Surgical Tut #2 Epigastric & RUQ

Question 1

how to test for exocrine pancreas function?

Answer 1

faecal elastase

Question 2

duodenal ulcer posterior erosion what is affected

Answer 2

vessels gastroduodenal artery: haematemesis

Question 3

how to test for autoimmune pancreatitis?

Answer 3

IGG4

Question 4

what important treatment in pancreas early on that affects morbidity and mortality?

Answer 4

fluid resuscitation

Question 5

lipase normal range?

Answer 5

0-60/120

Question 6

pancreatitis abnormal value?

Answer 6

> 1000

Question 7

FBE in pancreatitis, look at what?

Answer 7

Pack Cell Volume

Question 8

complications of pancreatitis

Answer 8

pseudo cysts

infective

Question 9

imaging for pancreatis??

Answer 9

CXR
CTA/P
US
MRCP
ERCP

Question 10

when do you need to take out the gall stone?

Answer 10

cholangitis AND pancreatitis

Question 11

pancreas treatment?

Answer 11

fluids
PPI
IDC
analgesia (panadol, endone, PCA (morphine/fentanyl)

Question 12

biliary colic pain presentation?

Answer 12

constant, self limiting

Question 13

RUQ Ultrasound looks at what?

Answer 13

liver (echo texture)
gallbladder
biliary tree
right and left kidney
panceas

Question 14

why can’t you see pancreas well in ultrasound?

Answer 14

can be obstructed with bowel gas

Question 15

differentials for epigastric pain

Answer 15

pancreatitis
gastric/duodenal ulcer
AMI
MSK
Esophagitis
AAA
biliary colic
mesenteric ischaemia
lymph nodes
gastric outlet obstruction

Question 16

what pathology in gallbladder?

Answer 16

stones
polyps
fluids
gall bladder wall

Question 17

common bile duct diameter should be?

Question 18

gall bladder wall thickness?

Question 19

CTIVC injected with?

Answer 19

biliscopin

Question 20

when do CTIVC?

Answer 20

> 30

Question 21

AAA, which of two are easier to fix?

Answer 21

below the renal arteries

Question 22

2 kinds of AAA?

Answer 22

supra-renal AAA

infra-renal AAA

Question 23

what investigation to check for AAA in ED?

Answer 23

FAST scan

CTA