Left iliac fossa pain (oxford clin cases) Flashcards
1
Q
What is Troisier’s sign and what is it used for?
A
Left supraclavicular lymphadenopathy, it is a sign of GI malignancy
2
Q
How will pain for peritonitis generally present
A
The patient is lying very still and motion makes the pain worse
3
Q
What result on a venous blood gas indicates ischaemic bowel?
A
High lactate or metabolic acidaemia
4
Q
What may high lactate or metabolic acidosis on a venous blood gas suggest? How do you differentiate
A
Ischaemic bowel or DKA
To check, do a blood glucose and if its normal you can rule out DKA
5
Q
What should you always do before giving radiological contrast?
A
Check renal function
