Surgical Tut #2 Epigastric & RUQ Flashcards Preview

Jason's MD2 Surgery Rotation > Surgical Tut #2 Epigastric & RUQ > Flashcards

Flashcards in Surgical Tut #2 Epigastric & RUQ Deck (23):
1

how to test for exocrine pancreas function?

faecal elastase

2

duodenal ulcer posterior erosion what is affected

vessels gastroduodenal artery: haematemesis

3

how to test for autoimmune pancreatitis?

IGG4

4

what important treatment in pancreas early on that affects morbidity and mortality?

fluid resuscitation

5

lipase normal range?

0-60/120

6

pancreatitis abnormal value?

>1000

7

FBE in pancreatitis, look at what?

Pack Cell Volume

8

complications of pancreatitis

pseudo cysts
infective

9

imaging for pancreatis??

CXR
CTA/P
US
MRCP
ERCP

10

when do you need to take out the gall stone?

cholangitis AND pancreatitis

11

pancreas treatment?

fluids
PPI
IDC
analgesia (panadol, endone, PCA (morphine/fentanyl)

12

biliary colic pain presentation?

constant, self limiting

13

RUQ Ultrasound looks at what?

liver (echo texture)
gallbladder
biliary tree
right and left kidney
panceas

14

why can't you see pancreas well in ultrasound?

can be obstructed with bowel gas

15

differentials for epigastric pain

pancreatitis
gastric/duodenal ulcer
AMI
MSK
Esophagitis
AAA
biliary colic
mesenteric ischaemia
lymph nodes
gastric outlet obstruction

16

what pathology in gallbladder?

stones
polyps
fluids
gall bladder wall

17

common bile duct diameter should be?

18

gall bladder wall thickness?

19

CTIVC injected with?

biliscopin

20

when do CTIVC?

>30

21

AAA, which of two are easier to fix?

below the renal arteries

22

2 kinds of AAA?

supra-renal AAA
infra-renal AAA

23

what investigation to check for AAA in ED?

FAST scan
CTA

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