Intestinal disorders Flashcards by lauren alstot

Q

Appendicitis- Eti

A

Most common surgical emergency
10-30 yrs old
10% population
Gangrene within 36 hrs

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Q

Appendicitis- Sx

A

N/V
Rebound tenderness
Constipation
Low grade fever
Pain shifts to RLQ within 12 hrs

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Q

Appendicitis- Dx

A

Abd CT

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Q

Appendicitis- Tx

A

Broad spectrum abx

- Appendectomy

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Q

Paralytic ileus- Eti

A

Due to surgery, peritonitis, electrolytes, illness, opioids
Loss of peristalsis

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Q

Paralytic ileus- Sx

A

N/V
diminished/ absent bowel sounds
diffuse abd discomfort
No peritoneal irritation

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Q

Paralytic ileus- Dx

A

Abd xray- air fluid levels, distended gas loops

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Q

Paralytic ileus- Tx

A

Tx underlying cause
nasogastric suction
Restrict oral intake

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Q

Meckel diverticulum- Eti

A

Congenital anomaly, pediatric emergency

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Q

Meckel diverticulum- Sx

A

Abd pain, nausea, vomiting
Intestinal bleeding
Bright red blood per rectum

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Q

Meckel diverticulum- Dx

A

Clinical presentation

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Q

Meckel diverticulum- Tx

A

Surgical

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Q

Small bowel obstruction- Eti

A

Adhesions following abd surgery

- Malignancy, chrons

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Q

Small bowel obstruction- Sx

A

Abd pain- intermittant & crampy

N/V/D/C
Abd distension
Fever & tachycardia

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Q

Small bowel obstruction- Dx

A

Abd xray or CT

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Q

Small bowel obstruction- Tx

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A

Surgical emergency

Q

Large bowel obstruction-Sx

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A

Abrupt onset of sx

Constipation, stool changes
Abd pain & distension
Recurrent LLQ pain

Q

Large bowel obstruction- Dx

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A

Abd xray or contrast enema

Q

Large bowel obstruction- Tx

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A

Surgical emergency

Q

C. diff- Eti

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A

Exposure to abx
Fecal-oral contamination
Hospitilized/ instituationalized pts

Q

C. diff- Sx

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A

Green, foul diarrhea 5-15 x per day
Mucous stools
Lower abd cramps
Fever, hemodynamic instability, pain

Q

C. diff- Dx

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A

Rapid enzyme assay & PCR

Q

C. diff- Tx

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A

Stop abx
Isolation precautions
Start metronidazole, vanco