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31 Cards in this Set

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patient presents with sudden onset of severe diffuse abd. pain. Exam reveals peritoneal signs and AXR shows free air under the diaphragm. Rx?
emergent laparotomy to repair perforated viscus, likely stomach.
most likely cause of acute LGIB in patients >40
diverticulosis
Diagnostic modality used when U/S is equivocal for cholecystitis
HIDA scan
Sentinel loop on AXR
acute pancreatitis
risk factors for cholelithiasis
fat, female, forty, fertile, flatulent
inspiratory arrest during palpation of RUQ
Murphy's sign - acute chole
Most common organism causing diarrhea
campylobacter
most common organism for diarrhea post abx use
c. diff
most common cause of diarrhea after camping
Giardia
Most common organism for traveler's diarrhea
ETEC
Most common organism for diarrhea after a picnic
S. aureus (mayonnaise)
Most common organism causing diarrhea from undercooked hamburger
E. Coli O157:H7
Diarrhea from fired rice?
B. cereus
Diarrhea from poultry/eggs?
Salmonella
Diarrhea from raw seafood?
Vibrio, HAV
Diarrhea in AIDS?
Isospora, Cryptosporidium, MAC
Pseudoappendicitis?
Yersinia
25y/o Jewish male presents with pain and watery diarrhea after meals. Exam shows fistulae b/t the bowel and skin and nodular lesions of his tibias
Crohn's
Extraintestinal manifestations of IBD
uveitis, anklosing spondylitis, pyoderma gangrenosum, erythema nodosum, primary sclerosing cholangitis
medical treatment of IBD
5-ASA +/- sulfasalazine and steroids during acute exacerbations
difference between Mallory-Weiss and Boerhaave tears
Mallory-Weiss - superficial tear in the esophageal mucosa
Boerhaave - full thickness esophageal rupture
Charcot's triad
fever,chills
jaundice
RUQ pain
in the setting of ascending holangitis
Reynold's pentad
RUQ pain
jaundice
fever/chills
altered mental status
shock
in setting of suppurative ascending cholangitits
Medical treatment for hepatic encephalopathy
decreased protein intake, lactulose, neomycin
first step in the management of patient with acute GIB
establish ABC's
4 y/o child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause
HUS, E. coli O157:H7
post-HBV exposure treatment
immunoglobulin and vaccination
classic causes of drug-induced hepatitis
TB meds (INH, rifampin, pyrazinamide) acetaminophen, tetracycline
40 y/o obese female with elevated ALP, bilirubin, pruritis, dark urine and clay coloured stools
biliary tract obstruction
hernia with highest risk of incarceration?
femoral
50 y/o male with hx of EtOH abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. Management?
Confirm acute pancreatitis with elevated amylase, lipase.
NPO, IV fluids, analgesia, O2