MedEd GI Surgery

Question 1

what are the causes of diffuse pain

Answer 1

gastroenteritis
mesenteric ischaemia
bowel obstruction
peritonitis
IBS (exclusion)

Question 2

c yes

Answer 2

e yes

Question 3

b yes - secondary to appendicitis

risk factors of GI perforation - peptic ulcer disease

Answer 3

e yes

Question 4

appendicitis yes

Answer 4

diverticulitis

Question 5

a yes

Answer 5

sigmoid volvulus

Question 6

what is riglers sign

Answer 6

if there is free intraabdominal gas adjacent to a gas-filled loop of bowel then both sides of the bowel wall are well defined
can see both sides of the wall due to gas inside and outside the bowel

Question 7

what is the investigation of choice for acute appendicitis

Answer 7

CT scan (95% sensitivity)

Question 8

what is the sign of sigmoid volvulus

Answer 8

coffee bean sign

Question 9

what is the sign of caecal volvulus

Answer 9

embryo sign