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Final Year - Gastro > Acute abdomen > Flashcards

Acute abdomen Flashcards

1
Q
A
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2
Q

Person has acute cholecystectomy. Still have pain, new pain with guarding in epigastrium.

A

Acute pancreatitis
Acute cholecystitis
Gastritis/gastroenteritis

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3
Q

What tests would you do

A

Urine dip - wcc, nitrites
Culture and send

BM

ECG

Bloods - Amylase/lipase (lipase more sensitive for pancreatitis)

Erect CXR - to look for air under diaphragm
Abdo xray

ABG/VBGs
G and S
Clotting

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4
Q
A

65
as over this age, people can have sterile bacteruria

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5
Q
A

new onset LBB can be a sign of an MI
RBB - not too worried about

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6
Q
A

Going away - leaving - left axis deviation
Going towards - arriving - right axis devation

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7
Q

Give some indications for abdominal x ray

A

Toxic megacolon
Foreign body

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8
Q

Management of this patient

A

Pain relief - paracetamol - IV

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9
Q
A

Calculate GLASGOW score - classifies severity of pancreatitis
NBM
IV fluids
IV Abx
Analgesia, encourage mobilisation
???

codeine -
Antiemetics - metoclopramide - 10mg
Cyclizine - make people go high
Ondansetron -

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Final Year - Gastro (8 decks)

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