Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
What is the first priority in evaluating abdominal pain?
|
Pain is acute or chronic?
|
|
|
RLQ pain is suspicious for..
|
appendicitis
|
|
|
A gnawing abdominal sensation is described with...
|
ulcer disease
|
|
|
Abdominal pain that worsens after eating
|
Pancreatitis, gallbladder disease, or reflux
|
|
|
Location and Radiation of Pain: acute appendicitis
|
Starts in the periumbilical region before moving to the right lower quadrant
|
|
|
Location and Radiation of Pain: Pancreatitis
|
Midepigastric region with radiation to the back
|
|
|
Location and Radiation of Gallbladder pain
|
Epigastric or RUQ and radiate to the scapula
|
|
|
Location and Radiation of Esophageal spasm
|
refers in upper chest
|
|
|
Location and Radiation of GERD
|
Mid-epigastric and generally does not radiate
|
|
|
Sudden cessation of inspiratory effort during deep palpation of the RUG
|
Murphy's sign seen in Cholecystitis
|
|
|
What is the leading cause of of Peptic Ulcer Disease?
|
H pylori
|
|
|
56 yo complaining of gnawing abdominal pain in the center of her upper associated with sensation of hunger. She has a long history of alcohol abuse, and notes darker stool over the last 3 weeks. Most likely cause of her illness?
|
H pylori
|
|
|
How can GERD be diagnosed?
|
by medical history and evaluating the response to treatment
-->those who respond are likely to have diagnosis |
|
|
When is esophagogastroduodenoscopy (EGD) performed in a patient with reflux?
|
If bleeding, weight loss, or dysphagia are present, especially in an elderly patient
|
|
|
What are the alarm systems of patients with GERD that indicate EGD?
|
Bleeding, abdominal mass, weight loss, dysphagia, or vomiting, especially in elderly
|
|
|
What is the gold standard for diagnosis and treatment of choledocholithiasis?
|
Endoscopic retrograde cholangiopancreatography
( ERCP) |
|
|
What should be done in order to see gallstones?
|
Ultrasound
|
|
|
What are the major causes for pancreatitis?
|
Gallstones, Alcohol, Idiopathic
|
|
|
What lab test is specific for pancreatitis (acute)?
|
Lipase
|
|
|
Ranson's Criteria
|
On admission (5): 1. Age>55, 2. WBC>16,000/mm^3, 3. Glucose
|
