Surgery EOR Study Guide Questions with
100% Verified Correct Answers
tx for cholecystitis
elective chole
ursodeoxycholic acid to descolve stones
choledolithiasis sx
RUQ pain
jaundice
n/v
choledolithiasis tx
ERCP
cholangitis triad
q**
ruq pain
jaundice
AMS /hypotensive
cholangitis dx
cholangiography via ERCP: GS
diverticulosis
Presence of diverticula, usually asymptomatic. Common in older adults and associated with a
low-fiber diet
,painless large volume of bright red blood
diverticulitis
inflammation or infection of diverticula, presenting with left lower quadrant abdominal pain,
fever, and leukocytosis.
dx of diverticulitis
CT abdomen (GS) - fat stranding and bowel wall thickening
AVOID COLONSCOPY in acute phase (acute phase is basically anytime they have
symptoms
tx for diverticulitis
uncomplicated/mild diverticulitis:
- oral antibiotics (e.g., ciprofloxacin and metronidazole) - clear liquid diet x 2-3 days,
progressing as tolerated
severe/acute: IV abx and admission
elective sigmoid colectomy after recovery for recurrent episodes, complicated disease,
immunocopromised or fistula
inpatient criteria for diverticulitis tx
Features of complicated diverticulitis include abscess formation, bowel obstruction, fistula
formation, and bowel perforation. High fever, significant leukocytosis, immunocompromised,
,can't tolerate PO, significant comorbidities, failed outpatient therapy, or complicated disease
on imaging
tx for acute diverticulitis w abscess
<4 just abx
>4 drainage
esophageal cancer two types
adenocarcinoma: MC in US
squamous: smoking
esophageal and gastric cancer dx
EGD with biopsy
upper GI bleed is above with
proximal to ligament of treitz
peptic ulcer disease sx, dx and tx
related to NSAIDS and h pylori
melena or hematoemesis
dx: EGDm urea breath test
TX: Treat My Belly Pain
T: tetracycline
M: metronidozole
B: bismuth
, P: PPI
if h pylori negative: just PPI(-azole) or h2 blocker (-tidine)
esophageal varices sx, dx and tx
*q*
due to portal HTN 9cirrhosis)
large volume hematemesis, hyoptensions
dx: EGD
tx: octreotide, ceftriaxone, EGD band ligation
if band ligation fails twice --> TIPS procedure
potal HTN
splenomegaly, ascites, varcices, capcut medusae, chronic hepatitis, alc use
portal vein diamester >13mm (1.3cm)
mallory weis sx, dx and tx
alc use!!
hemeatemesis after vomiting
EGD
PPI
100% Verified Correct Answers
tx for cholecystitis
elective chole
ursodeoxycholic acid to descolve stones
choledolithiasis sx
RUQ pain
jaundice
n/v
choledolithiasis tx
ERCP
cholangitis triad
q**
ruq pain
jaundice
AMS /hypotensive
cholangitis dx
cholangiography via ERCP: GS
diverticulosis
Presence of diverticula, usually asymptomatic. Common in older adults and associated with a
low-fiber diet
,painless large volume of bright red blood
diverticulitis
inflammation or infection of diverticula, presenting with left lower quadrant abdominal pain,
fever, and leukocytosis.
dx of diverticulitis
CT abdomen (GS) - fat stranding and bowel wall thickening
AVOID COLONSCOPY in acute phase (acute phase is basically anytime they have
symptoms
tx for diverticulitis
uncomplicated/mild diverticulitis:
- oral antibiotics (e.g., ciprofloxacin and metronidazole) - clear liquid diet x 2-3 days,
progressing as tolerated
severe/acute: IV abx and admission
elective sigmoid colectomy after recovery for recurrent episodes, complicated disease,
immunocopromised or fistula
inpatient criteria for diverticulitis tx
Features of complicated diverticulitis include abscess formation, bowel obstruction, fistula
formation, and bowel perforation. High fever, significant leukocytosis, immunocompromised,
,can't tolerate PO, significant comorbidities, failed outpatient therapy, or complicated disease
on imaging
tx for acute diverticulitis w abscess
<4 just abx
>4 drainage
esophageal cancer two types
adenocarcinoma: MC in US
squamous: smoking
esophageal and gastric cancer dx
EGD with biopsy
upper GI bleed is above with
proximal to ligament of treitz
peptic ulcer disease sx, dx and tx
related to NSAIDS and h pylori
melena or hematoemesis
dx: EGDm urea breath test
TX: Treat My Belly Pain
T: tetracycline
M: metronidozole
B: bismuth
, P: PPI
if h pylori negative: just PPI(-azole) or h2 blocker (-tidine)
esophageal varices sx, dx and tx
*q*
due to portal HTN 9cirrhosis)
large volume hematemesis, hyoptensions
dx: EGD
tx: octreotide, ceftriaxone, EGD band ligation
if band ligation fails twice --> TIPS procedure
potal HTN
splenomegaly, ascites, varcices, capcut medusae, chronic hepatitis, alc use
portal vein diamester >13mm (1.3cm)
mallory weis sx, dx and tx
alc use!!
hemeatemesis after vomiting
EGD
PPI
