Surgical Tut #3 lower Quadrant

Question 1

T9,10,11 in abdo denotes what area of gastro?

Answer 1

Foregut
midgut
hindgut

Question 2

DDx for lower abdo

Answer 2

diverticulitis
IBD, UC - contiguous
UTI
colitis

Question 3

ovaries sit in which compartment?

Answer 3

intra-abdominal compartment

Question 4

colitis ddx

Answer 4

infection-bacterial
pseudomembranous
-viral - 
autoimmune
radiation

Question 5

vascular colitis look for what presenting symptom?

Answer 5

pain out of proportion to signs

lactate levels

Question 6

most common place for diverticulitis? why? presents with?

Answer 6

sigmoid colon due to fat pouches, appendices epiploicae

PR blood l

Question 7

what are more common conditions for small bowel?

Answer 7

adhesions

hernias

Question 8

someone with LLQ pain, what is first question to ask?

Answer 8

hx of diverticular disease

Question 9

two kind of peritonism

Answer 9

local: pain, tenderness, guarding (involuntary) stethoscope, rebound tenderness
generalized: bad

Question 10

local peritonism signs?

Answer 10

pain, tenderness,
guarding (involuntary) stethoscope,
rebound tenderness

Question 11

how to check for involuntary guarding?

Answer 11

using stethoscope as pressure

Question 12

air under diaphragm medical term is?

Answer 12

pneumoperitonism

Question 13

what is rigler’s sign?

Answer 13

if gas in abdo, you see double line wall

Question 14

features of diverticulitis on CT?

Answer 14

fat stranding: inflamm, or perforation

abscess or phlegma

Question 15

ideal imaging for female pelvic?

Answer 15

transvaginal u/s/doppler and gyne exam

blood supply to ovaries

Question 16

umbilicus is at what levels?

Answer 16

T9,10,11