GI- BUTTARO QUESTIONS AND
CORRECT ANSWERS
GI 7uRED 7uFLAGS 7u- 7uANS--AAA
Obstruction
Ruptured 7uspleen
Ruptured 7uectopic 7upregnancy
Visceral 7uperforation 7u& 7uperitonitis
Ischemic 7ubowel
Testicular/ovarian 7utorsion
Visceral 7upain 7u- 7uANS--is 7upoorly 7ulocalized 7u- 7uinvolves 7uhollow 7uorgans 7u(eg.
7uearly 7uappendicitis)
Parietal 7upain 7u- 7uANS--is 7uwell 7ulocalized 7u- 7uinvolves 7uabd 7uwall 7u(eg. 7ulate
7uappendicitis/peritonitis)
Less 7uimpressive 7usx 7uin 7uelderly 7u- 7udon't 7ube 7ufooled
Abdominal 7uPEARLS 7u- 7uANS--Should 7udo 7urectal 7u& 7upelvic 7ufor 7ufull 7uassessment
Female 7uof 7ureproductive 7uage 7u- 7uR/O 7uectopic
Note 7uprevious 7uabd 7usurgeries 7u- 7umay 7usuggest 7ubowel 7uobstruction
Don't 7uforget 7uthe 7ucardiac, 7upulmonary, 7urenal, 7urectal, 7u& 7upelvic 7uareas
Constipation 7upreceding 7uabd 7upain 7u= 7ucolon/rectal 7uproblem
Diarrhea 7uis 7uassociated 7uw 7uinfectious 7uGE, 7uIBD, 7udiverticulitis 7u& 7uearly
7uintestinal 7uobstruction
Vomiting 7uw 7uonset 7uof 7upain 7usuggests 7uperitoneal 7uirritation 7uor 7uperforation 7uof
7uviscus
Pain 7urelieved 7uby 7uvomiting 7usuggests 7uinfectious 7uGE, 7ubiliary 7ucolic, 7uor
7upancreatic 7udisease
High 7ufever, 7u> 7u102 7uw 7uaccompanying 7ulethargy 7u& 7uchills 7umay 7usignal
7uimpending 7useptic 7ushock 7uor 7uadvanced 7uperitonitis
McBurney's 7upoint 7u- 7uANS--
Appendicitis 7upresentation 7u- 7uANS--Common 7ucause 7uof 7uacute 7uabd 7upain
Most 7ucases 7ubefore 7uage 7u30
Presentation
* 7uPain 7uincreasing 7uin 7uintensity 7uover 7u24-48 7uhour 7uperiod; 7ulocalizing 7u- 7uinitially
7uvague, 7uperiumbilical; 7ulater 7u- 7uspecific 7uRLQ 7u- 7uMcBurney's 7upoint; 7urebound
* 7uA/N/V, 7uconstipation
, * 7uLow-grade 7ufever, 7uleukocytosis
Pearls
Pain 7ufirst; 7uthen 7uvomiting
Sx 7u> 7u72 7uhr 7uusually 7unot 7uappendicitis
No 7uanorexia; 7uT 7u> 7u102 7uor 7u< 7u99.5 7uless 7ulikely 7uto 7ube 7uappendicitis
Abd 7upain 7uw/o 7uother 7usx 7uis 7urarely 7ua 7userious 7uproblem
appendicitis 7uDX 7u- 7uANS--CBC; 7uCT 7uw 7ucontrast 7u(93-98% 7uaccuracy)
UA, 7uhcg, 7u
Surgical 7ureferral
common 7ucauses 7uof 7uvomiting 7u- 7uANS--GI
CNS
Drug 7uSE
Metabolic/endocrine
Cardiac
Other
Diarrhea 7u- 7udefinitions 7u- 7uANS--> 7u3 7ustools/day
> 7u200 7ugm/day
Acute: 7u<14 7udays 7u
Persistent: 7u15-30 7udays
Chronic: 7u> 7u30 7udays
Osmotic 7udiarrhea 7u- 7uANS--Non-absorbable 7usolute 7udraws 7uwater 7uinto 7uintestine
Up 7uto 7u1 7uliter/day
Secretory 7udiarrhea 7u- 7uANS--Most 7ucommon
Disruption 7uof 7uepithelial 7ucells 7ucauses 7uleakage 7u- 7unutrient 7u& 7uelectrolyte-rich
7ufluid
Large 7uvolume
Diarrhea 7ured 7uflags 7u- 7uANS--Fever
Abdominal 7upain
Dehydration
Bloody 7ustools
Gastroenteritis 7u- 7uANS--Sudden 7uonset 7uof 7uvomiting 7u& 7udiarrhea
Causes
50-70% 7uviral
Norovirus, 7urotovirus, 7uadneovirus...
15-20% 7ubacterial
C 7udiff, 7usalmonella, 7ushigella, 7ucampylobacter...
