MedTox - Week 5 - GIT

List 5 potential causes of abdo pain

Pain before vommiting may indicate _______, and pain after vommiting may indicate _______

What does Cullens sign denote?

• Brusing of flanks
• Bruising in subcutanous fat around umbillicus
• acute appendicitis
• Acute cholecystitis

How is Murphy's sign performed?

• internal movement of the hip joint, while the right knee is flexed
• Ask patient to lift the right leg against resistance of your hand Patient lies supine and placing your hand just above the knee. Ask the patient to lift the right leg against resistance of your hand Patient lies supine and placing your hand just above the knee. Ask the patient to lift the right leg against resistance of your hand
• place hand at costal margin in the RUQ and ask the patient to breathe in firmly placing a hand at the costal margin in the right upper quadrant and asking the patient to breathe in deeply.
• place hand at costal margin in the LLQ and ask the patient to breathe in

What condition may produce 'coffee ground' like vomit

• Oesophageal varices
• Foreign bodies
• Mallory-Weiss Tear
• Hiatus Hernia

What might produce melena stools (black- appearance/ digested blood)

• Hernia
• Iron supplements
• Black licorice/blueberries
• Bleeding higher up in GI tract

Why can we not give antiemetics to patients with a bowel obstruction?

• It wont be effective
• It might make obstruction worse
• It may induce worse symptoms
• It may cause a clot

Haemodyalisis removes small molecules from the vasuclar space by _______ and ________ across a _______________ membrane.

Peritoneal dyalisis is the introduction of a ________ dyalising fluid through a surgically implanted catheter into the ______________

List 2-3 complications of Haemodialysis & Peritoneal dialysis

Answer explanation

Some examples: disequilibrium syndrome, hypotension, electrolyte imbalance, air embolism, machine dysfunction, subdural hematomas, septicaemia, bleeding disorders