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48 Cards in this Set
- Front
- Back
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what is mesenteric adentitis?
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an inflammatory process that affects the mesenteric lymph nodes in the RLQ caused by viral or yersinia infection
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what makes mesenteric adenitis different from appendicitis?
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n/v will come before pain in mesenteric adenitis
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what presents as crampy parozysmal pains followed by period of calm with currant-jelly stools in 5-9 month olds?
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intussusception
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what is meckel's diverticulum?
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a connection between the intestine and umbilical cord that does not completely close off
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what is usually asymptomatic but may present with pain and rectal bleeding?
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meckel's diverticulitis
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how do you diagnose meckel's diverticultiis?
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diagnose with technetium 99m scan and treat with surgery
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whenever you have an elderly patient with LLQ pain, what should you consider?
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diverticulitis
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what 3 things will have a decreased or atypical mcburney's point?
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elderly
pregnant rectrocecal |
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what is the obturator sign and what is it indicative of?
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pain upon rotating a flexed hip supine
indicative of appendicitis |
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what is the psoas sign and what is it indicative of?
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pain upon raising a striaghtened leg against resistance
indicative of appendicitis |
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what is rovsings sign and what is it indicative of?
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pressure to the LLQ results in pain to RLQ
indicative of appendicitis |
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when will a fever present with appendicitis?
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only in later stages
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when will appendicitis pain become more localized?
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when the peritonem becomes involved
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when will nausea and vomiting occur with appendicitis?
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usually after the pain has begun
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what will present with distension, flatulence, disordered bowel function, and mostly LLQ crampy pain?
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IBS
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what will present with chronic, intermittent epigastric discomfort, sometimes accompanied by nausea or bloating?
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dyspepsia
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what are 4 general causes of an acute abdomen?
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sudden inflammation, perforation, obstruction, or infarction of various intra-abdominal organs
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what are CT scans most important for identifying? (5)
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intra-abdominal abscess
diverticulitis appendicitis traumatic rupture acute pancreatitis |
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what type of film is best for identifying intraabdominal air?
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upright x-ray
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what may an elevated WBC mean?
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acute intestinal ischemia
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what may the absence of bowel sounds suggest?
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an ileus
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what may a hyperactive, high pitched bowel sound indicate?
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an obstruction
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what is a rectal exam important for? (2)
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rectal tumor causing a colon obstruction
appendicitis |
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what type of pain will a perforated viscera have?
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intense
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what will present with pain in the midthoracic back?
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dissecting aneurysm
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what will present with a constant, dull pain?
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IBS or dyspepsia
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what will present as a gnawing or hunger pain?
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chronic peptic ulcer
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what pain will begin in the epigastrium, move to the periumbilical region, and end in the RLQ?
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appendicitis
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where will pain be with a perforated peptic ulcer?
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all over
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what will present with RUQ pain that radiates to the scapula?
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acute cholecystitis
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what will present with generalized, all-over pain?
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acute obstruction to the bowel blood supply
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what will present with pain right in the middle or LUQ that radiates to the back?
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acute pancreatitis
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what will present with pain in the LLQ?
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acute sigmoidal diverticulitis
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what will present with writihing and a person unable to find a position of comfort?
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bowel obstruction
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what may be seen in the early stages of bowel obstruction?
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visual peristalsis
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what patient will want to avoid any motion and keep their feet flexed?
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peritonitis
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what will show focal areas of distention?
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hernia
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what type of pain originates in internal organs and from peritoneum?
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visceral
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what type of pain will be described by the patient as dull, achy, and crampy?
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visceral
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what type of pain involves internal organs, not the abdominal wall?
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visceral
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what type of pain will only involve C fibers?
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visceral
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what type of pain is NOT sensitive to cutting, tearing, burning, or crushing?
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visceral
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what type of pain is sensitive to stretching of the walls of hollow organs?
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visceral
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what type of pain originates from the abdominal wall and parietal peritoneum?
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somatic pain
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what type of pain is described by the patient as sharp and localized?
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somatic pain
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what type of pain involved the abdominal wall, not internal organs?
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somatic pain
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what type of pain will involve A and C fibers?
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somatic pain
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what should you think about when a patient complains of a lot more pain but when you push on the belly you don't get the reaction you'd expect?
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AAA
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