Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 3 > Tennis gastro tut > Flashcards

Tennis gastro tut Flashcards

1
Q

What is a less likely cause of hypotension and why?

A

Blood loss- you have to loose 30% of your blood vol to become hypotensive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the onset of ruptured AAA?

A

It can be a few days as it might leak at first then rupture

Usually onset is sudden in exam qs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are RF for ruptured AAA?

A

smoking hx

connective tissue disorders (marfans)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What signs of shock do you get in ruptured AAA?

A

Hypotension
Sweaty
Pale
No fever!!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the screening programme for AAA?

A

One USS at age 65 offered to all men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What size is AAA for surgery?

A

> 5.5cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is absolute constipation?

A

No flatus or faeces passed in the past 12-24 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is small bowel obstruction managed?

A

drip and suck: iv fluids and NG tube w drainage
surgery if peritonitis or perforated
can be conservative for 72 hrs but most usually need surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some reasons small vs large bowel are obstrcuted?

A 
Large= volvulus, malignancy 
Small= adhesions, strictures (past surgery)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is SBP? How is it diagnosed?

A

Bacterial peritonitis

Tap the ascites and it has high neutrophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are signs and symptoms of peritonitis?

A

rebound tenderness
guarding
rigidity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a major RF for mesenteric ischaemia?

A

AF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens in mesenteric ischaemia?

A

Blood clots cut off blood supply to mesentery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the character of pain in mesenteric ischaemia?

A

Severe pain generalised out of proportion to findings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does mesenteric ischaemia present?

A

Severe abdo pain put of proportion to findings
May have distention
May have blood in stool
May have some NV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are RF for mesenteric ischaemia

A 
smoking 
AF
MI
heart defects 
vasculitis
age
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What ix are done in mesenteric ischaemia and what is seen?

A

CT w contrast angiogram
Colonoscopy
Lactate will be high

18
Q

What acid base imbalance does metformin cause?

A

Metabolic acidosis

19
Q

How is mesenteric ischaemia managed?

A

Laparotomy

20
Q

What imaging done for bowel perforation?

A

ERECT cxr

21
Q

What sign is seen in erect cxr in bowel perforation? What is this?

A

Pneumoperitoneum- free air under the diaphragm

22
Q

how do you differentiate betwen sigmoid and caecal volvulus on imaging?

A

Sigmoids volv= coffee bean

Caecal volv= embryo sign

23
Q

What sign is seen on imaging in sigmoid volvulus?

A

Coffee bean sign

24
Q

What is the most common cause of pancreatitis in a men vs women?

A 
Man= alcohol
Women= gallstones
25
Q

What severity scores are used in pacreatitis?

A

Modified glasgow score

RANSON criteria

26
Q

What is a marker of chronic pancreatitis?

A

Faecal elastase

27
Q

What is a common electrolyte abnormality in pancreatitis? When else is it seen

A

Hypocalcaemia

Usually not seen in much else

28
Q

Amylase above what level is diagnostic of pancreatitis?

A

above 1000

29
Q

How high is the glasgow score for pancreatitis?

A

more than 3

30
Q

What are the 2 main RF for pancreatitis?

A

gallstones

alcohol

31
Q

How does onset of pain differ between gastric and duodenal ulcers?

A 
Duodenal= pain better after eating (sphicter closes)
Gastric= pain worse right after eating
32
Q

What are some rf for duodenal ulcers?

A

antidepressants
h pylori
corticosteroids
bisphosphonates

33
Q

What medications might cause duodenal ulcers?

A

Antidepressants
corticosteroids
bisphosphonates

34
Q

How do you test for h pylori?

A

carbon urea 13 breath test

CLO stool antigen test

35
Q

What is GS ix for peptic ulcer disease?

A

Endoscopy

36
Q

what are indications for endoscopy in peptic ulcer disease?

A

If you think its bleeding

You dont need to do it if the ulcer seems really stable

37
Q

What type of ulcer is more common in peptic ulcer disease?

A

Duodenal

38
Q

What abx are given alongside PPI to manage peptic ulcer disease as h pylori eradication?

A

Clarithromycin

amoxicillin

39
Q

Why does low fibre cause diverticulitis?

A

low fibre= low stool bulk= more intraluminal pressure= herniation of mucosa

40
Q

What is seen on barium enema in diverticulitis?

A

Saw tooth pattern

41
Q

How is diverticulitis managed?

A

abx, fluids, bowel rest

Year 3 (104 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions