GI Surgery

Question 1

description of location of inguinal hernia

Answer 1

superior and medial to the pubic tubercle

Question 1

management of asymptomatic inguinal hernia vis asymptomatic femoral hernia

Answer 1

inguinal - routine referral for surgical repair

femoral - urgent referral for surgery (risk of strangulation)

Question 2

How does sciatic nerve damage in hip surgery usually manifest

Answer 2

Post-operatively this usually manifests as foot drop.

Question 3

What are the components of the Glasgow scale?

Answer 3

scale for acute pancreatitis severity

PANCREAS

• PaO2< 7.9kPa
• Age > 55 years
• Neutrophils (WBC > 15)
• Calcium < 2 mmol/L
• Renal function: Urea > 16 mmol/L
• Enzymes LDH > 600IU/L
• Albumin < 32g/L (serum)
• Sugar (blood glucose) > 10 mmol/L