Gastroenterlogy/Gen Surg

Question 1

what is the classic triad of mesenteric ischaemia

Answer 1

high lactate, soft but tender abdomen, CVD

Question 2

what is a Hartmanns procedure

Answer 2

A proctosigmoidectomy or Hartmann’s procedure is the surgical resection of the rectosigmoid colon with closure of the anorectal stump and formation of an end colostomy. It was used to treat colon cancer or inflammation (proctosigmoiditis, proctitis, diverticulitis, etc.).

Question 3

what are the causes of pneumoperitoneum

Answer 3

perforated duodenal ulcers, perf gastric ulcers, small or large bowel perfs and perforated diverticulum

Question 4

anaemia and PR bleeding (+ associated angiodysplasia) in aortic stenosis

Answer 4

HEYDE’s syndrome

Question 5

parkland formula for fluid resuscitation in burns is

Answer 5

volume of fluid=body weight x SA% burned x 4ml

Question 6

management of scabies

Answer 6

1st line is permethrin, apply insecticide to all areas including face and scalp, allow to dry and leave on skin for 8-12 hours for permethrin or 24 hours for malathion