case 3 pearls Flashcards

1
Q

pt w bowel obstruction + sx=

Marked leukocytosis; left shift or

anion gap acidosis suggests…

A

bowel infarction

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2
Q

pt w bowel obstruction + sx=

Marked leukocytosis; left shift or

anion gap acidosis /

late or early sign?

A

late sign!!

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3
Q

pt w SBO =>

0 CT signs of ischemia=> NO ischemia?

A

no!! Ischemia is NOT ruled out yet!!!

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4
Q

suspected acute mesenteric ischemia

/if test =nl lactate level=> can we assume no AMI?

A

no!! AMI s NOT ruled out yet

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5
Q

vomitting a LOT+

hypOtension:

nl?

A

yes

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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

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7
Q

choledocholithiasis vs ascending cholangitis

A

ascending cholangitis= complication of choledocholithiasis

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