Perforated Bowel Flashcards
1
Q
Physical exam finding for perforated bowel
A
Peritoneal signs in all abdominal quadrants
rigidity, rebound, tenderness
2
Q
Causes of Perforated Bowel 1. Trauma 2. Cancer 3. Mesenteric ischemia 4. Bowel obstruction (3)
A
PUD
IBD
Diverticulosis
3
Q
History suggestive of perforated PUD:
Sudden onset of intense, stabbing pain, followed by diffuse abdominal pain and distention
recurrent __ pain or chronic use of __
A
epigastric
NSAIDs
4
Q
Imaging to diagnose perforated bowel:
First: ___
Confirmatory: ___
A
First → X-ray abdomen
(Air under diaphragm)
Confirmatory → CT abdomen and pelvis
(Pneumoperitoneum)
5
Q
Treatment of Perforated Bowel:
A
urgent explorative laparotomy
omental graham patch: mobilized pedicle of greater omentum used
6
Q
(Analgesic) & (Analgesic) are contraindicated in patients with suspected bowel obstruction.
A
Ketorolac (NSAID)
Opioids
