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52 Cards in this Set
- Front
- Back
normal adult liver span is
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6-12 cm
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liver span > 12 cm =
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hepatomegaly
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normally what is not palpable and must be enlarged 3x to be felt
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spleen
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which kidney is 1cm higher than the other
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left
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a complete deep breath where sharp pain is felt and the inspiration is stopped halfway is callled
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murphys sign (inspiratory arrest)
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murphys sign casues
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inflammation of gallbladder or cholecystitis
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in the liver, what may have mild to moderate dull pain in RUQ or epigastrium
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hepatitis
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burning pain in med epigastrium that radiates upward (heartburn)
occurs 30-60 min after eating |
GERD
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bilary, colic, sudden pain in RUQ that radiates to right or left scapula, following ingestion of fatty foods - not relieved by food
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cholecystitis (gallbladder)
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dull, gnawing, aching pain, does not radiate, elieved by rood.
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duodenum ulcer
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dull aching gnawing epigastric pain usually brought on by food , radiates to back
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gastric ulcer (stomach)
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typically starts as dull, diffuse, pain later shifting to severe, sharp pain in RLQ
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appendecitis
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severy colocky flank or lower abdomin pain
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kidney
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moderate colicky pain of onset in lower abdomen, bloating
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large bowel obstruction
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sharp burning cramping pain over a wide area, does not radiate. brought on by meals, releived by BM
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Irritable bowel syndrome
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a bulge near scar that shows when abdominal pressure by sitting up or standing up
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incisional hernia
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small fatty nodule at epigastrium midline. felt.
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epigastric hernia
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seperation of abdominal rectus muscles (pregnancy or obesity)
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diastasis recti
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diminished or absent bowel sounds signal decreased motility due to inflammation ex) paralytic ileus, SEEN AFTER SURGERY
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hypoactive bowel sounds
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loud, gurgling sounds, borboygmi, occur with bowel obstruction, HIGH PITCHED , heard best at abdominal aorta
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hyperactive bowel sounds
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indicates turbulent blood flow, found in constrictued , dilated vessels
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bruit
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harsh murmor
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aortic aneurysm
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soft to medium pitch murmor
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renal artery
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originates from vena cava, medium pitch.
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venous hum
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an enlarged tender gallbladder suggests acute ....
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cholecsytitis
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an enlarged non tender gallbladder occurs when
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gallbladder is filled wit hstones
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liver and gallbladder - what quadrant
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RUQ
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ascending transverse
Liver R kidney |
RUQ
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Ascending colon
R kidney |
RLQ
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transverse / descending colon
Spleen if enlarged |
LUQ
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descending
sigmoid colon |
LLQ
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swooshing sound an artery makes when blood cannot get through
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bruit
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4 most common diagnosis of AB pain are
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appendecitis
cholecsistitis SBO small bowel obstruction GYN disorders |
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because the die can cause kidney damage, what must be checked before having contrast
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Kidney function
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assessment for normal
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Inspect
Palpate Percuss Auscultate |
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assesmesnt for abdomen
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Inspect
Auscultate Percuss PALPATE LAST |
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Abdomen is divided superiorly by
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coastal margins
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outermost layer of abdominal wall is
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external abdominal oblique
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innermost layer of ab wall
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transverse abdominis
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flank discolaration causing Intra Ab bleeding is called
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gray turners sign
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sclera and hard pallat of mouth are
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places to see jaundice
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what organs are palpable in RUQ
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LIVER
R KIDNEY ASCENDING/TRANSVERSE COLON |
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an acute onset after eating fish and chips at fast food reestaurant is indicative of
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cholecstisis (INFLAMMATION OF GALLBLADDER)
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SHARP inspiratory arrest with palpation of RUQ is indicative of
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Murphys sign (gallbladder pain indicicative of cholestitis)
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severe pain , epigastric region , unrelenting and radiating to the back is indicative of
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acute pancreatitis
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pancreatis diet is to limit
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LIMIT FAT , eat smaller meals to reduce carbs and protein
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WHAT kind of hepatitis is transmitted by fecal-oral route via contamined food or handlers
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HEPATITIS A
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WHAT kind of hepatitis is transmitted via infected blood or bodily fluids
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Hepatitis B, C, D
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HCV = C =
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HEPATITIS , BLOOD
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Highest priority cholecstitis surgery =
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control PATIENT PAIN
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There is a strong link betwene alcohol use and pancreatitis
t/f |
true
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earyly cirrohsis diet =
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high calorie high carb
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