Small Bowel Flashcards
What are the two most common causes of small bowel obstructions?
Adhesions and hernias
3 clinical signs of small bowel obstruction?
Borborygmi sound
Ab distention
Obstipation
Two image step for obstruction?
KUB looking for fluid air levels
CT with contrast to see if it is complete or incomplete
Treatment for incomplete and complete small bowel obstruction?
Conservative, fluids, potassium, NG tube decompression for 3 days
Surgery
Patient population getting direct hernias?
What does it herniate through?
Same questions for indirect?
Adult males
Transversalis
Babies, male
Through inguinal ring into testes
Patient population of femoral and where do they go?
Cause of ventral?
Females, under inguinal ligament
Failure of fascia to close, post op is a big deal
3 severities of hernias?
Reducible
Incarcerated
Strangulated
Pain pattern of appendicitis?
Periumbillical first, goes away, and then comes back at McBurneys
Triad of carcinoid syndrome?
How to diagnose?
Flushing, wheezing, diarrhea
Urine for 5 HIAA
CT to confirm