Short bowel syndrome Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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An undomiciled adult man is found unconscious and brought to the emergency department by emergency services. Initial vital signs reveal a heart rate of 125 /min and a blood pressure of 77/45 mm Hg. Intravenous (IV) access is obtained, and a bolus of crystalloid fluid is started. Repeat blood pressure is 98/60 mm Hg. The patient is confused and unable to answer questions appropriately. Physical exam shows mucosal pallor, capillary refill > 3 seconds, and several surgical scars on the abdomen with an ileostomy without signs of infection. A foley catheter is inserted and drains 40 cc of dark yellow urine. A total body CT (Computed Tomography) scan reveals evidence of small bowel surgery. Which of the following would be a risk factor for short bowel syndrome in this patient?

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Prior resection with 180 cm of small bowel remaining

History of irritable bowel syndrome

Consistent Ileostomy output <1200 mL

Prior resection of 75 cm of the small intestine with the terminal ileum intact

Recent sphincteroplasty for Crohn disease