Abdominal emergencies — Flashcards

Flashcard 81: What is the treatment for cecal volvulus? _____

Answer: Right hemicolectomy with primary ileocolic anastamosis

Flashcard 82: What is tx of FAP? _____

Answer: Total colectomy

Flashcard 83: What is the classic pain sequence associated with diverticular perforation? _____

Answer: Sudden, severe pain (perf) → temporary relief (decompression) → generalized, constant pain (peritonitis)

Flashcard 84: What is the final line/last resort/definitive treatment for achalasia? _____

Answer: Heller myotomy

Flashcard 85: Can patients with signs and symptoms of appendicitis go straight to surgery? _____

Answer: No

Flashcard 86: What is the next step in management of a child with suspected inguinal hernia, vomiting, abdominal distension, and a discolored hemiscrotum? _____

Answer: Emergency surgery

Flashcard 87: Difference between malrotation and volvulus? _____

Answer: Malrotation is the developmental anatomic defect Volvulus is torsion of the intestines because of the malrotation

Flashcard 88: Is surgery recommended for **chronic** pancreatitis? _____

Answer: No; management is primarily medical

Extra: Management of chronic pancreatitis focuses on: 1. **Alcohol and Smoking cessation** 2. **Pancreatic enzyme replacement** (+ PPI) 3. **Pain control** (medical management first) Surgery (e.g., lateral pancreaticojejunostomy / **Puestow procedure**) is reserved for refractory pain with ductal dilation or mechanical complications (e.g., biliary/duodenal obstruction). It is **not** contraindicated (CI), but it is not the first-line treatment.

Flashcard 89: What is tx of biliary atresia? _____

Answer: Kasai procedure (hepatoportoenterostomy)

Flashcard 90: What is the treatment for pyloric stenosis?\n_____

Answer: Pyloromyotomy

Extra: Ramstedt's pyloromyotomy is the definitive surgical treatment, but it is not a surgical emergency. The medical priority is correcting the associated electrolyte imbalances.