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Surgery rotation > Small intestine > Flashcards

Small intestine Flashcards

(15 cards)

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1
Q

How long is the duodenum

A

12 inches

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2
Q

What marks the end of the Duodenum and start of Jejunum

A

Ligament of Treitz

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3
Q

SBO

A

high pitched bowel sounds

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4
Q

Labs to perform is suspect SBO

A

CMP
CBC
Type and screen
UA

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5
Q

What must you look for and rule out on PE in pts with SBO?

A

Look for SURGICAL SCARS

R/o incarcerated hernia!

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6
Q

What is the danger of complete SBO?

A

strangulation –> necrosis

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7
Q

Initial mgmt of pt with Small Bowel Obstruction?

A

NPO
NG tube
IVFluids
Foley

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8
Q

Diff b/w partial or complete bowel obstruction

A

CT scan w Oral Contrast

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9
Q

ABCs of SBP

A

Adhesions
Bulge (hernia)
CA and tumors

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10
Q

Tx of complete SBO

A

Laparatomy (open abdomen) and Lysis of adhesions

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11
Q

Tx of incomplete SBO

A

Conservative w close obs and NGT decompression

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12
Q

Most common reason for abd surgery in pts with Crohn’s dz

A

SBO d/t strictures

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13
Q

What tumor classically causes SBO d/t mesenteric fibrosis?

A

Carcinoid tumor

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14
Q

Leiomyoma

A

most common BENIGN small bowel tumor

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15
Q

Most common MALIGNANT small bowel tumor

A

Adenocarcinoma

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Surgery rotation (6 decks)

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