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Medicine > Gastroenterology > Flashcards

Gastroenterology Flashcards

1
Q

appendicitis

A

migratory pain, mild pyrexia, anorexia, RIF tenderness

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2
Q

migratory pain, mild pyrexia, anorexia, RIF tenderness

A

appendicitis

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3
Q

mesenteric adenitis

A

recent URTI, high fever, generalised abdo discomfort

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4
Q

recent URTI, high fever, generalised abdo discomfort

A

mesenteric adenitis

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5
Q

ruptured AAA

A

sudden onset, radiating to back, collapse

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6
Q

sudden onset, radiating to back, collapse

A

ruptured AAA

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7
Q

perforated peptic ulcer

A

sudden onset, EG pain, preceding upper abdo pain, develops generalised abdo pain, peritonitis

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8
Q

sudden onset, EG pain, preceding upper abdo pain, develops generalised abdo pain, peritonitis

A

perforated peptic ulcer

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9
Q

intestinal obstruction

A

colicy pain, V, abdo distension, constipation, peritonism

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10
Q

colicy pain, V, abdo distension, constipation, peritonism

A

intestinal obstruction

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11
Q

mesenteric infarction

A

sudden pain, forceful evacuation, pain greater than physical signs

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12
Q

sudden pain, forceful evacuation, pain greater than physical signs

A

mesenteric infarction

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13
Q

appendicitis investigations

A

WCC, pregnancy test, CRP, amylase, urine dip

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14
Q

WCC, pregnancy test, CRP, amylase, urine dip

A

appendicitis investigations

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15
Q

mesenteric adenitis investigations

A

FBC, urine dip, TAUS

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16
Q

FBC, urine dip, TAUS

A

mesenteric adenitis investigations

17
Q

ruptured AAA investigations

A

CT when HD stable

18
Q

CT when HD stable

A

ruptured AAA investigations

19
Q

perforated peptic ulcer investigations

A

erect CXR, CT if diagnostic doubt

20
Q

erect CXR, CT if diagnostic doubt

A

perforated peptic ulcer investigations

21
Q

intestinal obstruction investigations

A

plain AXR, CT if diagnostic doubt

22
Q

plain AXR, CT if diagnostic doubt

A

intestinal obstruction investigations

23
Q

mesenteric infarction investigations

A

ABG, arterial phase CT

24
Q

ABG, arterial phase CT

A

mesenteric infarction investigations

25
Q

enterovesical fistula

A

communication between bowel and bladder

26
Q

enterovesical fistula symptoms

A

bubbly urine, recurrent UTIs

27
Q

enterovesical fistula - think!

A

CRC

28
Q

enterocutaneous fistula

A

between the intestines + the skin, high (duodenal/jejunal) vs low (colo) output

29
Q

enteroenteric/enterocolic/enterovaginal fistula

A

involving the large/small intestine/vagina

30
Q

dupdenal/jejunalcutaneous fistula

A

tend to be high output, electrolyte rich, leading to skin excoriation

31
Q

colocutaneous fistula

A

tend to be low output, faeculent material,

32
Q

enterocutaneous fistula may result from a

A

spontaneous rupture of an abscess, or iatrogenic

33
Q

the problem with enteroenteric/enterocolic/enterovaginal fistula

A

bacterial overgrowth may precipitate malabsorption Ss which is particularly serious in IBD

34
Q

octreotide

A

reduces pancreatic secretions

35
Q

reduces pancreatic secretions

A

octrecotide

36
Q

fistula management

A

will heal on their own if no pathology + if left, fit a stoma bag, TPN if causing nutritional deficiency

Medicine (30 decks)

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