Abdominal emergencies — Flashcards

Flashcard 131: If a **carcinoid** tumor in the appendix is **< 2 cm**, _____ is definitive management. If a **carcinoid** tumor in the appendix is **> 2 cm**, right hemicolectomy is definitive management.

Answer: appendectomy

Extra: Management of appendiceal carcinoid (neuroendocrine tumor): • < 2 cm and confined to the tip/body: Appendectomy is sufficient. • > 2 cm, involvement of the appendiceal base, or mesoappendiceal invasion: Right hemicolectomy. Note: Adenocarcinoma of the appendix (much less common than carcinoid) requires a right hemicolectomy regardless of size.

Flashcard 132: What is tx of acute cholecystitis? _____

Answer: Emergent cholecystectomy (percutaneous cholecystostomy if unstable)

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

Flashcard 133: Biliary cysts require surgical resection to relieve obstruction and prevent the development of _____

Answer: cholangiocarcinoma

Extra:  https://onlinemeded.org/spa/surgery?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 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 136: 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 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: Do inguinal hernias lead to an enlarged testes? _____

Answer: No

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

Flashcard 140: Is surgery indicated for Crohn's disease? _____

Answer: Only for complications (e.g., strictures, fistulas, abscesses); not curative

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