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;
25 Cards in this Set
- Front
- Back
|
Cause of acute gastritis |
chronic NSAID use |
|
|
Patient complains of acute onset of fever, nasuea, vomiting associated with rapid onset of abdominal pain that radiates to midback located in the epigastric region. Abdominal exam reveals guarding and tenderness over epigastric area. Positive Cullen's and Grey Turner's sign. |
Acute Pancreatitis |
|
|
Elevated serum amyase and lipase Elevated triglycerides >800mg/dL Elevated AST, ALT, GGT, bilirubin, leukocytosis |
Acute Pancreatitis |
|
|
H. Pylori serology IgG positive PLUS symptoms of PUD-- how would you treat? |
antibiotics and PPI
|
|
|
Diverticulitis Treatment |
Ciproflaxacin 500mg BID PLUS Flagyl 500mg TID x 10-14 days |
|
|
Acute onset of fever, LLQ pain, anorexia, nausea and vomiting. Labs reveal: leukocytosis, neutrophils higher than 70% (shift to left) |
Diverticulitis |
|
|
Elderly patient presents with acute onset of fever LLQ pain with anorexia, nausea and vomiting. Abdominal palpation reveals tenderness |
diverticulitis |
|
|
Rovsings Sign |
(Supine) Deep palpation of LLQ of abdomen results in referred pain to right lower quadrant Appendicitis Diagnosis |
|
|
Cullen's Sign |
Blue discloration of bruising around umbilicus and is a sign for retroperitoneal hemorrhage or bleeding behind perioteneum sign of acute pancreatitis or ectopic pregnancy |
|
|
Grey- Turners Sign |
Blue discoloration on flanks sign of acute pancreatitis of ectopic pregnancy |
|
|
Young adult complains of acute onset of periumbilical pain that is steadily getting worse over 12- 24 hours. Pain starts to localize at McBurnys point. |
Acute Appendicitis Rupture= involuntary guarding, rebound, boardlike abdomen. |
|
|
Appendicitis Diagnostic Tests |
Obturator Sign Psoas sign Rovsings Sign Murphys Sign
|
|
|
Obturator Sign |
Rotate right hip through full ROM positive if pain with movement (Supine) |
|
|
Psoas/ Illipsoas Sign |
Flex hip 90 degrees, ask patient to push against resistance (hand) and to straighten leg. (Supine) |
|
|
Number one therapy for mild ulcerative colitis |
sulfasalazine (Azulfidines) |
|
|
HIDA scan |
hepatobiliary scan indicated if uncertain after ultrasound diagnose: liver, gallbladder, and bile ducts |
|
|
Right Upper Quadrant Pain Differential Diagnosis |
GI Causes: Cholecystitis Hepatitis Biliary Colic Pancreatitis IBD GERD Non GI Causes Pneumonia Pleurisy PE |
|
|
Left Upper Quadrant Pain Differential Diagnosis |
GI Causes Gastritis gastric ulcer PUD GERD pansreatitis spelenomegaly Non GI causes MI Pyelonephritis PE Pneumonia |
|
|
Acute Cholecystitis gold standard findings |
gallbladder wall thickening sonographic "murphys sign" |
|
|
Woman presents with severe RUQ pain made worse after eating. Pain radiates to back. Reports nausea, vomiting, and oily smelly stools Labs: triglyceriods >1,000 |
acute pancreatitis |
|
|
Mild increase of ALT and AST not associated with alcohol, medicaction, drugs or hepatitis in an overweight to obese patient |
fatty liver (steatosis) |
|
|
What drugs precipitate gout attacks |
niacin thiazide diuretics cyclosporine ASA |
|
|
What drugs can cause acute pancreatitis |
corticosteroids thiazides alcohol |
|
|
Crohns disease symptoms |
constipation watery diarrhea sore or swelling of eyes joint pain/ swelling mouth ulcers swollen gum s fatigue loss of appetite fever |
|
|
20 year old presents with abdominal pain, ulcers, weight loss; and fever. He also has arthritis and positive FOB |
Crohns Disease |
