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13 Cards in this Set
- Front
- Back
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Pt presents with pain on inspiration. (+ Murphey's) Imaging to do? Fever, pain persists
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Cholecystitis
Ultrasound, HIDA scan |
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Pts has knees drawn up, leans forward, and is in constant pain. Inc. Lipase and Amylase. Imaging to order?
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Pancreatitis
CT |
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Rebound tenderness at McBurney's point. Groaned when you accidentally bumped the foot of the bed. Labs to get?
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Appendicitis
Urinalysis, Leukocytosis, RBC's in urine? |
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Left Lower Quadrant pain, may radiate to groin and back. NO blood. Guarding and peritoneal signs seen. Imaging?
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Diverticulitis
CT |
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High-pitched tinkling noise heard on auscultation. What do we expect to see on imaging? What is a likely cause of this pts symptoms?
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Bowel Obstruction
See Air fluid levels and "stair step" pattern as well as dilated loops of bowel Risk factors for small bowel obstructions: Post-op adhesions, tumor, hernia |
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"Pain out of proportion to PE". Hematochezia. What do we expect to see on lab values?
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Ischemia
Acidosis (lactic acidosis) and Leukocytosis Imaging = CT, X-ray |
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Smoker, Drinker, GERD, NSAID use, Aspirin, H. pylori (From johnson: Cushing = head injury, Curling = Burns). What will we see on x-ray?
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Ulcer (that's perforated)
Pneumoperitoneum |
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Female, Fertile, Forty, Fat-Ass. Imaging? (normal labs, pain resolves)
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Gallstones, Cholelithiasis
Ultrasound then x-ray |
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RUQ pain with inc. LFTs and Hyperbilirubinemia (conjugated bili). Imaging? Afebrile, Jaundice, Persistent pain, Inc. LFTs, Bilirubinemia
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Choledolithiasis
ERCP, MRCP |
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Ejection fraction less than 35%, Ultrasound shows no stones, +or- RUQ pain Imaging? Normal labs, pain resolves
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Biliary Dyskinesia
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Fever, Jaundice, RUQ pain. What imaging do you HAVE to get?
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Cholangitis
Cholangiography |
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RUQ Pain, fever, jaundice, shock, altered mental status. What imaging do you HAVE to get? (inc. LFTs., Leukocytosis)
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Cholangitis
Cholangiography |
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Blood in urine
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Uretolith
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