case 3 pearls Flashcards
1
Q
pt w bowel obstruction + sx=
Marked leukocytosis; left shift or
anion gap acidosis suggests…
A
bowel infarction
2
Q
pt w bowel obstruction + sx=
Marked leukocytosis; left shift or
anion gap acidosis /
late or early sign?
A
late sign!!
3
Q
pt w SBO =>
0 CT signs of ischemia=> NO ischemia?
A
no!! Ischemia is NOT ruled out yet!!!
4
Q
suspected acute mesenteric ischemia
/if test =nl lactate level=> can we assume no AMI?
A
no!! AMI s NOT ruled out yet
5
Q
vomitting a LOT+
hypOtension:
nl?
A
yes
6
Q
vomitting ONCE & hypOtension: nl?
A
No!! there is a source of fluid loss or vasodilation
loss of fluid:
intraabdominal hemorrahge (GI tract or intraperitoneal) ; etc
or vasodilation; for ex: sepsis
7
Q
choledocholithiasis vs ascending cholangitis
A
ascending cholangitis= complication of choledocholithiasis
