week one ward learning Flashcards
(20 cards)
what are the causes of acanthosis nigricans
too much insulin (prediabetes) gastric adenocarcinoma pituitary/ thyroid problems obesity medication
how does warfarin work
coumarin vit K antagonist
how does heparin work
antithrombin 3 promoter
how long is warfarin effective for
3 days
how long is heparin effective for
24 hours
what is obstructive jaundice
bile duct is blocked so bile cant reach intestine
pale stools dark urine
what is gastrografin
an iodine based contrast agent used in abdo X rays
what is octaplex
blood product used to reverse the effects of warfarin quickly
what is lynch syndrome
heriditary non polyposis colorectal cancer
what does SNAPS stand for when treating fistulas
sepsis
nutrition
anatomy
procedure
what must you always check on a ward round
TED stockings
what examination is easy to forget when examining the gi system
hernial orifices
Palpate and ask to cough
what sign suggests hypocalcaemia
trousseaus sign
what is erythema nodusum a sign of
crohns
what is xerostomia
dry mouth
what is cullens sign indicative of
ectopic
what is grey turners sign indicative of
peritoneal bleeding
what questions can you ask patients about their stoma
what side is your stoma on whats the consistency of what you pass how often do you pass stools how much comes out is it solid or liquid is it a ileostomy/colostomy or urostomy
how much liquid would you expect someone with a urostomy to pass per day
1-2 litres
what is a loop colostomy
loop of colon brought through the skin
double lumen
may be created to protect a healing anastomosis in which case usually found in the transverse colon
may be created to defunction obstructed bowel in which case they may be found in the LIF