Lower Abdominal Pain Flashcards Preview

MD2 Surgery and Anaesthesia > Lower Abdominal Pain > Flashcards

Flashcards in Lower Abdominal Pain Deck (10):
1

In a possible aortic dissection, why is it important to measure distal pulses?

As dissection proceeds , ripped intima occludes vessel > lose flow to that limb

2

When is surgical intervention for a abdominal aortic aneurysm recommended?

Larger than 5 cm

3

What is the differential diagnosis for an inguinal hernia?

Hydrocoele
Inguinal lymph node enlargement
Psoas abscess
Undescended testis
Tumour - rare

4

What is an incarcerated hernia?

Irreducible

5

What is a strangulated hernia?

Blood supply compromised

6

Does a normal lactate level exclude ischaemia?

No

7

What does mesenteric stranding on CT abdomen mean?

Inflammatory change

8

What are the complications of diverticulitis?

Contained perforation
Abscess
Free perforation
Bleeding
Large bowel obstruction

9

For diverticulitis, what antibiotics are given?

Gram -ves > ceftriaxone/gentamicin
Anaerobes > metronidazole/tazocin (if metronidazole shortage)
Gram +ve cocci > ampicillin/amoxicillin

10

What is the response to blood loss in fit, young people?

Good vasoconstriction
HR increased with stable BP
Volume depletes so much > collapses