Exam 3 GI Surgeries Flashcards Preview

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Flashcards in Exam 3 GI Surgeries Deck (20):
1

Bariatric Surgery: Qualifying pts?

BMI > 40
BMI > 35 w/ co-morb

2

Bariatric Surgery: Roux-En-Y Bypass? (3)

Most C
Leaves 30mL pouch
Restrictive and malabsorptive

3

Bariatric Surgery: Banding?

Restrictive

4

Bariatric Surgery: Sleeve?

Greater curvature removed
Restrictive

5

Total Gastrectomy nutritional effects? (3)

B12/Folate/Intrinsic factor deficiency = Macro anemia

Fe deficiency = Micro anemia

Ca2+/Vit D deficiency

6

Meckel's Diverticulum is?

Found?

True diverticulum

Antimesenteric border of ileum

7

Meckel's Diverticulum Rule of 2s?

2% of pop
2:1 M:F
2 yo
2 ft from ileocecal valve
2" long
2 types of mucosa (gastric or sm intest)

8

Meckel's Diverticulum presentation? (4)

Asympt
Abd pain
Bleed
Obstruction

9

Meckel's Diverticulum studies? (3)

Tx?

Meckel's Scan (Tech-99 nuclear)
Mesenteric Arteriography
Abd Exploration

Resection

10

Common Dzs of Colon/Rectum? (8)

Diverticulosis
Polyps
AdenoCA
Ulceritive colitis
Hemorr
Fissures
Volvulus
Crohn's

11

Colon Resection types:

Proctocolectomy

Abdominoperineal Resection

Low Anterior Resection

Removal of entire colon/rectum

Removal of low sigmoid colon/rectum/anus

Removal of distal sigmoid colon and 1/2 of rectum. Proximal sig/distal rectum anastamosis

12

Hemorrhoid classification/treatment: Grade I?

Palp, nonprolapsing, enlarged venous cushions

Fiber, stool soft

13

Hemorrhoid classification/treatment: Grade II?

Prolapse w/ strain, spontaneously reduce

Elastic ligation

14

Hemorrhoid classification/treatment: Grade III?

Spontaneously prolapse, manual reduction

Hemorrhoidectomy

15

Hemorrhoid classification/treatment: Grade IV?

Chronic prolapse, can't reduce

Hemorrhoidectomy

16

Indirect Inguinal Hernia? (4)

Most C
Thru deep inguinal ring
Lateral to epigastric vessels
P into scrotum/labia

17

Direct Inguinal Hernia? (2)

Thru Hasselbach's
Area of weakness in floor of canal

18

Hernia repair post-op complications? (4)

Scrotal hematoma/swelling
Hemorrhage
Void difficulty
Neuroma from nn damage

19

Pilonidal Cysts are?

Skin lesions in sacrococcygeal area
U boys post puperty
U midline
U hair follicle obstruction

20

Pilonidal Cyst tx?

I&D
ABX

If chronic:
open sinus
excision
cystectomy