Generalized Abdo Pain

Question 1

can you get vomiting with large bowel obstruction?

Answer 1

yes if incompetent iliocaecal valve

Question 2

hx of abdo surgery means what for current surg?

Answer 2

could be adhesions

Question 3

why is smoking status important in surgery?

Answer 3

ability to heal

Question 4

causes of dry mucous membranes in acute abdo? 2 big reasons

Answer 4

vomiting

3rd spacing

Question 5

what is a Kocher’s Incision?

Answer 5

right upper quadrant incision

Question 6

what should you check for in all abdo pain patients with suspected bowel obstruction?

Answer 6

strangulated hernia

Question 7

what is a succussion splash?

Answer 7

fluid splashing against incompetent pylorus valve

Question 8

why check testicles in acute abdo?

Answer 8

check for hernias

Question 9

if patient is too painful for erect x-ray, what can you do?

Answer 9

lateral decubitus

Question 10

how many air fluid levels needed for bowel obstruction dx?

Answer 10

> 5

Question 11

how do you tell small from large bowel on x-ray?

Answer 11

small bowel has plica circularis all throughout bowel

Question 12

resuscitation includes what treatments?

Answer 12

analgesia

fluids

Question 13

why NG Tube for bowel obstruction?

Answer 13

relief of vomiting

and measure fluid out

Question 14

how to know how much fluid to give to bowel obstruction patients?

Answer 14

check the NGtube and urine catheter bag to see how much is being los per hour

Question 15

ddx when history is sudden severe abdo pain?

Answer 15

AAA
perforation
pancreatitis

Question 16

acute abdo, with lots of pain and doesn’t want to move around indicates?

Answer 16

peritonitis

Question 17

H. Pylori usu. cause what kind of ulcers?

Answer 17

duodenal ulcers

Question 18

what x-rays for acute abdo pain?

Answer 18

chest, abdo, pelvis

Question 19

5 Fs of abdo distension?

Answer 19

feotus
fat
flatus
faeces
f-ing big tumour