G E N

Question 1

signs and sx of bowel obstruction

Answer 1

Absolute constipation incl flatus
Abdominal pain
Weight loss

Abdominal distension
Tinkling bowel sounds

Question 2

Bowel cancer screening

Answer 2

60-75 year olds

faecal immunochemistry test
Tests for anitbiodies against human hb to detect blood in faeces

Every 2 years

Question 3

Colorectal ca gold standard imaging

Answer 3

Colonoscopy with biopsy

Question 4

What is hartmans procedure

Answer 4

Complete resection
Of recto sigmoid colon
With formation of end colostomy
And closure of rectal stump

Question 5

Types of stoma

Answer 5

Ileostomy - end vs loop

Colostomy - end vs loop

Question 6

Types of stoma and features

Answer 6

Colostomy = LIF, solid contents - less irritating to skin (flushed)

Ileostomy - RIF, spouted - drain alkaline liquid contents (so don’t irritate skin)

Question 7

Indications for stomas

Answer 7

Resection

Diversion in acute inflammation to allow bowel to rest

Permanent post APR for low rectal cancers

Question 8

Stoma complications

Answer 8

high out put
Necrosis 
Dermatitis 
Retraction 
Psychological, pschosexual
Parastomal hernia

Question 9

Which is easier to reverse

Answer 9

Loop ileostomy

Used in rectal ca