CORRECT ANSWERS
GI 7uRED 7uFLAGS 7u- 7uANS--AAA
Obstruction
Ruptured 7uspleen
Ruptured 7uectopic 7upregnancy
Visceral 7uperforation 7u& 7uperitonitis
Ischemic 7ubowel
Testicular/ovarian 7utorsion
Visceral 7upain 7u- 7uANS--is 7upoorly 7ulocalized 7u- 7uinvolves 7uhollow 7uorgans 7u(eg.
7uearly 7uappendicitis)
Parietal 7upain 7u- 7uANS--is 7uwell 7ulocalized 7u- 7uinvolves 7uabd 7uwall 7u(eg. 7ulate
7uappendicitis/peritonitis)
Less 7uimpressive 7usx 7uin 7uelderly 7u- 7udon't 7ube 7ufooled
Abdominal 7uPEARLS 7u- 7uANS--Should 7udo 7urectal 7u& 7upelvic 7ufor 7ufull 7uassessment
Female 7uof 7ureproductive 7uage 7u- 7uR/O 7uectopic
Note 7uprevious 7uabd 7usurgeries 7u- 7umay 7usuggest 7ubowel 7uobstruction
Don't 7uforget 7uthe 7ucardiac, 7upulmonary, 7urenal, 7urectal, 7u& 7upelvic 7uareas
Constipation 7upreceding 7uabd 7upain 7u= 7ucolon/rectal 7uproblem
Diarrhea 7uis 7uassociated 7uw 7uinfectious 7uGE, 7uIBD, 7udiverticulitis 7u& 7uearly
7uintestinal 7uobstruction
Vomiting 7uw 7uonset 7uof 7upain 7usuggests 7uperitoneal 7uirritation 7uor 7uperforation 7uof
7uviscus
Pain 7urelieved 7uby 7uvomiting 7usuggests 7uinfectious 7uGE, 7ubiliary 7ucolic, 7uor
7upancreatic 7udisease
High 7ufever, 7u> 7u102 7uw 7uaccompanying 7ulethargy 7u& 7uchills 7umay 7usignal
7uimpending 7useptic 7ushock 7uor 7uadvanced 7uperitonitis
McBurney's 7upoint 7u- 7uANS--
Appendicitis 7upresentation 7u- 7uANS--Common 7ucause 7uof 7uacute 7uabd 7upain
Most 7ucases 7ubefore 7uage 7u30
Presentation
* 7uPain 7uincreasing 7uin 7uintensity 7uover 7u24-48 7uhour 7uperiod; 7ulocalizing 7u- 7uinitially
7uvague, 7uperiumbilical; 7ulater 7u- 7uspecific 7uRLQ 7u- 7uMcBurney's 7upoint; 7urebound
* 7uA/N/V, 7uconstipation
, * 7uLow-grade 7ufever, 7uleukocytosis
Pearls
Pain 7ufirst; 7uthen 7uvomiting
Sx 7u> 7u72 7uhr 7uusually 7unot 7uappendicitis
No 7uanorexia; 7uT 7u> 7u102 7uor 7u< 7u99.5 7uless 7ulikely 7uto 7ube 7uappendicitis
Abd 7upain 7uw/o 7uother 7usx 7uis 7urarely 7ua 7userious 7uproblem
appendicitis 7uDX 7u- 7uANS--CBC; 7uCT 7uw 7ucontrast 7u(93-98% 7uaccuracy)
UA, 7uhcg, 7u
Surgical 7ureferral
common 7ucauses 7uof 7uvomiting 7u- 7uANS--GI
CNS
Drug 7uSE
Metabolic/endocrine
Cardiac
Other
Diarrhea 7u- 7udefinitions 7u- 7uANS--> 7u3 7ustools/day
> 7u200 7ugm/day
Acute: 7u<14 7udays 7u
Persistent: 7u15-30 7udays
Chronic: 7u> 7u30 7udays
Osmotic 7udiarrhea 7u- 7uANS--Non-absorbable 7usolute 7udraws 7uwater 7uinto 7uintestine
Up 7uto 7u1 7uliter/day
Secretory 7udiarrhea 7u- 7uANS--Most 7ucommon
Disruption 7uof 7uepithelial 7ucells 7ucauses 7uleakage 7u- 7unutrient 7u& 7uelectrolyte-rich
7ufluid
Large 7uvolume
Diarrhea 7ured 7uflags 7u- 7uANS--Fever
Abdominal 7upain
Dehydration
Bloody 7ustools
Gastroenteritis 7u- 7uANS--Sudden 7uonset 7uof 7uvomiting 7u& 7udiarrhea
Causes
50-70% 7uviral
Norovirus, 7urotovirus, 7uadneovirus...
15-20% 7ubacterial
C 7udiff, 7usalmonella, 7ushigella, 7ucampylobacter...
