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18 Cards in this Set
- Front
- Back
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Acute pancreatitis |
*inflamed pancreas - acute onset fever, n/v, LUQ pain (+) cullen's & grey-tuner's sign |
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Acute diverticulitis |
*inflamed out pouching of colon - elderly, fever, AN, n/v, LLQ pain, (+) rovsing's sign Tx: cipro + metronidazole |
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Acute cholecystitis |
*inflamed gallbladder - overweight female, RUQ pain, 1hr after eating (+) murphy's sign |
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Colon cancer |
gradual years of vague GI sx (+) heme in stool |
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Crohn's disease |
*entire GI tract inflamed - NO blood in stool, RLQ pain, liquidy stools - at inc risk for colon cancer |
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C.diff |
severe watery diarrhea from 10-15 stools/day w/ lower abd pain *most sx appear 5-10 days after abx - clinda, fluoroquinolones, cephalosporins, PCN Tx: metronidazole |
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Ulcerative colitis |
*inflamed rectum & colon w/ ulceration - BLOOD in stool, watery, mild cramps |
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GERD |
chest/epigastric pain, burning, regurg food - worse when bend over & laying down after eating ETOH, smoking, fatty foods Tx: H2 blockers or PPI x 4-6wks |
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PUD |
H.pylori - gastric: worse w/ eating - duodenal: worse after eating Tx: H2 blocker or PPI x 4-8wks |
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IBS |
*abd pain/discomfort (constipation vs. diarrhea) 3 days/mo lasting 3mo -- 2/3 below: 1. improves when poop 2. onset w/ change in stool freq 3. onset w/ change in stool form Tx: increase fiber |
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Peritonitis |
rebound tenderness |
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Acute appendicitis |
RLQ pain, mild to severe, (+) psoas -- raise R leg (+) obturator -- hip rotation (+) rovsing -- palpate LLQ & feel RLQ pain (+) McBurney's sign |
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Hepatitis symptoms |
- loss of appetite - n/v/abd pain - gray stool - fever - fatigue - joint pain - jaundice |
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Hepatitis A |
*Hep A: fecal/oral, self-limiting Incubation = 15-50 days IgG anti-HAV (+) --> immune - Antibodies present, NO virus present/not infectious - hx hep A or hep A vaccinated IgM anti-HAV (+) --> acute infection - hep A virus still present, pt contagious |
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Hepatitis B |
*Hep B: sex, blood Incubation = 45-160 days HBsAG --> if (+) pt has hep B - acute or chronic hep B HBsAb OR Anti-HBs (+) --> antibodies present,immune- past infection or hep B vaccination *must have this to become infected w/ hep D |
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Hepatitis C |
*Hep C: IV drug, blood, sex is rare Incubation = 14-180 days Anti-HCV - screening for hep C (+) then has hep C *highest risk of cirrhosis & liver cancer |
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AST/ALT |
AST: normal = 0-45mg/dL ALT: normal = 0-40mg/dL --> (+) = liver inflamm!
AST/ALT ratio >2.0 = alcohol abuse
ALT: actos, liver dz/infxn, toxicity
AST: alcohol, statins, tylenol |
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Abdominal organs/quadrants |
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