Acutely Ill Patient Flashcards

1
Q

Give some examples of shock

A

Hypovolemic
Distributive
Cardiogenic
Obstructive

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2
Q

Give causes of hypovolemic shock

A

Haemorrhage

Dehydration

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3
Q

Give examples of distributive shock

A

Blood goes into third space etc e.g.
Sepsis - gross vasodilation, increased oxygen demand from other issues
Neurogenic - injury to nervous system

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4
Q

Give examples of cardiogenic shock

A

Arrhythmia

Pump failure

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5
Q

Give examples of obstructive shock

A

Tamponade

Pneumothorax

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6
Q

Give some surgical conditions which can cause a patient to be acutely unwell

A

Appendicitis
Haemorrhage
Pancreatitis

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7
Q

What are the types of conditions can cause a patient to become acutely unwell?

A
Infection/inflammation
Perforation
Obstruction
haemorrhage
Ischaemia
Trauma
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8
Q

Examples of inflammation

A
Oesophagitis
Gastroenteritis
Pancreatitis
Appendicitis
Colitis
Diverticulits
Cholangitis
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9
Q

Perforation of oesophagus can be caused by?

A

Boerhaave’s - vomiting against closed glottis

Malignancy

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10
Q

Perforation of stomach can be caused by?

A

Gastric ulcer

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11
Q

Perforation of duodenum can be caused by?

A

Duodenal ulcer

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12
Q

Perforation of small bowel can be caused by?

A

Foreign body

Crohn’s

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13
Q

Perforation of colon can be caused by?

A

Diverticulitis
Malignancy
Iatrogenic

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14
Q

Perforation of gallbadder can be caused by?

A

Gallstone ileus

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15
Q

Perforation of rectum can be caused by?

A

malignancy

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16
Q

Ischaemia of small bowel can be caused by?

A

Thrombus

Embolus

17
Q

Ischaemia of colon can be caused by?

A

Watershed

18
Q

What are the classifications of post-op complications?

A

Direct - procedure specific complications

Indirect - general complications

19
Q

Examples of direct consequences resulting from the procedure

A

Leakage after GI resection and anastomosis
Biliary tree injury after cholecystectomy
Haemorrhage ischaemia after AAA repair

20
Q

General post-op lung complications

A

Atelectasis - collapse of lung basses
Pneumonia
PE
Pneumothorax

21
Q

General post-op renal complications

A

acute renal failure

22
Q

General post-op endo complications

A

Glucose derangement
Addisons
Drugs
Withdrawal

23
Q

General post-op cardiac complications

A

MI
Arrythmia
Tamponade

24
Q

What is the systematic approach you take if someone seems to have a complication?

A

ABCDEFG

25
Q

What are you looking out for when doing airway asssessment?

A

Look
Listen
Feel

Are they speaking to you?
Is there anything in their mouth?
Stridor?
Gurgling? Excess fluid production

26
Q

Airway - what would you do if there was a problem?

A

Headtilt
Jawthrust
Gadelle
Give high flow oxygen

27
Q

Breathing

A

Rate
Expansion
Percussion
Breath sounds

28
Q

What would you do if there was a tension pneumothorax?

A

needle decompression - midclavicular line if tension pneumothorax

29
Q

Circulation - things to check

A

Perfusion
Cap refill
HR
BP

THINK ABOUT WHETHER THEY ARE LOSING BLOOD VIA ABDOMEN

30
Q

Circulation - things you might give

A

IV cannula
Bloods
Fluid

31
Q

Disability - what are you looking at

A

Limbs

Neuro

32
Q

Exposure - what are you looking out for?

A

Check for injuries and rashes, potentially anaphylaxis

33
Q

What else might you do?

A
Pregnancy test (ectopic)
Urine (urosepsis)
ECG
Blood gas
FBC, kidney function 
Clotting
Group and stain
CXR mobile
34
Q

Young pt with peritonitis and epigastric pain

A

Pancreatitis

Ruptured duodenitis

35
Q

Old pt with peritonitis and epigastric pain

A

Pneumonia

36
Q

AAA presentation

A

Groin strain

Back pain

37
Q

What’s the word for air in the peritoneum?

A

Pneumoperitoneum

38
Q

What is chilaiditi’s sign

A

Air in viscus between????