CSD | Gastrointestinal Disorders Quiz

<p>Cecum and sigmoid colon (D)</p> Signup and view all the answers

<p>Ischemia and perforation (D)</p> Signup and view all the answers

<p>Colicky pain that waxes and wanes (A)</p> Signup and view all the answers

<p>15% (A)</p> Signup and view all the answers

<p>40% (A)</p> Signup and view all the answers

<p>Guarding (A)</p> Signup and view all the answers

<p>Palpation (D)</p> Signup and view all the answers

<p>Start far from the site of pain and move towards it (B)</p> Signup and view all the answers

<p>It is an indication of a potential serious infection (B)</p> Signup and view all the answers

<p>To relax the abdominal musculature (D)</p> Signup and view all the answers

<p>It helps to identify potential life-threatening conditions (C)</p> Signup and view all the answers

<p>Pain location (D)</p> Signup and view all the answers

<p>Fever, vomiting, and inability to move the bowels (A)</p> Signup and view all the answers

<p>Tsushima Y, Yamada S, Aoki J, et al. (C), Ahn SH, Mayo-Smith WW, Murphy BL, et al. (D)</p> Signup and view all the answers

<p>Distinguishing between organic and nonorganic causes of pain. (D)</p> Signup and view all the answers

<p>Maglinte DDT, Balthazar EJ, Kelvin FM, et al. (B)</p> Signup and view all the answers

<p>van der Linden W, Sunzel H (A), McArthur P, Cuschieri A, Sells R, et al. (D)</p> Signup and view all the answers

<p>The relationship between specific diseases and regions of abdominal pain. (A)</p> Signup and view all the answers

<p>Stapakis JP, Thickman D (B)</p> Signup and view all the answers

<p>Berger MY, van der Velden JJ, Lijmer JG, et al. (B)</p> Signup and view all the answers

<p>Billittier AJ, Abrams BJ, Brunetto A (D)</p> Signup and view all the answers

<p>Multicentre Aneurysm Screening Study Group.The Multicentre Aneurysm Screening Study (MAS) into the effect of abdominal aneurysm screening on mortality in men: a randomised controlled trial.Lancet 2002;360:1531–9. (B)</p> Signup and view all the answers

<p>Lefkovitz Z, Cappell MS, Lookstein R, et al.Radiologic diagnosis and treatment of gastro-intestinal hemorrhage and ischemia.Med Clin North Am 2002;86(6):1357–99. (B)</p> Signup and view all the answers

<p>Acosta S, Nilsson TK, Bjorck M.Preliminary study of D-dimer as a possible marker of acute bowel ishaemia.Br J Surg 2001;88(3):385–8. (B)</p> Signup and view all the answers

<p>Strauss RJ, Flint GW, Platt N, et al.The surgical management of toxic dilatation of the co-lon: a report of 28 cases and review of the literature.Ann Surg 1976;184(6):682–8. (B)</p> Signup and view all the answers

<p>Clark RA, Gallant TE.Acute mesenteric ischemia: angiographic spectrum.Am J Radiol 1984;142(3):555–62. (C)</p> Signup and view all the answers

<p>Ruttedge RA, Oller DW, Meyer AA, et al.A statewide, population-based, time-series analysis of the outcome of ruptured abdominal aortic aneurysm.Ann Surg 1996;223:492–505. (A)</p> Signup and view all the answers

<p>Katzka I, Katz S, Morris E.Management of toxic megacolon: the significance of early rec-ognition and medical management.J Clin Gastroenterol 1983;78:557–9. (A)</p> Signup and view all the answers

<p>Becker JM.Surgical therapy for ulcerative colitis and Crohn’s disease.Gastroenterol Clin N Am 1999;28:371–90. (D)</p> Signup and view all the answers

<p>The high mortality rate and rapid progression of a ruptured AAA necessitate immediate emergency care. (A)</p> Signup and view all the answers

<p>Constipation with alternating bouts of diarrhea. (D)</p> Signup and view all the answers

<p>10% (A)</p> Signup and view all the answers

<p>Large intestine (D)</p> Signup and view all the answers

<p>Abdominal distension and tympany (B)</p> Signup and view all the answers

<p>Infectious colitis caused by Clostridium difficile (C)</p> Signup and view all the answers

