Abdo management - AS Flashcards
Jaundice investigations
Bloods - FBC, LFT, CRP
Abdo USS after a fast
Dysphagia and weight loss
OGD
biopsy
PR bleed and weight loss investigations
colonoscopy
Ascites management
Diuretics Dietary sodium restriction Fluid restriction in patients with hyponatremia Monitor weight daily therapeutic paracentesis
Lower albumin in ascites compared to serum (more than 11L/g) suggests
TB, cancer, nephrotic syndrome
Higher albumin in ascites compared to serum (more than 11L/g) suggets
cirrhosis, cardiac failure
Formula for albumin
serum albumin - ascites albumin
Nephrotic vs nephritic syndrome
Loss of protein in urine - nephrotic syndrome
Nephritic syndrome - inflammation of glomerula (blood and protein in urine)
Management of encephalopathy
Lactulose Phosphate enemas Avoid sedation Treat infections Exclude GI bleed
Wound infection features
Erythematous
Discharge
Anastomotic leak
diffuse
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anal fissure
rectal