click below
click below
Normal Size Small Size show me how
Gastroenterology
med emergenceis
| Question | Answer |
|---|---|
| Most common cause for hematemesis? | peptic ulcer rupture |
| Most common cause for hematochezia? | diverticulosis/diverticulitis rupture |
| At least how many mL of blood needs to sit in the stomach and pass through the rest of the GI system to come out as melena? | at least 150mL |
| how much pressure does it take for a food bolus to go through the lower esophageal sphincter into the stomach? | 20-30cmH2O; this is why drinking fluid when something is stuck in the esophagus usually works |
| the most common place for obstructions and blockages of the GI tract and where most nutrients is absorbed | ileum of the small intestine |
| how much fluid need to be in the abdomen before noticeable change is evident | 4-6L |
| what is the hallmark sign of acute abdominal emergency | pain |
| 3 classifications of pain | visceral, somatic, referred |
| 6 major causes of upper GI bleed | peptic ulcer disease, gastritis, variceal rupture, Mallory Weiss tear, esophagitis, duodenitis |
| what is Zollinger-Ellison syndrome and what does it cause | its excess pumping of stomach acid that causes peptic ulcers |
| disease described as idiopathic inflammatory bowel disorder and is recurrent with bloody diarrhea or stool containing mucus | ulcerative colitis |
| disease described as idiopathic inflammatory bowel disorder that can occur anywhere from mouth to rectum; worsened progression of ulcerative colitis | Crohn's disease |
| EMS most commonly called for crohn's patients due to what? | dislodgement of their colostomy bag, pain, or infection around it |
| four most frequent causes of bowel obstruction | hernias, intussusception, volvulus, adhesions |
| Acute most common surgical emergency in field | appendicitis |
| most common cause of aortic aneurysm | uncontrolled hypertension |
| disease that cuases upper abdominal pain after eating and when lying down, stinky/oily stool | pancreatitis |
| 4 categories of pancreatitis | metabolic (alcohol, most common), mechanical, vascular, infectious |