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28 Cards in this Set
- Front
- Back
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Pt presents with sudden onset of sever, diffuse, ab pain. Exam reveals peritoneal signs and AXR reveals free air under the diaphragm. Management?
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Emergent Laparotomy to repair perforated viscus
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The most likely cause of acute lower GI bleed in patients >40 yo?
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Diverticulosis
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Diagnostic modality used when US is equivocal for cholecystitis?
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HIDA scan
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Risk factors for cholelithiasis?
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Fat,Female,Fertile, Fourty, Flatulent
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Inspiratory arrest during palpation of RUQ?
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Murphy's sign ....acute cholecystitis
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Pt presents with sudden onset of sever, diffuse, ab pain. Exam reveals peritoneal signs and AXR reveals free air under the diaphragm. Management?
|
Emergent Laparotomy to repair perforated viscus
|
|
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The most likely cause of acute lower GI bleed in patients >40 yo?
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Diverticulosis
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Diagnostic modality used when US is equivocal for cholecystitis?
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HIDA scan
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Risk factors for cholelithiasis?
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Fat,Female,Fertile, Fourty, Flatulent
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Inspiratory arrest during palpation of RUQ?
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Murphy's sign ....acute cholecystitis
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The most common cause of SBO(obstruction) in patients with no hx of abdominal surgery?
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Hernia
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The most common cause of SBO in patients with Hx of abdominal surgery?
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Adhesions
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Key Organisms causing diarrhea?
1.Most common 2. Recent Abx use 3. Camping 4. Traveler's 5. Church picnics and Mayo 6. Uncooked burgers 7. Fried rice 8. Poultry/eggs 9. Raw seafood 10.AIDS 11. Psuedoappendicitis |
1. Campylobacter
2. C. Diff 3. Giardia 4. ETEC 5. S. aureus 6. EHEC 0157 7. B. cereus 8. Salmonella 9. Vibrio/HAV 10. Isospora, Cryptosporidium, MAC 11. Yersinia |
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A M25, jew presents with pain and watery diarrhea after meals. Exam shows fistulas between the bowel and skin and nodular lesions on his tibias?
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Crohns
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Inflammatory disease of the colon with inc risk of colon cancer?
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Ulcerative colitis
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Extraintestinal manifestations of IBD?(5)
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1. Uveitis
2. Ankylosing spondylitis 3. Pyoderma gangrenosum 4. Erythema nodosum 5. Primary sclerosing cholangitis |
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Medical tx for IBD?
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5-ASA and steroids during acute exacerbations
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Difference between mallory weiss and Borheave tears?
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MW - superficial tears in esophageal mucosa
BH - Full thickness esophageal ruptures |
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Charcot's triad?
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1. RUQ pain
2. Jaundice 3. Fever/chill in the setting of ascending cholangitis |
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Reynold's pentad?
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1. Charcot's triad
2. Shock 3. Mental status changes with suppurative ascending cholangitis |
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Medical tx for hepatic encephalopathy?(3)
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1. Decreased protein intake
2. Lactulose 3. Rifaximin |
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First step in management of a pt with an acute GI bleed?
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1. Establish the ABC's
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A 4 yo child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely dx and cause?
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Hemolytic Uremic Syndrome from E. Coli 0157:H7
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Post HBV exposure tx?
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HBV immunoglobulin
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Classic causes of drug induced hepatitis?
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1. TB meds(INH, rifampin, pyrazinamide)
2. Acetomenophin 3. Tetracycline |
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A F40 yo obese, with elevated alk phos, bilirubin, pruritis, dark urine, and clay colored stools?
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Biliary tract obstruction
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Hernia with the highest risk of incarceration - indirect, direct or femoral?
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Femoral
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A M50 yo with hx of alcohol abuse presents with boring epigastric pain that radiates to his back and is relieved by sitting forward. Management?
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1. Confirm Acute Pancreatitis with elevated Amylase and Lipase
2. Make him NPO 3.IV fluids 4.Analgesia |
