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28 Cards in this Set

  • Front
  • Back
Which type of ulcer has relief of pain after eating
duodenal
Which type of ulcer worsens w/ eating?
gastric
S&S of ulcer perforation
Severe epigastric pain, "Board-like " abdomen, quiet bowel sounds, rigidity
What is H pylori eradication therapy?
2 ATB and a PPI x at least 7 days
Causes of GERD
incompetent lower esophageal spincter
delayed gastric emptying
Viral types of hepatitis
A,B,C,D,E,G
hepatitis transmitted via oral/fecal route
Hepatitis A
hepatitis transmitted via blood or other body fluids
Hepatits B
Heapatitis traditionally associated w/ blood transfusions and IV drug use
Hepatitis C
Serology of hepatitis A
Anti-HAV, IgM (immediate)
Anti-HAV, IgG (gone)
There is no Chronic Hep A only acute
Serology of Hepatitis B
HBsAg, Anti-HBc,IgM-(Active)
HBsAg,Anti-HBc,Anti-HBe,IgM,IgG (Chronic)
Anti HBc,AntiHBsAg (Recovered)
What is used to differentiate prior exposure of Hep C from current viremia
PCR- Polymerase Chain Reaction
Serology of Hepatitis C
(acute) Anti-HCV, HCV RNA
(Chronic) Anti HCV, HCV RNA
Unable to tell difference just by antibodies
Where is the pain associated w/ diverticulitis
LLQ
Deep pain on inspiration while fingers are placed under the right rib cage
Murphy's Sign
Where is the pain associated w/ cholecystitis?
RUQ
What is the gold standard test for cholecystitis?
Ultra sound
Where is the bowel obstruction if vomiting occurs within minutes of the pain
Proximal
Where is the bowel obstruction if vomiting occured hours after the pain started
Distal
What type of bowel sounds are heard in bowel obstructions
high pitched, tinkling
What is the hallmark sign of Ulcerative Colitis?
Bloody diarrhea
How quickly can gangrene and perforation occur in an untreated appendicitis?
Within 36 hrs
What type of pain is associated w/ appendiicitis?
Colicky umbilical pain
Where is the pain associated w/ appendicitis?
RLQ
Pain w/ right thigh extension
Psoa's sign in appendicitis
Pain w/ internal rotation of the flexed right hip
Obturator Sign in appendicitis
RLQ pain when pressure is applied to the LLQ
Positive Rosvsings sign
What would a high fever in appendicitis suggest?
Perforation or perhaps another diagnosis