GI obstruction

Question 1

main causes of small bowel obstruction

Answer 1

adhesions
hernia
malignancy
ischaemic bowel if had MI eg from embolism or DM

Question 2

large bowel adhesion main causes

Answer 2

malignancy
diverticulitis
volvulus

Question 3

treatment of bowel obstruction

Answer 3

if vomiting put a nasogastric tube
down
-fluids

Question 4

oseophageal causes obstruction

Answer 4

-malignant
-benign eg leiomyomas
webs and strictures
-inflammatory
-achalasia

Question 5

plummer vinson syndrome

Answer 5

• oseophageal webs
• anaemia
• iron deficiency

Question 6

main cause of stomach obstruction

Answer 6

usually a gastric outlet obstruction eg gastric-duodenal ulcer

Question 7

appendicitis signs

Answer 7

• Mc-burney point
• iliopsoas inflammation hoping on one foot
• Dunphy: coughing increase pain
• pain in RIF
• Rovsing sign: pain felt in RIF when palpating the LIF