Gastroenterology & Hepatology — Flashcards

What are the common causes of GI perforation? • _____ • Infection (e.g. appendicitis, diverticulitis) • Trauma (e.g. iatogenic, stabbing) • Ulcerative disease (e.g. peptic ulcer disease, IBD)

Past history of _____ and LLQ pain is suggestive of perforated diverticulitis

Appendicitis and diverticulitis are examples of _____ GI perforation

Hint: Mechanism

What are the characteristic findings upon CT of GI perforation? _____ & Loss of bowel wall continuity

_____ may be used as an alternative to CT for suspected GI perforation in patients where radiation exposure is contraindicated (e.g. pregnancy)

Inspection of a peritonitic abdomen may reveal _____

Acute mesenteric ischaemia and bowel obstruction are examples of _____ GI perforation

Hint: Mechanism

_____ may be used as an initial investigation for an 'acute abdomen'. However, CT (TAP) is the first-line investigation for suspected GI perforation.

What is the management for most GI perforations? _____

Conservative management for GI perforation involves _____ and broad spectrum antibiotics