Acute/Peptic Perforation Flashcards

Includes acute perforation and peptic perforation. peptic perforation is a type of acute perforation

1
Q

what is an acute perforation?

A

full thickness injury to stomach or bowel wall

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2
Q

Causes of acute perforations?

A

Penetrating trauma
PUD
Appendicitis, Divertic
Bowel obstruction -> Volvulus, Toxic Megacolon
Cancer - Adenocarcinoma neoplasm
Connective Tissue disorders
CVD - low flow states
Infx - TB, Typhoid

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3
Q

What is a peptic perforation?

A

basically a peptic ulcer that eats all the way through the GI wall

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4
Q

Causes of Peptic perforations?

A

PUD
>65yo
H. pylori
NSAIDs
Smoking

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5
Q

Study of choice for peptic perforation?

A

CT W/Contrast

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6
Q

You order an abd XR for fear of a peptic perforation. What are you looking for?

A

“Rigler Sign”
Keep in mind, XR misses subtle free air 50% of the time

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7
Q

Trmnts for Peptic Perforation?

A

Resuscitation
PPIs
ABX
Sx Omental Patch Closure

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