GI Trauma/Emergencies Flashcards
Between what ages is appendicitis the most common?
10-19
Describe the history of the pain with Appendicitis
- Visceral (vague and aching) abdominal pain
- Localizes to the RLQ
- Somatic (localized and sharp)
Early Appendicitis can mimic?
Gastroenteritis or viral illness
Early Appendicitis can mimic gastroenteritis or viral illness. Why should you treat the patient and not the CBC/UA lab results?
CBC and UA can come back normal OR abnormal in patients with appendicitis
In kids, instead of a CT, what test should you get first to check for appendicitis?
US
– if (-) then get a CT
Ingested foreign bodies are most common in?
Children
Ingested foreign bodies most common treatment?
Watch and wait == usually pass without intervention
What is an example of a common foreign body ingested in children?
Coin, button batteries
In adults, what is the most common ingestion that causes obstruction?
Food(meat) ==> food bolus
Most frequent site of obstruction for foreign bodies?
Esophagus
What are the signs of an esophageal obstruction?
Drooling and inability to swallow liquids
If a patient is drooling and cannot swallow liquids, what should you do?
Emergent Endoscopy
What symptoms with foreign body ingestion would require a further workup?
Fever, abdominal pain and vomiting after ingestion
When should you get imaging after a foreign body ingestion?
When the patient does NOT have signs of an esophageal obstruction
2 options for imaging and what they can be good for with ingestion of foreign bodies?
Plain radiograph - not all things show up
CT - narcotics, sharps, perforation
What 3 things does treatment of a foreign body ingestion depend on?
Symptoms
Type of object
Location of object
What 3 things does treatment of a foreign body ingestion depend on?
Symptoms
Type of object
Location of object
What treatment does the majority of foreign body ingestion cases require?
Watch and wait
- can get weekly x-ray until found in stool
Majority of foreign objects will pass in?
4-6 days
What treatment does esophageal obstruction require?
Endoscopy within 6-24 hours
Protrusion of an organ through the body wall that normally contains it
Hernia
What 3 ways can hernias be classified?
Location
Contents
Status of contents
Most common ventral hernias?
Epigastric
Umbilical
Most common groin hernias?
Inguinal – direct and indirect
Femoral
Obturator
