abdomen-general Flashcards
What tumor is associated with FAP that has spindle shaped cells and collagen matrix?
Desmoid tumor
what is the initial treatment of Desmoid tumor?
NSAIDs and tamoxifen
Fluid from a mesentery cyst consists of what type of fluid?
straw colored and proteinaceous
T or F: pre-op ERCP in patient with pancreatic cancer is associated with higher risk of post op infection
True
What are some indications for elective diagnostic laparoscopy for abdominal tumors?
-Preop diagnosis and staging before definitive operation including esophageal, gastric, pancreatic, colorectal carcinoma
-assessment of hepatic or nodal involvement
-differentiate between benign, malignant, and metastatic diseases in conjunction with conventional imaging
-identify root cause of unexplained ascetic fluid
what work up is needed when faced with an adrenocortical carcinoma?
-deamethasone suppression test
-urine androgens
-plasma metanephrines
-aldosterone to renin ratio
what is the most common complication of PD catheter?
infection
what is the most common non-infectious complication of PD catheters?
outflow failure
-constipation (mc)
-fibrin clot
-kinking of the tube
-tube migration
-solid organ abutment
what is the treatment for patients needing PD catheter and ventral hernia repair?
repair the hernia with exztraperitoneal prosthetic mesh at the time of PD catheter placement
what is the absolute contraindication for peritoneal dialysis catheter?
lack of a functional peritoneal membrane
chylous ascites contains what?
leukocytosis with lymphocytic predominance, high protein and fat, triglycerides
chylous ascites is MCC by?
lymphoma causing lymphatic obstruction at the base of the mesentery
may also be d/t trauma to retroperitoneal lymphatics
what level of TG in ascites fluid is diagnostic for chylous ascites?
TG>110 mg/dl
“bland fibrous neoplasm with local infiltration”
think Desmond tumor and FAP
what are the three MCC of SBP?
E. coli, Klebsiella pneumoniae, pneumococci
