Abdomen Flashcards
What is AXR used to diagnose?
Bowel obstruction only.
Not very good at diagnosing abdominal issues.
What is the best form of imaging for the abdomen?
CT scan
What may cause RIF pain?
Appendicitis
Renal colic
Tubo-ovarian pathology
What is first-line test in the investigation of acute appendicitis?
USS
What is the gold standard test for renal ureteric calculus?
Non-contrast CT KUB
What may cause LIF pain?
Colitis Diverticulitis Colorectal cancer Tubo-ovarian pathology Renal colic
What patients are most at-risk of diverticulitis?
Elderly
How is diverticulitis diagnosed?
CT with IV contrast
Where does pain of acute cholecystitis present?
RUQ
What is MRCP?
An MRI of the biliary tree.
How is acute cholecystitis treated?
Aim to treat conservatively.
May need ERCP, surgery or percutaneous radiology.
What is a major sign of pancreatitis?
Severely elevated serum amylase.
What are potential causes of perforation?
Ulcers
Diverticulae
Cancer
Ischaemia
What does a history of vomiting, colicky pain and a change in bowel habit suggest?
Bowel obstruction
What is first-line investigation in bowel obstruction?
AXR
What should be suspected in large bowel obstruction?
Colorectal cancer until proven otherwise.
CT best to investigate.
Where is the small bowel located?
Centrally
Where is the large bowel located?
Peripherally
What is the main cause of bowel ischaemia?
Arterial occlusion
Presents when only 10% of the bowel is perfused.
Will have metabolic acidosis.
How does leaking AAA present?
Pain
Hypotension
Pulsatile abdominal mass
How is AAA investigated?
CT with contrast.
What direction of dislocation is more common in shoulder injury?
Anterior
