Lab: Gingerbread Man Surgery
Mr. Gingerbread was on his way to work, when his car was crushed in a major accident. Your
patient has numerous injuries that require surgical treatment.
Read and follow the instructions carefully.
1. Create your gingerbread man using clay and cookie cutter, place clay on the aluminum foil (gurney).
2. Set up the surgical area, gather tools:
 probe, ruler, scalpel (razorblade), straw, bandage, gauze, cast (white clay), 3 pins.
3. Prep the patient for the operating room “O.R.”. Draw in his eyes, ears, nose, mouth, 24 ribs, elbows, wrists,
knees, ankles, a belly button, diaphragm, fingers and toes with a probe.
4. Document the proceedings of the surgery as it is being done. Draw and explain everything you do for each
procedure (1-9) on a Surgery Documentation Form.
Surgery Procedures:
1. The patient’s spleen was ruptured during the accident and needs to be removed. Carefully, make a sagittal
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? (Record on the surgery documentation form). Suture the
incision by drawing a short line with cross marks on it. ++++++
2. 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.
3. The patient has a transverse laceration superior and anterior to the right ear. Suture the laceration. ++++++
4. Your patient has an intracranial hematoma. Make a small frontal incision on the most superior aspect of the
cranium. Open this incision to reveal the skull. Using your probe, drill a small hole 2mm deep
(craniotomy) in the skull to relieve the pressure caused by the internal bleeding.
5. The patient suffered broken ribs causing a pneumothorax (collapsed lung) on the right side. Insert a tube
(straw) between the 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? (Record on the surgery documentation form). 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. The patient has a dislocated right acromioclavicular joint. X-rays reveal that parts of the socket are broken
and will require pins to hold it together. Make a small sagittal incision on the anterior portion of the
acromial region, superior to the axillary region. Use 3 pins to fasten the broken pieces of bone to the socket
and relocate the humerus. Leave the pins sticking out for easy removal at a later time.
9. Your patient’s right brachial artery has been severed at its proximal end. You must cauterize and amputate
at this position.
Mr. Stephens
Anatomy & Physiology
Gingerbread Man Surgery
1.
Name ____________________________ Class ______
Surgery Documentation Form
2.
3.
4.
5.
6.
7.
8.
9.
____________________________
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 (above) in the order from most critical (urgent) to least.
Priority order : ____, ____, ____, ____, ____, ____, ____, ____, ____
Mr. Stephens
Anatomy & Physiology
Gingerbread Man Surgery
1.
Name ____________________________ Class ______
Surgery Documentation Form
2.
3.
4.
5.
6.
7.
8.
9.
____________________________
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 (above) in the order from most critical (urgent) to least.
Priority order : ____, ____, ____, ____, ____, ____, ____, ____, ____
Mr. Stephens
Name ____________________________ Class ______
Anatomy & Physiology
Gingerbread Man Surgery (make-up)
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.