21st November Cards Flashcards
What is the imaging modality of choice for suspected stone in the renal tract?
Non-contrast abdominopelvic CT scan
Which type of renal stone is radiopaque?
Calcium containing stones
What is the most common surgical emergency?
Acute appendicitis
What are the important historical findings in mesenteric adenitis?
Recent viral illness
Lymphadenopathy
Child less than 10 years
What is the classical symptom of mesenteric adenitis?
Right lower quadrant pain
What is the gold standard diagnostic modality for mesenteric adenitis?
Abdominal ultrasound
What GCS value will warrant CT head within 1 hour in the setting of suspected head injury?
GCS < 13 at initial assessment
or
GCS < 15 at 2 hours post event
How many episodes of vomiting warrants a CT head within 1 hour in the setting of suspected head injury?
More than 1 episode
What are the two timeframes for performing CT scan in the setting of suspected head trauma?
Within 1 hour
Within 8 hours
What are the indications for head CT within 8 hours of suspected head injury?
LOC or amnesia
Plus any one of the following four factors
✓ 65 years and above
✓ History of bleeding disorder/anticoagulant use
✓ Dangerous mechanism of injury
✓ > 30 minutes of retrograde amnesia of events preceding injury
What are the indications for total colectomy?
Ulcerative colitis not responding to medical management
Familial adenomatous polyposis
What is the procedure of choice in an emergency setting for a colonic tumor with perforation?
End colostomy
What is the commonest GI malignancy?
Colorectal Cancer
Does ulcerative colitis and colonic Crohn’s disease predispose to colorectal Cancer?
Yes
What is the commonest site of colorectal Cancer?
Left Colon
