Surgery GI Flashcards

1
Q

Best way to assess nutrition through enteral feeds

A

Albumin

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2
Q

Tissue in meckels

A

Remnant of ophalomesenteric duct

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3
Q

Omphalocele covered by

A

Peritoneum

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4
Q

Umbilical Hernia covered by

A

Skin

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5
Q

Gastroschisis covered by

A

Nothing

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6
Q

Beckwith wiedeman

A
Macroglossia
Macrosomia
Omphalocele
Ear creases
Hypoglycemia
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7
Q

What size umbilical hernia will spontaneously close

A
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8
Q

When is surgery recommended for persistent hernias

A

Age 5

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9
Q

What side of umbilicus does gastroschisis herniate

A

Right side

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10
Q

Gastroschisis tx

A

Surgical emergency

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11
Q

Umbilical granuloma

A

Soft moist pink pedunculated friable lesion after umbilical cord separation

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12
Q

Umbilical granuloma tx

A

Silver nitrate

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13
Q

How to assess deep abdominal spaces

A

Psoas sign

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14
Q

Appendicitis time of rupture

A

after 5 days

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15
Q

appendiceal abcess tx

A
stable = Abx, drain, rest, appendectomy after 6 weeks
unstable = urgent appendectomy
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16
Q

appendiceal adenocarcinoma tx

A

R. Hemicolectomy

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17
Q

tongue cancer what nodes

A

submandibular or cervical

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18
Q

tongue cancer what nerves

A
hypoglossal nerve/ 
lingual nerve(mandibular branch of trigeminal)
19
Q

Gallstone ileus

A

is caused by erosion of a stone from the gallbladder into the GI tract (most commonly the duodenum)

20
Q

Gallstone Ileus tx

A

ileotomy for stone extraction followed by an interval cholecystectomy is often a safer alternative. Interval means do it later.

21
Q

succussion splash

A

retained gastric material >3 hours after a meal indicates pyloric stricture.

Done by rocking pt. back and forth

22
Q

tender swelling and tingling

A

think compartment syndrome

23
Q

MCC SBO

A

adhesion

24
Q

MCC colon obstruction

A

cancer

25
Q

melena

A

bleeding above ligament of treitz

26
Q

SMA syndrome

A

compression of duodenum by AA

27
Q

radiation proctitis

A

diarrhea, rectal bleeding, tenesmus (feeling of pooping), incontinence

28
Q

massively dilated colon without small bowel obstruction

A

colonic pseudoobstruction

29
Q

how do you know there is perforation of the bowel

A

free air under diaphragm

30
Q

how to dx acute appendicitis

A

clinical diagnosis

31
Q

appediceal abcess for >5 days

A

has likely walled off as a phlegmon… conservative tx and appendectomy weeks later

32
Q

Pancreatic injury dx

A

Serial CTs because a pancreatic abcess may take a while to form

33
Q

pancreatic abcess tx

A

percutaneous drain, culture, and debreidment

34
Q

anatomic location of duodenum

A

retroperitoneal

35
Q

positive FAST… what next?

A
stable = CT
unstable = ex lap
36
Q

what will relax the sphincter of Oddi

A

anticholinergics

37
Q

pericholecystic fluid

A

may indicated acalculus cholecystitis

38
Q

tx for acalculus cholecystitis

A

Abx + percutaneous cholecystotomy via radiologic guidance

39
Q

periumbilical abdominal pain out of proportion to exam

A

mesenteric ischemia

40
Q

fat malabsorption like in Crohns causes what to be absorbed

A

hyperoxaluria

41
Q

CRAP

A

Colon then Rectum then Anus then Poop

42
Q

Acute Cholecystitis

A

RUQ
fever
leukocytosis

43
Q

treatment if stones cause ductal dilation

A

ERCP

44
Q

Duodenal Hematoma blood collects where?

A

between mucosa and submucosa following trauma

epigastric pain and vomiting

resolves in 2 weeks so use nasogastric suction