misc

Question 1

management of high output stoma

Answer 1

restrict oral hypotonic fluid intake
dextrose-saline solution
oral omeprazole + loperamide

Question 2

most common cause of large bowel obstruction

Answer 2

malignancy

Question 3

features of mesenteric adenitis

Answer 3

presents like appendicitis following bacterial or viral illness
appendix normal on USS

Question 4

features of anal fissures

Answer 4

severe anal pain when passing stool

PR bleed

Question 5

anal fissure Mx

Answer 5

laxatives, fibre

lidocaine cream

Question 6

Ix for bowel obstructino

Answer 6

initial = X-ray

best - CT

Question 7

Lynch syndrome 3-2-1 rule

Answer 7

3 relatives w HNPCC
assoc cancers across 2 generations
1 cancer diagnosed <50yrs

Question 8

Mx anal abscess

Answer 8

incision and drainage

Question 9

gray turner’s sign

Answer 9

brusing along flanks

–> haemorrhagic pancreatitis

Question 10

pancreatic pseudocyst

Answer 10

4wks after acute pancreatitis

well circumscribed on CT
assoc w persistently raised amylase

Question 11

pancreatic pseudocyst - Mx

Answer 11

50% resolve spontaneously

if not - surgical debridement or endoscopic drainage

Question 12

pancreatic abscess

Answer 12

3wks after acute pancreatitis or 2ry to pseudocyst

CT shows pancreas necrosis with fluid collection + gas bubbles

Question 13

which vitamin is thiamine

Answer 13

B1