<p>60% (D)</p> Signup and view all the answers

<p>Earlier recognition and improved management strategies. (B)</p> Signup and view all the answers

<p>When a perforated viscus is suspected. (A), When a small bowel obstruction is suspected. (B)</p> Signup and view all the answers

<p>Abdominal Ultrasonography (C)</p> Signup and view all the answers

<p>MRI is too expensive and not readily available in primary care. (B)</p> Signup and view all the answers

<p>Chest pain (C)</p> Signup and view all the answers

<p>Diabetes (B)</p> Signup and view all the answers

<p>Abdominal ultrasonography is highly sensitive for detecting stones in the common bile duct. (D)</p> Signup and view all the answers

<p>Identifying and addressing potential causes of abdominal pain. (B)</p> Signup and view all the answers

<p>History of prior abdominal pain. (D)</p> Signup and view all the answers

Rupture of the abdominal aortic aneurysm (AAA) has a 90% mortality rate overall, dropping to 70% if surgery is performed.

Severe abdominal pain in a known AAA patient requires immediate emergency department referral for evaluation.

IBD includes ulcerative colitis (UC), Crohn’s disease (CD), and indeterminate colitis, causing chronic inflammation with flare-ups.

A severe complication of ulcerative colitis characterized by abdominal pain and frequent bloody bowel movements.

A serious condition where the large bowel becomes dilated and toxic, associated with colitis.

Fulminate colitis includes abdominal pain, over 10 bloody bowel movements daily, volume depletion, and other systemic symptoms.

Toxic megacolon was originally 19% mortality, now estimates approach 0% due to improved management.

Examination reveals abdominal distension, tympany to percussion, and tenderness above the colon.

Physical exam findings indicating peritoneal irritation.

Palpable increases in size of internal organs.

Starting far from pain and moving closer during examination.

Flexing hips and knees during supine examination.

Crucial steps in diagnosing abdominal pain without imaging.

Narrowing down potential causes of abdominal pain.

Warning signs indicating possible life-threatening conditions.

Distinction between pain caused by physical issues versus other factors.

CT is highly sensitive for diagnosing acute appendicitis, reported at 98%.

CT has a specificity of 97% for acute appendicitis diagnostics.

Ultrasound is preferred for detecting gallstones and biliary dilation.

Ultrasound is less sensitive for stones in the common bile duct.

MRI can diagnose acute abdominal pain but is limited by cost and availability.

Signs like chest pain, back pain, or hemodynamic instability indicate severe issues.

Consider cardiac, pulmonary, and other extra-abdominal causes in pain diagnosis.

Conditions like adrenal insufficiency can present as abdominal pain.

Outpatient treatment includes a clear liquid diet and oral antibiotics.

Occurs with abscesses, fistulas, perforation, or obstruction.

Given to patients with complicated diverticulitis in the hospital.

Interruption of normal intestinal contents flow due to a blockage.

Cause 75% of small bowel obstructions in patients with surgery history.

60% due to malignancy, with colon cancer as the main cause.

Pain that waxes and wanes, commonly associated with SBO.

Patients should not eat or drink to manage severe cases.

Urgent medical conditions affecting the bile ducts, gallbladder, and liver.

Inflammation of the gallbladder, often due to gallstones.

Detection of free air in the abdominal cavity, indicating perforation.

Comparing the effectiveness of CT scans with chest X-rays for diagnosing abdominal issues.

Different techniques used for imaging patients with abdominal symptoms in emergencies.

Specific areas of the abdomen correlating with certain diseases.

CT scans using a contrast agent to improve image clarity and help diagnosis.

Primary care physicians' ability to distinguish between organic and non-organic pain causes.

Sudden onset pain in the abdomen often indicating serious conditions.

A condition caused by reduced blood flow to the intestines.

A blood test indicating clot presence that may suggest embolic occlusions.

Excess dilation of the colon, often seen in severe colitis.

The operation used to treat severe cases of ulcerative colitis and Crohn’s disease.

Bleeding from any part of the digestive tract.

Critical conditions involving blood supply to abdominal organs.

Early recognition and medical intervention to prevent complications.