Surgery EOR- GI questions and answers
Constipation? |- |ANSWERS✔✔<2 |bowel |movements |per |week
Obstipation? |- |ANSWERS✔✔severe |constipation |(can't |pass |stool |or |gas)
Ileus? |- |ANSWERS✔✔Hypomotility, |in |absence |of |obstruction |
Signs: |absent |bowel |sounds
>3 |days |post-op |is |postop |adynamic |ileus
H. |pylori |treatment |- |ANSWERS✔✔Triple |Therapy: |
PPI |+ |clarithromycin |+ |metronidazole |or |amoxicillin |for |14 |days. |
(Tetracycline |can |be |substituted |for |metronidazole |or |amoxicillin)
Treatment |for |Zollinger-Ellison |- |ANSWERS✔✔PPI |& |resect |tumor
Jaundice |= |bilirubin |> |_ |- |ANSWERS✔✔2.5
Surgeries |that |most |commonly |cause |postoperative |nausea/vomiting |- |
ANSWERS✔✔cholecystectomy |
gynecologic
laparoscopic
Failure |of |conservative |treatment |for |anal |fissures |warrants |- |ANSWERS✔✔sphincterotomy
Treatment |for |rectal |abscess |- |ANSWERS✔✔I&D, |+ |wound |culture |+ |antibiotics |(if |signs |of |
infection)
, Most |common |cause |of |an |anal |fistula |- |ANSWERS✔✔infected |anal |crypt |gland
Treatment |of |small |bowel |obstruction |(nonstrangulated) |- |ANSWERS✔✔NPO |(bowel |rest)
IV |fluids |(LR |or |NS |w/ |KCl)
NG |tube |decompression
Treatment |of |small |bowel |obstruction |(strangulated) |- |ANSWERS✔✔surgical |intervention
Kehr |sign |- |ANSWERS✔✔referred |left |shoulder |pain |due |to |irritation |of |diaphragm |and |phrenic |
nerve
When |splenectomy |is |indicated |- |ANSWERS✔✔splenic |trauma
ITP
Tympanic |abdomen |- |ANSWERS✔✔volvulus
Abdominal |CT |shows |"bird-beak" |appearance |- |ANSWERS✔✔volvulus
Abdominal |x-ray |shows |"bent |inner |tube" |or |"coffee |bean |sign" |- |ANSWERS✔✔volvulus
Treatment |of |volvulus |- |ANSWERS✔✔Endoscopic |decompression, |often |followed |by |elective |surgery
Risk |factors |for |cholelithiasis |- |ANSWERS✔✔"Fat, |fertile, |female, |forties"
Oral |contraceptives
Native |Americans
etc.
Indications |for |cholecystectomy |in |an |asymptomatic |cholelithiasis |- |ANSWERS✔✔sickle-cell |disease
Constipation? |- |ANSWERS✔✔<2 |bowel |movements |per |week
Obstipation? |- |ANSWERS✔✔severe |constipation |(can't |pass |stool |or |gas)
Ileus? |- |ANSWERS✔✔Hypomotility, |in |absence |of |obstruction |
Signs: |absent |bowel |sounds
>3 |days |post-op |is |postop |adynamic |ileus
H. |pylori |treatment |- |ANSWERS✔✔Triple |Therapy: |
PPI |+ |clarithromycin |+ |metronidazole |or |amoxicillin |for |14 |days. |
(Tetracycline |can |be |substituted |for |metronidazole |or |amoxicillin)
Treatment |for |Zollinger-Ellison |- |ANSWERS✔✔PPI |& |resect |tumor
Jaundice |= |bilirubin |> |_ |- |ANSWERS✔✔2.5
Surgeries |that |most |commonly |cause |postoperative |nausea/vomiting |- |
ANSWERS✔✔cholecystectomy |
gynecologic
laparoscopic
Failure |of |conservative |treatment |for |anal |fissures |warrants |- |ANSWERS✔✔sphincterotomy
Treatment |for |rectal |abscess |- |ANSWERS✔✔I&D, |+ |wound |culture |+ |antibiotics |(if |signs |of |
infection)
, Most |common |cause |of |an |anal |fistula |- |ANSWERS✔✔infected |anal |crypt |gland
Treatment |of |small |bowel |obstruction |(nonstrangulated) |- |ANSWERS✔✔NPO |(bowel |rest)
IV |fluids |(LR |or |NS |w/ |KCl)
NG |tube |decompression
Treatment |of |small |bowel |obstruction |(strangulated) |- |ANSWERS✔✔surgical |intervention
Kehr |sign |- |ANSWERS✔✔referred |left |shoulder |pain |due |to |irritation |of |diaphragm |and |phrenic |
nerve
When |splenectomy |is |indicated |- |ANSWERS✔✔splenic |trauma
ITP
Tympanic |abdomen |- |ANSWERS✔✔volvulus
Abdominal |CT |shows |"bird-beak" |appearance |- |ANSWERS✔✔volvulus
Abdominal |x-ray |shows |"bent |inner |tube" |or |"coffee |bean |sign" |- |ANSWERS✔✔volvulus
Treatment |of |volvulus |- |ANSWERS✔✔Endoscopic |decompression, |often |followed |by |elective |surgery
Risk |factors |for |cholelithiasis |- |ANSWERS✔✔"Fat, |fertile, |female, |forties"
Oral |contraceptives
Native |Americans
etc.
Indications |for |cholecystectomy |in |an |asymptomatic |cholelithiasis |- |ANSWERS✔✔sickle-cell |disease
