General Surgery Presentations Flashcards

1
Q

Give three causes of gastric outlet obstruction

A

Strictures (eg from peptic ulcer)
Malignancy
Bouverets

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2
Q

How will gastric outlet obstruction present?

A

Epigastric Pain
Early Satiety
Post Prandial Vomiting

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3
Q

Name four investigations for gastric outlet obstruction

A

Bloods
VBG/ABG
Endoscopy (after decompression)
CT with contrast

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4
Q

What is your initial management of most acute surgical presentations

A

IV fluids
NBM
Analgesia
Antibiotics

FANA

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5
Q

How should gastric outlet obstruction be managed?

A

Initial NG tube and decompression
PPI
OGD can often correct strictures and dilate
Most causes will require definitive surgical intervention

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