Vomiting

Question 1

When you vomit against closed glottis you risk?

Answer 1

Boerhaave’s tear, tear the esophagus

Question 2

thick and brown vomit suggestive of?

Answer 2

obstruction distal GI-ish area

Question 3

how much fluid does stomach make every day?

Answer 3

around 3 litres per day

Question 4

why vomiting cause hypokalaemia?

Answer 4

get metabolic alkalosis, potassium lost in kidneys when the H+/K+ pump work hard

Question 5

pseudo-obstruction symptoms?

Answer 5

non-mechanical
distended
classically recent surgery
opioids, nursing home, immobility

Question 6

demographics for volvulus in australia?

Answer 6

older nursing home residents

Question 7

Causes of small bowel obstruction?

Lumen-Wall-outside bowel

Answer 7

lymphomas
hernias
strictures

Question 8

what does low albumin usually mean?

Answer 8

negative phase reaction from inflammation

Question 9

management for bowel obstruction?

Answer 9

relieve obstruction
clear necrotic tissue
find cause (eg. cancer)

Question 10

fitness for surgery ask one thing?

Answer 10

functional status

Question 11

large amount of vomiting likely cause?

Answer 11

mechanical obstruction

Question 12

lynch syndrome increases risk of which cancers?

Answer 12

endometrial
ovarian
duodenal

Question 13

Fecal occult blood sensitivity?

Answer 13

30%

Question 14

what kind of polyps in rectum?

Answer 14

hyperplastic polyps: no malignant potential