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Acute Perforation of the Bowel and Stomach Questions with Correct Answers
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Acute Perforation of the Bowel and Stomach Questions with Correct Answers
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Acute Perforation of the Bowel and StomachQuestions with Correct Answers
Full thickness injury to the stomach or bowel wall Correct Answer-
Gastrointestinal perforation requires what?
Blunt trauma
Iatrogenic with endoscopy
Bowel obstruction (volvulus and toxic megacolon)
Neoplasms
Inflammatory bowel disease
Infection (like TB)
Foreign body
CVD (low flow state) Correct Answer-Gastrointestinal perforation is
caused by what?
Sudden abdominal pain Correct Answer-90% of gastrointestinal
perforation patients will present with what?
Elderly and patients on chronic steroids Correct Answer-Which patients
may mask the typical gastrointestinal perforation symptoms?
PUD, NSAID use, or steroid use Correct Answer-Most patients with
gastrointestinal perforations have a history of what?
, CT with IV contrast Correct Answer-What is the study of choice for a
gastrointestinal perforation?
-CBC shows leukocytosis
-Flat and upright abdominal x ray (may show free air)
-CT with IV contrast (study of choice)
-Ultrasound (intraperitoneal free fluid and decreased peristalsis) Correct
Answer-What is the work up for a gastrointestinal perforation?
If kidney function is impaired Correct Answer-When is CT with IV
contrast NOT recommended to work up a gastrointestinal perforation?
Diabetics on Glucophage Correct Answer-______ on _____ should not
be given a CT with IV contrast to work up a gastrointestinal perforation
or they may enter renal failure
*discontinue 24 hours before the CT with contrast
Leukocytosis Correct Answer-What may the CBC display for a
gastrointestinal perforation?
Flat and upright abdominal X ray:
Free air Correct Answer-What would the X ray display for a patient with
a gastrointestinal perforation?
Intraperitoneal free fluid and decreased peristalsis
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