GI Flashcards
1
Q
Which volvulus in old people and tx?
A
Signoid
Sigmoidoscopy and rectal tube (surgery of necrotic)
2
Q
<1 yr old, abd pain, vomting, distention, corkscrew X ray=
A
Midgut volvulus Usually before 1 year getupper GI series Blood in stool is a late finding Abx and surgery
3
Q
Asterixis is caused by elevation of what compound?
What does lacutlose actually do/
A
Too much ammonia absorption to give high GLUTAMINE in the brain
traps ammonia to poop it out
4
Q
Hx of CHF, low BP, LLQ pain, bloody poo=
A
ischemic colitis from hypoperfsuion low flow state to watershed area
5
Q
Appendicitis/diverticilutlis mimic
A
Epiploic appendagitis is caused by inflammation of the pouches of serosal fat that line the large intestine
TX: NSAIDS - self limiting
6
Q
Cirrhosis GI bleed. Treat it stepwise now.
A
CFTX Octreotife to reduce splanchnic flow PPI FFP!!! they are usually coagulopathic EGD prepare for blood with access
