Acute Abdomen Flashcards
What are the 2 main chemicals at work in the lumen of the stomach
Hydrochloric Acid from parietal cells
Pepsin (from pepsinogen secreted by chief cells)
What do hydrochloric acid and pepsin do in the lumen of the stomach
What are the 3 hormones that stimulate parietal cells
Gastrin, Histamine, & acetylcholine
What do gastrin, histamine, & acetylcholine do
What is the site of most small intestine absorption
duodenum
What is responsible for most of the chemical digestion and regulates the rate of stomach emptying
duodenum
What are the hormones of the small intestine
Secretin & cholecystokinin
What to secretin and cholecystokinin do
What is responsible for absorbing remaining water from undigested food matter, transporting undigested food, and absorbing vitamins produced by bacteria
large intestine
List the hormones of the pancreas (islets of langerhans)
insulin, glucagon, & somatostatin
What is insulin produced by and what does it do
produced by beta cells to decrease blood glucose levels
what is glucagon produced by and what does it do
produced by alpha cells and increases blood glucose levels
what is somatostatin produced by and what does it do
produced by delta cells and suppresses release of GI hormones
Describe conjugated bilirubin
Describe unconjugated bilirubin
Describe the etiology & RFs for esophagitis
Describe the clinical presentation of esophagitis
Describe the diagnostic testing of esophagitis
Describe the treatment for esophagitis
Describe the etiology of Boerhaave’s syndrome
Describe the presentation of Boerhaave’s syndrome
Describe the diagnostic testing for boerhaave’s syndrome
Describe the treatment for boerhaave’s syndrome
Describe the etiology of mallory-weiss tear
Describe the presentation of mallory-weiss tear
Describe the diagnostic testing for a mallory-weiss tear
Describe the treatment of a mallory-weiss tear
Describe the etiology & RFs of esophageal varices
Describe the presentation of esophageal varices
Describe the diagnosis & treatment for esophageal varices
Describe the presentation of distal/diffuse esophageal spasm
Describe the diagnostic testing for distal/diffuse esophageal spasm
Describe the treatment for distal/diffuse esophageal spasm
list the definition and etiology of gastritis
describe the presentation of gastritis
Describe the diagnostic testing and treatment for gastritis
Describe the etiology of peptic ulcer disease
Describe the presentation of peptic ulcer disease
Describe the diagnostic testing and treatment for peptic ulcer disease
Describe zollinger ellison syndrome
Describe proton pump inhibitors (list 3, MOA, side effects, interactions)
Describe H2 receptor antagonists (list 3, MOA, side effects, interactions)
Describe misoprostol use, MOA, CIs
Describe antacid MOA
neutralizes acid and prevents pepsinogen to pepsin conversion
Describe bismuth compounds (pepto bismol)
Describe sucralfate
Describe the etiology and epidemiology of pyloric stenosis
Describe the clinical presentation of pyloric stenosis
Describe the diagnosis and treatment of pyloric stenosis
Describe the etiology & RFs for cholecystitis
Describe the presentation of cholecystitis
Describe the diagnostic testing for cholecystitis
Describe the treatment for cholecystitis
Describe the definition, pathophys, & RFs of acute acalculous cholecystitis
Describe the presentation of acute acalculous cholecystitis
Describe the diagnosis and treatment of acute acalculous cholesystitis
Describe the definition & etiology of acute ascending cholangitis
Describe the presentation of acute ascending cholangitis
Describe the diagnosis of acute ascending cholangitis
Describe the treatment for acute ascending cholangitis
Describe choledocholithiasis
Describe the presentation of choledocholithiasis
Describe the diagnosis & treatment of choledocholithiasis
Describe the etiology & risk factors for hepatic vein obstruction (budd chiari)
Describe the presentation of hepatic vein obstruction
Describe the diagnosis & treatment of hepatic vein obstruction
Describe the risk factors for acute viral hepatitis
Describe the presentation of acute viral hepatitis
Describe the diagnosis & treatment of acute viral hepatitis
Describe the definition and risk factors for fulminant hepatitis
Describe the presentation of fulminant hepatitis
Describe the diagnosis of fulminant hepatitis
Describe the treatment for fulminant hepatitis
Describe the etiology and risk factors for cirrhosis
Describe the presentation of cirrhosis
Describe the diagnosis & treatment for cirrhosis
Describe the definition & etiology of spontaneous bacterial peritonitis
Describe the presentation of spontaneous bacterial peritonitis
Describe the diagnosis and treatment of spontaneous bacterial peritonitis
Describe the etiology of acute pancreatitis
Describe the presentation of acute pancreatitis
Describe the diagnosis of acute pancreatitis
Describe the treatment of acute pancreatitis
what are these indicative of
acute pancreatitis
Describe some things that would cause abnormal LFTs
Describe the etiology & presentation of anorectal abscess & fistula
Describe the treatment and complication of anorectal abscess & fistula
Describe the definition and etiology of anal fissure
Describe the presentation and treatment of anal fissure
Describe the treatment of diarrhea
Describe fecal impaction
Describe constipation treatments
Describe the etiology and presentation of splenic rupture or laceration
Describe the diagnosis and treatment of splenic rupture and laceration
Describe the toxic ingestion of acetaminophen
Describe the toxic ingestion of salicylates
Describe the toxic ingestion of bases
Describe the toxic ingestion of hydrocarbons
Describe the toxic ingestion of iron
Describe the toxic ingestion of anticholinergics
Describe the toxic ingestion of cholinergics
Describe the etiology and presentation of button battery ingestion
Describe the diagnosis and treatment for button battery ingestion
Describe the etiology & presentation of a small bowel obstruction
Describe the diagnosis & treatment of a small bowel obstruction
Describe the etiology, RFs, & presentation of duodenal atresia
Describe the diagnosis & treatment of duodenal atresia
Describe the etiology, RFs, & presentation of intussusception
Describe the diagnosis & treatment of intussusception
Describe the etiology & presentation of diverticulitis
Describe the diagnosis & treatment of diverticulitis
Describe the etiology & presentation of volvulus
Describe the diagnosis & treatment of volvulus
Describe the diagnosis & treatment for appendicitis
Describe the etiology of acute mesenteric ischemia
Describe the presentation of acute mesenteric ischemia
Describe the diagnosis & treatment of acute mesenteric ischemia
Describe the etiology & presentation of ischemic colitis
Describe the diagnosis & treatment of ischemic colitis
Describe the etiology & presentation of toxic megacolon
Describe the diagnosis & treatment of toxic megacolon
Describe the etiology, presentation, diagnosis, & treatment of ulcerative colitis
Describe the etiology, presentation, diagnosis, & treatment of chron’s disease
Describe the etiology & presentation of incarcerated hernias
irreducible
painful enlargement of hernia that can’t be reduced (n/v if bowel obstruction)
surgical
Describe the etiology & presentation of strangulated hernias
compromised blood supply = surgical emergency
ischemic with systemic toxicity
Describe the etiology & treatment of epiploic appendagitis
Describe the etiology & presentation of appendicitis
Describe the etiology & pathophysiology of distal/diffuse esophageal spasm