Miscellaneous- surgical complications & psychiatric disorders

Question 1

what are 4 surgical complications of GI surgery?

Answer 1

ileus- paralysis of intestinal mobility
anastomotic dehiscence- breakdown of anastomoses
adhesions: fibrous tissue caused by inflammatory response
wound- infection or hernia

Question 2

why do surgical complications occur?

Answer 2

bad practice, handling of bowel, Rx, peritonitis, poor blood supply etc

Question 3

how can an ileus present?

Answer 3

vomiting, abdominal distension, dehydration, silent abdomen

Question 4

how may adhesions present?

Answer 4

sometimes with an intestinal obstruction

Question 5

how do you minimise complications of surgery?

Answer 5

pt selection, careful surgery, constant vigilance

Question 6

what are 5 GI psychiatric disorders?

Answer 6

globus, functional dysphagia, IBS may be caused by psychological factors, anorexia nervosa or bulimia nervosa

Question 7

what are 2 signs of bulimia nervosa?

Answer 7

Russel’s sign, decayed teeth

Question 8

what can anorexia nervosa cause?

Answer 8

dec Na, K etc and amenorrhoea