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YR3 Core Conditions > SBO/ĹBO > Flashcards

SBO/ĹBO Flashcards

1
Q

Causes of obstructions in adults

A

Prior surgery
Chrons
Appendicitis
Malignancy

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2
Q

Causes of obstructions in children

A

Appendicitis
Intussuception
Intestinal atresia
Volvulus

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3
Q

Types of obstruction

A

Simple: one point w/ no compromise to vasc
Closed loop: 2 points w/ no compromise to vasc
Strangulated: compromised blood supply

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4
Q

Presentation of obstruction

A

Abdo pain

  • colicky
  • location depends on gut region
  • constant pain suggests strangulation or impending perf

Distension

Vomiting

  • early in high obstruction
  • late or never in low obstruction

Absolute constipation

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5
Q

Ix in obstruction

A

Abdo xrays ERECT: identifies obstruction

Bloods: FBC, Urea, U+Es, amylase, VBG, G+S

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6
Q

Medical Mx of obstruction

A

RESUS: NBM + IV fluids
NGT to decompress UGIT
Catheterize

Therapy: analagesia + abx if strang. or perf.

Monitor

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7
Q

Surgical Mx of obstruction

A

Indications: anything but simple obstruction or if medical mx has failed

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YR3 Core Conditions (32 decks)

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