Gastro Flashcards
appendicitis
RLQ
acute cholecystitis
RUQ
splenic trauma
pancreatitis
LUQ
ulcerative colitis
diverticulitis
LLQ
do stress ulcers develop immediately
no its over 5 days
who is predisposed to stress ulcer
critically ill
cortisol levels high
patents who are NPO
require GI prophylaxis
- PPI
- antacids
- H2 blockers
main causes of peptic ulcer
NSAID/H pylori
throw up bright red blood
upper GI
- more severe
stool of black/tarry
lower
if a patient has bloody throw up
NGT
what happens to the blood sugar if liver failure
decrease
portal hypertension
high pressure in portal vein
enlarged spleen
hypertension, keep platelets and WBC in there
leading to decrease platelets and WBC
cirrhosis can be due to
alcohol/autoimmune
portal hypertension can develop into
esophageal varices
hepatic encephalopathy is due to
ammonia
asterixis
flapping of the arms
hepatic fetor
ammonia causes musty smell
assessment of ascities
abdominal girth and weight
ballon tampnade is an effective way to acheiev
short term hemostasis
what is treatment for portal HTN and cirrhosis
TIPS
what is TIPs
portal vein and hepatic vein together to allow blood flow and decrease pressure
fulminant hepatic failure
severe acute liver failure (1-3wks)
can lead to encephalopathy
fulminant hepatic failure
- leading to
JAUNDICE
BLEEDING
HYPOGLYCEMIA
MET ACIDOSIS
Neomycin
reduces bacteria flora
lactolouse
decrease bacterial growth, traps ammonia and has a laxative effect
acute pancreatitis
pancreatic enzymes into pancreas and surrounding tissue
- loss of volume into retroperitoneal and peripancreatic spaces
signs of hypocalcemia
chovsteck
trousseau
acute pancreatitis GI labs
elevated serum amylase and lipase
management of acute pancreatitis
NPO
- NG tube
eneretal or TPN
complications of acute pancreatitis
hypovolemic shock
in blunt trauma what organs are involved
liver/spleen
what organs are worse to have punctured
fluid filled
liver injuries pain in what quadrant
URQ
10-12th rib can be associate with damage to
spleen
pain in left shoulder
Kehr sign
spleen pain in what quadrant
upper left
splenectomy requires
penumovax
uretrhal trauma is more common in
males
blood at the meatus
signifies trauma to the urethra
if there is blood at the meatus should we insert a foley
no
why do we care to know if someone died in a wreck
more likely to have severe injuries
cullens sign
blush purple sign at the umbilicus is a sign of bleeding in the peritoneum
gray turners sign
ecchymosis over flank
- retroperitoneal bleeding
tension percussion
hyper resonance
dullness percusion
ascites
hemothorax
