Flashcard 10
management the acute abdomen
- analgesia
- ABs if needed
- decompress gut
- treat sepsis
- ascitic drainage
- ensure perfusion
- treat cause
management colorectal cancer
chemo
surgery
biologics
radiotherapy (rectal only)
palliative:
- colonic stenting
- chemo
GORD
gastrosophageal reflux disease
frequent, pathological episodes of acid/ bile reflux
symptoms:
- diarrhoea (with blood)
- abdo pain
- weight loss
- malaise
- lethargy
- anorexia
- N+V
- mouth ulcers
- malabsorption
- anaemia
- vit deficiency
crohns disease
management small bowel overgrowth
rotating antibiotics: - metronidazole - tetracycline - amoxycillin (each 2wks on/ 2wks off)
symptoms:
- dyspepsia
- gnawing/ burning
- stomach pain
- N+V
- early satiety
gastritis
choledochal cyst
congenital. cystic dilation of bile duct + obstruction of them
hyper mobility of oesophagus causes
achalasia
diffuse oesophageal spasm
what does functional loss of myenteric plexus @ LOS cause?
means it can’t relax
examples of generalised peritonitis causes
- contamination too rapid
- contamination persistent
- abscess ruptures
symptoms/ signs:
- N+V
- anorexia
- fever
- diarrhoea
- visceral then right iliac localised pain with rebound tenderness
- painful to move
appendicitis
symptoms:
- fatugue
- faint
- lethargy
- SOB
- headaches
- pale
- palpitations
- weight loss
- mouth ulcers
- disturbed vision
- irritability
- depression
- dementia
B12 deficiency
coeliac disease
autoimmune condition where body stupid and decides it dinnae like gluten and so attacks itself like an idiot.
type of carcinoma found in distal oesophagus
adenocarcinoma
causes peptic ulcer
infection alcoholism H Pylori NSAIDs/ aspirin systemic ulcers
describe peptic ulcer follow up + reasoning
endoscopy after 8 weeks cause gastric ulcers can sit over gastric carcinoma
NAFLD
non-alcoholic fatty liver disease
types of NAFLD
- simple steatosis
- non-alcoholic steatohepatitis
- fibrosis + cirrhosis
how is Hep A transmitted and who’s at risk
sex faecal-oral blood travellers chronic liver disease
MSM
management anal fistula
collagen glue
stitches
fistulotomy
most common types anorectal cancer
- adenocarcinoma
- SCC
