Small intestine

Question 1

How long is the duodenum

Answer 1

12 inches

Question 2

What marks the end of the Duodenum and start of Jejunum

Answer 2

Ligament of Treitz

Question 3

SBO

Answer 3

high pitched bowel sounds

Question 4

Labs to perform is suspect SBO

Answer 4

CMP
CBC
Type and screen
UA

Question 5

What must you look for and rule out on PE in pts with SBO?

Answer 5

Look for SURGICAL SCARS

R/o incarcerated hernia!

Question 6

What is the danger of complete SBO?

Answer 6

strangulation –> necrosis

Question 7

Initial mgmt of pt with Small Bowel Obstruction?

Answer 7

NPO
NG tube
IVFluids
Foley

Question 8

Diff b/w partial or complete bowel obstruction

Answer 8

CT scan w Oral Contrast

Question 9

ABCs of SBP

Answer 9

Adhesions
Bulge (hernia)
CA and tumors

Question 10

Tx of complete SBO

Answer 10

Laparatomy (open abdomen) and Lysis of adhesions

Question 11

Tx of incomplete SBO

Answer 11

Conservative w close obs and NGT decompression

Question 12

Most common reason for abd surgery in pts with Crohn’s dz

Answer 12

SBO d/t strictures

Question 13

What tumor classically causes SBO d/t mesenteric fibrosis?

Answer 13

Carcinoid tumor

Question 14

Leiomyoma

Answer 14

most common BENIGN small bowel tumor

Question 15

Most common MALIGNANT small bowel tumor

Answer 15

Adenocarcinoma