surgery Flashcards
1
Q
what key part of bowel obstruction hx?
A
absolute constipation
2
Q
if ?obstruction - which ix?
A
CT abdo with contrast - what is causing the obstruction
not xray - doesn’t change mx plan
3
Q
coffee bean shape on AXR?
A
volvulus
4
Q
where examine if ?Large bowel obstruction?
A
RIF
looking for peritonism
5
Q
what is a volvulus?
A
twisting of bowel that becomes blocked
6
Q
sudden onset, radiating straight through to back drop bp tachy clammy faint?
A
AAA
7
Q
AAA - ix?
A
CT with contrast
palpate the abdo
8
Q
PR bleed ddx:
A
lower gi bleed upper gi bleed rectal ca bowel ca haemorrhoids fissure trauma
9
Q
how to differentiate between upper and lower gi bleed?
A
urea - biproduct of digested blood - so if high, then upper abdo bleed
10
Q
upper gi bleed - mx
A
endoscopy urgent
11
Q
acute scrotom ddx:
A
torsion trauma orchitis epidydimitis tumour varicocele renal colic viral inf cyst of morgani
12
Q
causes of epidydimorchitis in elderly man?
A
E Coli
13
Q
cremasteric reflex?
A
if not present -> torsion
stroke inside of leg, if ball doesn’t go up - torsion
14
Q
6-7yo viral orchitis? cause?
A
mumps!!
