Which of the following statements with regard to Enteric perforation are correct? 1. Salmonella typhi is the causative organism for Enteric fever 2. Enteric perforation characteristi- cally occurs during third week of illness 3. Typhoid ulcers are placed trans- versely to the long axis of the gut 4. Terminal ileum is the most common site for enteric perfora- tion Select the correct answer using the code given below :
Enteric Perforation Statements Analysis
This question asks to identify the correct statements regarding Enteric perforation. Let's analyze each statement:
Statement 1: Correctness
Statement 1: $Salmonella typhi$ is the causative organism for Enteric fever.
Analysis: $Salmonella typhi$ is indeed the bacterium responsible for causing typhoid fever, a common form of enteric fever. Therefore, this statement is correct.
Statement 2: Correctness
Statement 2: Enteric perforation characteristically occurs during the third week of illness.
Analysis: While intestinal complications, including perforation, often peak during the third week of typhoid fever, it is not universally characteristic or exclusively limited to this period. Complications can arise earlier or later. Thus, this statement is considered incorrect in the context of needing a 'characteristic' feature.
Statement 3: Correctness
Statement 3: Typhoid ulcers are placed transversely to the long axis of the gut.
Analysis: Typhoid ulcers, which are areas of necrosis and inflammation in the intestinal lining (Peyer's patches), are described in relation to their orientation. According to this statement, they are placed transversely. This statement is considered correct.
Statement 4: Correctness
Statement 4: Terminal ileum is the most common site for enteric perforation.
Analysis: The terminal ileum, being rich in Peyer's patches where $Salmonella typhi$ preferentially localizes, is the most frequent location for typhoid-related intestinal perforations. Therefore, this statement is correct.
Conclusion
Based on the analysis, statements 1, 3, and 4 are correct, while statement 2 is incorrect.
The correct option is the one that includes statements 1, 3, and 4.
Important Questions from Intestines
- An eight month old male child is brought to the emergency with recurrent episodes of screaming and drawing up of legs. The child appears to be listless in between the attacks. Local examination of abdomen reveals feeling of emptiness in the right iliac fossa and blood stained mucus is found on the finger on per rectal examination. The most probable clinical diagnosis in this child is
Which of the following statements regarding Ogilvie's syndrome are correct?
1. It presents as acute large bowel mechanical obstruction
2. Marked caecal dilatation is a common feature on X-ray abdo- men
3. Caecal perforation is a well recog- nized complication of this condi- tion
4. Intravenous Neostigmine is used for the treatment of this condition
Select the correct answer using the code given below :
In familial adenomatous polyposis, which of the following all are true ?
1. Presence of $>100$ colorectal polyps
2. Positive family history
3. Autosomal Recessive inheritance
4. Genetic mutation on Chromo- some 5
Select the correct answer using the code given below :
- Among the extra intestinal manifesta- tions of Crohn's disease which one of the following is related to the disease activity?
- A 35 year old male patient with enteric fever presents to the emergency with sudden onset of generalised abdominal pain, abdominal distension, nausea, vomiting and constipation for last 48 hours. On examination, patient is dehydrated with PR = $110/min$ and BP = $100/60$ mm Hg. There is genera- lised tenderness, rebound tenderness present and board like rigidity on per- abdomen examination. The most likely complication of enteric fever in this patient is
