Small and Large Intestines

Question 1

Which vessel most likely to be infarcted

Answer 1

superior mesenteric

Question 2

3 causes of bowel infarction?

Answer 2

embolism
adhesions
global hypoperfusions

Question 3

watershed zones are what?

Answer 3

the end arterial vessels

Question 4

where is classic sites for intestinal ischaemia?

Answer 4

eg. SMA and IMA at the splenic flexure

Question 5

complications of ischaemic bowel?

Answer 5

perforation: peritonitis: large surface area

Question 6

bowel infarction presenting complaint?

Answer 6

not much abdominal signs or tenderness

sudden central abdo pain

Question 7

what is IgA transglutaminase positive mean?

and endomysial antibody

Answer 7

coeliac disease likely

Question 8

how else to test for coeliac?

Answer 8

HLA DQ2,8
biopsy
Gluten free diet

Question 9

what is link of coeliac disease to hypothyroidism?

Answer 9

autoimmune

Question 10

what kind of vesiculo-papular rash in coeliac disease?

Answer 10

dermatitis herpetiformus

Question 11

2 cancers from coeliac disease?

Answer 11

adenocarcinoma

T-cell lymphoma

Question 12

complications of coeliac

Answer 12

malnutrition
anaemia
osteoporosis
neuro-psychiatric

Question 13

what gastro organisms cause fever?

Answer 13

EHEC
salmonella
campylobacter
Shigella
'Notifiable diseases'

Question 14

acute self limiting gastro use antibiotics?

Answer 14

Nope

Question 15

risk factors for C-diff

Answer 15

old
in hospital
Cipro

Question 16

what causes fulminant colitis?

Answer 16

ulcerative colitis
C.Diff
Amoebic