MedEd GI Surgery Flashcards
1
Q
what are the causes of diffuse pain
A
gastroenteritis mesenteric ischaemia bowel obstruction peritonitis IBS (exclusion)
2
Q
c yes
A
e yes
3
Q
b yes - secondary to appendicitis
risk factors of GI perforation - peptic ulcer disease
A
e yes
4
Q
appendicitis yes
A
diverticulitis
5
Q
a yes
A
sigmoid volvulus
6
Q
what is riglers sign
A
if there is free intraabdominal gas adjacent to a gas-filled loop of bowel then both sides of the bowel wall are well defined
can see both sides of the wall due to gas inside and outside the bowel
7
Q
what is the investigation of choice for acute appendicitis
A
CT scan (95% sensitivity)
8
Q
what is the sign of sigmoid volvulus
A
coffee bean sign
9
Q
what is the sign of caecal volvulus
A
embryo sign
