Abdominal emergencies — Flashcards

Flashcard 131: What early abdominal aortic aneurysm repair complication results in progressive abdominal pain and bloody diarrhea? _____

Answer: Bowel ischemia/infarction

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 132: Biliary cysts require surgical resection to relieve obstruction and prevent the development of _____

Answer: cholangiocarcinoma

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 133: What is tx of acute cholecystitis? _____

Answer: Emergent cholecystectomy (percutaneous cholecystostomy if unstable)

Extra:  https://onlinemeded.org/spa/gastroenterology/gallbladder/acquire?ref=anki 

Flashcard 134: What is the initial management for hemodynamically stable patients with an appendiceal abscess? _____

Answer: Conservative: IV hydration, antibiotics, and bowel rest

Extra:  https://onlinemeded.org/spa/surgery?ref=anki  

Flashcard 135: What is the treatment for sigmoid volvulus w/o peritonitis? _____

Answer: Rigid/flexible sigmoidoscopic detorsion of the volvulus

Extra:  https://onlinemeded.org/spa/surgery-general/abdominal-pain/acquire?ref=anki 

Flashcard 136: What is management for small periappendiceal abscess? _____

Answer: Bowel rest, IV antibiotic therapy followed by interval appendectomy after 6–8 weeks

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 137: How would an induced rectal prolapse be described? _____

Answer: Erythematous mass with concentric rings extending through the anus

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 138: What is the **definitive management** of duodenal atresia?\n_____

Answer: Surgical repair (e.g., duodenoduodenostomy)

Flashcard 139: _____ is a type of groin hernia that protrudes below the inguinal ligament through the femoral canal.\n\nIt is more likely to be strangulated, so it should be treated with elective surgery.

Answer: Femoral hernia

Extra: Femoral hernias have a high risk of incarceration and strangulation. Unlike asymptomatic inguinal hernias, which can sometimes be managed with watchful waiting, femoral hernias should be repaired promptly (electively) once diagnosed.

Flashcard 140: What are the two most common mechanisms that cause abrupt arterial occlusion in the setting of acute mesenteric ischemia? _____

Answer: Cardiac embolic events (in setting of AFib, valvular dz) Acute thrombosis (d/t PAD or low CO states)

Extra:  https://onlinemeded.org/spa/gastroenterology/gi-bleed/acquire?ref=anki