Intestinal disorders Flashcards
1
Q
Appendicitis- Eti
A
- Most common surgical emergency
- 10-30 yrs old
- 10% population
- Gangrene within 36 hrs
2
Q
Appendicitis- Sx
A
- N/V
- Rebound tenderness
- Constipation
- Low grade fever
- Pain shifts to RLQ within 12 hrs
3
Q
Appendicitis- Dx
A
- Abd CT
4
Q
Appendicitis- Tx
A
- Broad spectrum abx
- Appendectomy
5
Q
Paralytic ileus- Eti
A
- Due to surgery, peritonitis, electrolytes, illness, opioids
- Loss of peristalsis
6
Q
Paralytic ileus- Sx
A
- N/V
- diminished/ absent bowel sounds
- diffuse abd discomfort
- No peritoneal irritation
7
Q
Paralytic ileus- Dx
A
Abd xray- air fluid levels, distended gas loops
8
Q
Paralytic ileus- Tx
A
- Tx underlying cause
- nasogastric suction
- Restrict oral intake
9
Q
Meckel diverticulum- Eti
A
- Congenital anomaly, pediatric emergency
10
Q
Meckel diverticulum- Sx
A
- Abd pain, nausea, vomiting
- Intestinal bleeding
- Bright red blood per rectum
11
Q
Meckel diverticulum- Dx
A
- Clinical presentation
12
Q
Meckel diverticulum- Tx
A
Surgical
13
Q
Small bowel obstruction- Eti
A
- Adhesions following abd surgery
- Malignancy, chrons
14
Q
Small bowel obstruction- Sx
A
Abd pain- intermittant & crampy
- N/V/D/C
- Abd distension
- Fever & tachycardia
15
Q
Small bowel obstruction- Dx
A
Abd xray or CT
16
Q
Small bowel obstruction- Tx
A
Surgical emergency
17
Q
Large bowel obstruction-Sx
A
Abrupt onset of sx
- Constipation, stool changes
- Abd pain & distension
- Recurrent LLQ pain
18
Q
Large bowel obstruction- Dx
A
Abd xray or contrast enema
19
Q
Large bowel obstruction- Tx
A
Surgical emergency
20
Q
C. diff- Eti
A
- Exposure to abx
- Fecal-oral contamination
- Hospitilized/ instituationalized pts
21
Q
C. diff- Sx
A
- Green, foul diarrhea 5-15 x per day
- Mucous stools
- Lower abd cramps
- Fever, hemodynamic instability, pain
22
Q
C. diff- Dx
A
- Rapid enzyme assay & PCR
23
Q
C. diff- Tx
A
- Stop abx
- Isolation precautions
- Start metronidazole, vanco
