Small Bowel Flashcards

1
Q

What are the two most common causes of small bowel obstructions?

A

Adhesions and hernias

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2
Q

3 clinical signs of small bowel obstruction?

A

Borborygmi sound
Ab distention
Obstipation

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3
Q

Two image step for obstruction?

A

KUB looking for fluid air levels

CT with contrast to see if it is complete or incomplete

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4
Q

Treatment for incomplete and complete small bowel obstruction?

A

Conservative, fluids, potassium, NG tube decompression for 3 days
Surgery

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5
Q

Patient population getting direct hernias?
What does it herniate through?
Same questions for indirect?

A

Adult males
Transversalis

Babies, male
Through inguinal ring into testes

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6
Q

Patient population of femoral and where do they go?

Cause of ventral?

A

Females, under inguinal ligament

Failure of fascia to close, post op is a big deal

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7
Q

3 severities of hernias?

A

Reducible
Incarcerated
Strangulated

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8
Q

Pain pattern of appendicitis?

A

Periumbillical first, goes away, and then comes back at McBurneys

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9
Q

Triad of carcinoid syndrome?

How to diagnose?

A

Flushing, wheezing, diarrhea

Urine for 5 HIAA
CT to confirm

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