Download Name - Wilbur World of Science

Name: ______________________________________________________ Date: _____________ Class: _________
Lab: Gingerbread Man Surgery
Read and follow the instructions carefully.
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Set up the surgical area, gather tools: probe, forceps, scalpel, etc.
Document the proceedings of the surgery, as it is being done. Draw everything you do in you notes/diagram.
Create your gingerbread man using clay and cookie cutter.
Patient’s name: ______________________________
Prep the patient for the OR. Draw on his eyes, ears, nose, mouth, 24 ribs, elbows, wrists, knees, ankles, a belly
button, fingers and toes with a probe.
Transports the patient to OR and to PACU - post anesthesia care unit (dissecting tray).
Mr. Gingerbread was on his way to work, when his car got crushed in a major
accident.
Your patient has numerous injuries that require surgical treatment.
1. Amputate the distal end of the left leg (just inferior to the patellar). It is too damaged to be saved. Wrap the
severed end with sterile gauze.
2. The patient’s spleen was ruptured during the accident and needs to be removed. Carefully, make a saggital
incision in the lateral portion of the left hypochondriac region. Which organ(s) must you move out of the way in
order to locate and remove the spleen? ______________________________________ Suture the incision.
3. The patient has a transverse laceration superior and anterior to the right ear. Suture the laceration by drawing a
short line with cross marks on it. ++++++
4. On the dorsal side, clean and dress a superficial wound on the lower right lumbar region, lateral to the midsaggital
plane, by placing the round dot bandage on it.
5. The patient suffered broken ribs causing a pneumothorax (collapsed lung) on the right side. Insert a tube (straw)
between 5th and 6th rib on the lateral side to release the air from the pleural cavity.
6. The patient also needs an appendectomy. Make a transverse incision beginning in the medial aspect of the right
iliac/inguinal region extending into the medial aspect of the hypogastric region. Remove the appendix. Which
organ are you detaching the appendix from? ______________________________________ Suture the incision.
7. X-ray films show that the patient has a fracture of the right fibula. Apply a cast to this area, beginning at the distal
femoral region and extending to the upper pedal region.
8. Your patient has an intracranial hematoma. Make a small frontal/coronal incision on the most superior aspect of
the cranium. Open this incision to reveal the skull. Using your probe, drill a small hole (craniotomy) in the skull
to relieve the pressure caused by the internal bleeding.
9. Your patient’s right brachial artery has been severed at its proximal end.
10. The patient has a dislocated right acromialclavicular joint. X-rays reveal that parts of the socket are broken and
will require pins to hold it together. Make a small saggital incision on the anterior portion of the acromial region,
superior to the axiallary region. Use 3 pins to fasten the broken pieces of bone to the socket and relocate the
humerous. Suture the incision.
It is the responsibility of the general surgeon to perform triage, the process of determining the priority of a
patient’s emergency surgeries and treatments based on the severity of each situation. As the general surgeon being
presented with this patient, how should you have prioritized his treatments? Write the numbers of each procedure in
the correct order from most critical to least urgent.
Rewrite each statement using common terminology. The first one is done for you.
1. Pain is located in the right cervical region with radiation into the ipsilateral brachial region.
Pain is located in the right neck and radiates into the right upper arm.
2. The lesion is located in the right thorax just lateral to the mid-sagittal plane.
3. The patient reports numbness and tingling in the left lumbar area and pain in the contralateral femoral region.
4. There is a contusion located at the lateral aspect of the left crural region.
5. The laceration extends distally from the right antecubital region to the antebrachium.
6. The patient reports sharp right lower quadrant pain just lateral to the umbilicus.
7. The patient reported a tearing sensation while running in the right gluteal region extending distally to the
ipsilateral popliteal region.
8. There was pain located at the right lateral tarsal region with subsequent numbness and tingling in the ipsilateral
dorsum of the foot.
9. The patient demonstrated dull pain on orthopedic testing at the left antebrachium extending distally to the
ipsilateral carpal region.
10. Palpation of the left axillary region demonstrated palpable lymph nodes extending into the ipsilateral anterior
thorax.
11. The patient reported sudden severe pain originating in the right loin and extending inferior to the ipsilateral
inguinal region.
12. Palpation demonstrated inflammation in the right scapular region extending superior and lateral to the
ipsilateral acromial region.
13. The patient reported sharp cervical pain extending into the bilateral brachial regions.
14. The patient reported a recent fall on the sacral region with subsequent numbness extending bilaterally to the
femoral regions.
15. There was tenderness at the right olecranon with subsequent sharp painon palpation radiating distally to the
dorsum of the hand.