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31 Cards in this Set

  • Front
  • Back
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
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
most common organism for diarrhea post abx use
c. diff
most common cause of diarrhea after camping
Most common organism for traveler's diarrhea
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?
Diarrhea from raw seafood?
Vibrio, HAV
Diarrhea in AIDS?
Isospora, Cryptosporidium, MAC
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
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
RUQ pain
in the setting of ascending holangitis
Reynold's pentad
RUQ pain
altered mental status
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?
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