Random Bowel Problems

Question 1

What are the complications of Crohn’s?

Answer 1

Inflammation
Stricture
Fistula

Question 2

What is a Volvulus?

Answer 2

This is when a loop of intestine loops around its own mesentery

Question 3

Who gets Volvulus?

Answer 3

The Elderly

Those with Chronic Constipation

Question 4

How does Volvulus present?

Answer 4

Sudden onset colicky lower abdominal pain

Abdominal Distension

Question 5

What is seen on investigation? What investigation?

This is for volvulus btw lolol yolo

Answer 5

Upright AXR

Coffee Bean Sign

Question 6

Management of Volvulus?

Answer 6

Surgery (Decompression and Resection)

Question 7

What is Meckel’s Diverticulum?

Answer 7

This is a diverticulum on the distal ileum that is present from birth

Question 8

Who is Meckel’s Diverticulum most common in?

Answer 8

Males

Question 9

Presentation of Meckel’s?

Answer 9

Asymptomatic
Rectal Bleeding
Malaena
intestinal Obstruction
Volvulus
Intussusception

Question 10

Investigations for Meckel’s Diverticulum?

Answer 10

Meckel’s Scan (99mTC)

Colonoscopy

Question 11

Treatment for Meckel’s Diverticulum?

Answer 11

Resection

Question 12

What is Intussusception?

Answer 12

This is when a segment of the bowel wall becomes telescoped into the segment distal to (Normally small intestine goes into larg)

Question 13

What causes Intussusception?

Answer 13

Usually a mass in the bowel wall (Eg: Tumour or Enlarged Lymphatic Tissue)

Question 14

How does Intussusception present?

Answer 14

Common in Children
Sudden Abdominal Colickly Pain
Pain gets worse