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31 Cards in this Set
- Front
- Back
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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?
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emergent laparotomy to repair perforated viscus, likely stomach.
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most likely cause of acute LGIB in patients >40
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diverticulosis
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Diagnostic modality used when U/S is equivocal for cholecystitis
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HIDA scan
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Sentinel loop on AXR
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acute pancreatitis
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risk factors for cholelithiasis
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fat, female, forty, fertile, flatulent
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inspiratory arrest during palpation of RUQ
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Murphy's sign - acute chole
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Most common organism causing diarrhea
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campylobacter
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most common organism for diarrhea post abx use
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c. diff
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most common cause of diarrhea after camping
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Giardia
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Most common organism for traveler's diarrhea
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ETEC
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Most common organism for diarrhea after a picnic
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S. aureus (mayonnaise)
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Most common organism causing diarrhea from undercooked hamburger
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E. Coli O157:H7
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Diarrhea from fired rice?
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B. cereus
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Diarrhea from poultry/eggs?
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Salmonella
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Diarrhea from raw seafood?
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Vibrio, HAV
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Diarrhea in AIDS?
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Isospora, Cryptosporidium, MAC
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Pseudoappendicitis?
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Yersinia
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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
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Crohn's
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Extraintestinal manifestations of IBD
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uveitis, anklosing spondylitis, pyoderma gangrenosum, erythema nodosum, primary sclerosing cholangitis
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medical treatment of IBD
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5-ASA +/- sulfasalazine and steroids during acute exacerbations
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difference between Mallory-Weiss and Boerhaave tears
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Mallory-Weiss - superficial tear in the esophageal mucosa
Boerhaave - full thickness esophageal rupture |
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Charcot's triad
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fever,chills
jaundice RUQ pain in the setting of ascending holangitis |
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Reynold's pentad
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RUQ pain
jaundice fever/chills altered mental status shock in setting of suppurative ascending cholangitits |
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Medical treatment for hepatic encephalopathy
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decreased protein intake, lactulose, neomycin
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first step in the management of patient with acute GIB
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establish ABC's
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4 y/o child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause
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HUS, E. coli O157:H7
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post-HBV exposure treatment
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immunoglobulin and vaccination
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classic causes of drug-induced hepatitis
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TB meds (INH, rifampin, pyrazinamide) acetaminophen, tetracycline
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40 y/o obese female with elevated ALP, bilirubin, pruritis, dark urine and clay coloured stools
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biliary tract obstruction
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hernia with highest risk of incarceration?
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femoral
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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?
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Confirm acute pancreatitis with elevated amylase, lipase.
NPO, IV fluids, analgesia, O2 |
