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8 Cards in this Set
- Front
- Back
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What is the clinical presentation of Meckel's diverticulum?
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bleeding, intussusception, inflammation
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What is the proper management of Meckel's diverticulum?
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dx and removal as well as the adjacent small bowel if bleeding is in the presentation
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What is the etiology of small bowel obstruction?
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1. hernia is the most common in the world
2. adhesions is the most common in the US 3. no surgery, no hernia think CA, volvulus, ischemia 4. Crohn's 5. Gallstone ileus |
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What is the management of small bowel obstruction?
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dx: flat and upright AXR with air fluid levels
tx: NG decompression, IV hydration, 80% resolution with conservative tx. if no improvement for 48 hrs, lyse adhesions, resect compromised bowel. |
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What are the signs and symptoms of acute appendicitis?
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ab pain that migrates to RLQ
anorexia or ketones on UA N/V pain on pressure in RLQ rebound pain in RLQ fever WBC > 10k left shift or increase in percent of neutrophils in WBC count |
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What is the proper workup for acute appendicitis?
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HISTORY is the most important component, physical, CT scan
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What is the operative management of acute appendicitis?
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appendectomy
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What is special about the management of acute appendicitis with appendiceal carcinoid?
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lesions < 2 cm with negative margin = appendectomy
lesions larger than 2 cm = R hemicolectomy |
