Flashcards in Small Bowel Diseases Deck (23):
How does a small bowel obstruction present?
What could be found on examination in a patient with a small bowel obstruction?
altered bowel habits
What is the management for small bowel obstruction?
Insert nasogastric tube
Monitor urine output
what is the surgical management of small bowel obstruction?
follow dilated or collapsed bowel to obstruction
Give antithromboembolic treatment
What is mesenteric ischaemia?
a condition in which the supply of oxygen is too small to satisfy the needs of the intestines and is caused by an embolus from AF or thrombosis
What would suggest a diagnosis of small bowel disease?
Pain that can't be explained
CPR is often normal
What is Meckle's Diverticulum?
a slight bulge in the small intestine present at birth - where small bowel attaches to the yolk sac
Which layers of the small bowel are affected by Meckel's Diverticulum?
All three layers
What are the complications of Meckel's diverticulum?
What is the most common obstruction in appendicitis?
obstruction of the lumen by faecolith - causes problems with blood supply
What can cause appendicitis?
bacteria, fungus or parasite
What is the pathology of appendicitis?
build up of mucus
small bowel adhesion
what are the symptoms of appendicitis?
central pain which migrates to the RIF
Vomiting - episodic
Little bowel movement
what are the signs of appendicitis?
localised pain in the RIF
what is Rosving's sign?
When pressing on the left of the abdomen causes pain on the right
What is the clinical significance of psoas?
when the right hip is flexed the appendix is kept off the psoas and causes relief?
Potential differential diagnosis of appendicitis in children?
Potential differential diagnosis of appendicitis in adults?
ectopic pregnancy (women)
Potential differential diagnosis of appendicitis in the elderly?
carcinoma of the caecum
Investigation for appendicitis
ultrasound (in women and children)
AXR - excludes constipation
What is the management of appendicitis?
analgesia - for pain
antipyretics - for temperature
When should an appendix mass be operated on?
if complications occur - tachycardia, worsening pain, increasing in size