Flashcard 10

Question 1

management the acute abdomen

Answer 1

• analgesia
• ABs if needed
• decompress gut
• treat sepsis
• ascitic drainage
• ensure perfusion
• treat cause

Question 2

management colorectal cancer

Answer 2

chemo
surgery
biologics
radiotherapy (rectal only)

palliative:

• colonic stenting
• chemo

Question 3

GORD

Answer 3

gastrosophageal reflux disease

frequent, pathological episodes of acid/ bile reflux

Question 4

symptoms:

• diarrhoea (with blood)
• abdo pain
• weight loss
• malaise
• lethargy
• anorexia
• N+V
• mouth ulcers
• malabsorption
• anaemia
• vit deficiency

Answer 4

crohns disease

Question 5

management small bowel overgrowth

Answer 5

rotating antibiotics:
- metronidazole 
- tetracycline
- amoxycillin
(each 2wks on/ 2wks off)

Question 6

symptoms:

• dyspepsia
• gnawing/ burning
• stomach pain
• N+V
• early satiety

Answer 6

gastritis

Question 7

choledochal cyst

Answer 7

congenital. cystic dilation of bile duct + obstruction of them

Question 8

hyper mobility of oesophagus causes

Answer 8

achalasia

diffuse oesophageal spasm

Question 9

what does functional loss of myenteric plexus @ LOS cause?

Answer 9

means it can’t relax

Question 10

examples of generalised peritonitis causes

Answer 10

• contamination too rapid
• contamination persistent
• abscess ruptures

Question 11

symptoms/ signs:

• N+V
• anorexia
• fever
• diarrhoea
• visceral then right iliac localised pain with rebound tenderness
• painful to move

Answer 11

appendicitis

Question 12

symptoms:

• fatugue
• faint
• lethargy
• SOB
• headaches
• pale
• palpitations
• weight loss
• mouth ulcers
• disturbed vision
• irritability
• depression
• dementia

Answer 12

B12 deficiency

Question 13

coeliac disease

Answer 13

autoimmune condition where body stupid and decides it dinnae like gluten and so attacks itself like an idiot.

Question 14

type of carcinoma found in distal oesophagus

Answer 14

adenocarcinoma

Question 15

causes peptic ulcer

Answer 15

infection
alcoholism
H Pylori
NSAIDs/ aspirin
systemic ulcers

Question 16

describe peptic ulcer follow up + reasoning

Answer 16

endoscopy after 8 weeks cause gastric ulcers can sit over gastric carcinoma

Question 17

NAFLD

Answer 17

non-alcoholic fatty liver disease

Question 18

types of NAFLD

Answer 18

• simple steatosis
• non-alcoholic steatohepatitis
• fibrosis + cirrhosis

Question 19

how is Hep A transmitted and who’s at risk

Answer 19

sex
faecal-oral
blood
travellers
chronic liver disease

MSM

Question 20

management anal fistula

Answer 20

collagen glue
stitches
fistulotomy

Question 21

most common types anorectal cancer

Answer 21

• adenocarcinoma

- SCC