorta, at the level of T12,
From beneath the arcuate, into the abdomen it does delve,
Enters lesser sac, then divides into three,
At the upper border of ‘The Queen’, like an inverted tree;
COMMON HEPATIC is first, and heads off to the Right,
Gives off GDA and RIGHT GASTRIC, when liver’s in sight,
‘PROPER HEPATICS’ to the liver blood do serve,
The RIGHT GASTRIC does the same, to the stomachs lesser curve;
Read 6 tweets
28 Jul
My take on teamwork in healthcare…for what it’s worth. 😄#SurgEd

Ada from Lincoln, 4 score years and seven,
Had lived a good life, she was destined for heaven,
Developed a pain, down in her left groin,
Decided to fight, that it wasn’t her time;
Called up her practice to book an appointment,
They listened intently, suggested some ointment,
Explained ‘if things get worse, call 999’,
They couldn’t see her, just didn’t have time;
Later that evening, as she entered ED,
A stressed looking nurse, complained about the GP,
‘They just send you all in, don’t do nowt at all,
Waste of time picking, the phone up to call’;
Read 13 tweets

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