Peer 8 - abd and GI disoders

Question 1

Treatment in ED of massive upper GI bleed? Pharmacology wise

Answer 1

octreotide

Question 2

Treatment for uncomplicated diverticulitis in ED?

Answer 2

oral abx, clear liquid diet 48 hours, close follow up

Question 3

Cause of large volume of painless rectal bleeding in infant?

Answer 3

meckel’s diverticulum

2% complications
men 2 x more than women
2 feet of ileocecal valve
2& prevalence
age 2
2 cm wide by 2 inches long

Question 4

Treatment of toxic megacolon?

Answer 4

parenteral fluids, abx, steroids

Question 5

Treatment of acute cholangitis?

Answer 5

biliary decompression with ERCP

Question 6

Most common location of anal fissure?

Answer 6

posterior midline

Question 7

tx of amebic abscesses?

Answer 7

metronidazole

Question 8

Tx of choice for upper GI bleeding in PUD?

Answer 8

emergent EGD

Question 9

Highest diagnostic yield for intusussception

Answer 9

air enema

Question 10

Zollinger ellison syndrome causes what ED complication?

Answer 10

peptic ulcer disease

Question 11

When is battery ingestion emergent surgery?

Answer 11

caught in esophagus or not passing pylorus in 2 days

Question 12

Most common cause of infection post liver transplantation?

Answer 12

CMV

Question 13

Most common cause of SBO in children?

Answer 13

intussusception

Question 14

Most common cause of anal fistula?

Answer 14

abscess

Question 15

Tx of acute radiation proctocolitis?

Answer 15

analgesics and sucralfate

Question 16

In suspected hirschsprung disease, what should be included in management in the ED?

Answer 16

rectal decompression

Question 17

TX of sepsis?

Answer 17

fluid resus and abx

Question 18

Most common cause of esophageal perf in the US?

Answer 18

esophageal endoscopy aka iatrogenic

Question 19

Criteria for pancreatitis and disposition in ED?

Answer 19

Ranson Criteria:
Age > 55
WBC > 16000
Glucose > 200
LDH > 350
AST > 250

Score of 3 or more = ICU

Question 20

TX of SBP?

Answer 20

ceftriaxone (gram negative coverage)