CSI Exam 6 Flashcards
Divisions for foregut, midgut, hindgut
duodenum and 2/3 transverse colon
arteries for foregut, midgut, hindgut
celiac, sma, ima,
nervesf or foregut, midgut, hindgut
vagus, vagus, pelvic
ventral wall defect with abdominal contents spilling out to the right of the umbilicus and NOT covered by peritoneum
gastroschisis
what is the six 2s of meckels diverticulum
2 inches long 2 feet from ileocecal valve 2x more common in males presents before age 2 2 types of tissue present 2% of the population
What are the retroperitoneal organs
SAD PUCKER
Suprarenal glands
Aorta and IVC
Duodenum (parts 2-4)
Pancreas (except tail) Ureters Colon (ascending and descending) Kidneys Esophagus (Thoracic portion) Rectum
Diff between femoral triangle and femoral sheath
triangle has the nerve
sheath does not
What are the borders of hesselbachs (inguinal) triangle
- Inferior epigastric vessels
- Lateral border of
rectus abdominis - Inguinal Ligament
3 GI regulatory substances released from the SI
CCK, secretin, motilin
Symptom of tropical sprue
Megaloblastic anemia
Agent of whipple
Tropheryma whipplie
Whipples dz presentation
Foamy whipped cream in a CAN
cardiac
arthralgias
neurological
also weight loss
What is seen on Whipples lab test
PAS shows foamy macrophages containing G+ bact
whats strongly associated with smoking
Crohns
What do you check for in kid with TEF
V Vertebral Hemivertebrae A Anus imperforated C Congenital heart dz T Tracheoesophageal fistula E Esophageal atresia R Renal Horseshoe kidney L Limb Radial hypoplasia, atresia
how do gallstones usually present
asymptomatic mostly or pain to RUQ with radiation to R shoulder and ifrascapular area
what are the 2 gallstones made of
cholesterol
calcium bilirubinate
what are the tx for gallstones
NSAIDS
laprascopic cholecystectomy
Ursodoxycholic acid
when is laprascopic cholecystectomy indicated
symptomatic gallstones
or
Asymptomatic with porcelain gallbladder, stones > 3cm, or surgery/cardiac transplant
when does porcelain gallbladder occur
chronic cholecystitis
what usually causes but is not the only cause of acute cholecystitis
gallstones going to cystic duct
what are the two murphys signs and what are they for
chlecystitis
regular one with pain radiating on inspiration
sonographic murphys sign
how do you diagnose gallstones
ultrasound followed by HIDA if not convinced (hepatic iminodiacetic acid)
what does HIDA scan used for
cholecystitis