GI perforation

• What is a GI perf?


  Hole in the wall of any part of the GI tract
• WHat often causes a GI perf?


  Appendicitis

  Diverticulitis

  Peptic ulcers

  Crohn's
• What can happen in a GI perf?


  GI contents leak into the abdo cavity = peritonitis
• How does a GI perf present?


  Severe abdo pain

  Signs of sepsis

  Acute abdo on examination
• How is a GI perf diagnosed?


  Erect CXR

  CT scan
• What would imaging show for a GI perf

  Free air under the diaphragm
• How is a GI perf managed?


  Surgery + antibiotics