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50 Cards in this Set
- Front
- Back
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where might a patient with a liver disorder experience referred pain?
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right shoulder (Kehr's sign)
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When does a patient exerience epigastric pain?
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acute gastritis, small intestine obstruction, acute pancreatitis
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Pain in upper right quadrant indicates
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cholecystitis
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pain in left upper quadrant indicates
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gastric ulcer
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What techniques are used in physical assessment of the GI system?
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inspection, auscultation, percussion, palpation
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What is the last method used in assessing the abdomen?
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palpation
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spoon shaped soft nails
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iron deficiency
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splinter hemorrhages in nails
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vitamin C deficiency
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dry, dull, scarce hair
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zinc, protien, linoleic acid deficiencys
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flaky dry skin
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vitamin A, vitamin B, linoleic acid deficiency
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cracks and/or hyperpigmentation in skin
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niacin deficiency
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bruising of skin
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vitamin C or vitamin K deficiency
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dry, soft eyes
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decrease in vitamin A
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pale conjunctiva of eyes
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iron deficiency
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red conjunctiva of eyes
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riboflavin deficiency
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decreased reflexes and peripheral neuropathies, irritable and/or disoriented
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thiamine deficiency
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muscle wasting
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deficits in protein, carb, fat metabolism
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calf pain
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thiamine deficiency
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joint pain
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vitamin c deficiency
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heart size and rate increase
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thiamine deficiency
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diastolic BP increases
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high intake of fat
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cheilosis (sores at corners of mouth)
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vitamin B-complex deficiencies
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stomatitis and spongy, bleeding gums
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malnutrition
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What is a healthy BMI
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19 to 25
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what BMI is considered overweight?
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25 to 29
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What BMI is considered obese?
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over 30
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atrophic, smooth, glossitis (bright, red tongue)
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B12, folic acid, iron deficiencies
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black, hairy tongue
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following antibiotic therapy
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leukoplakia (small white patches)
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premalignant condition
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reddened, dry , swollen buccal mucosa
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stomatitis
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candidiases (white cheesy patches that bleed when scraped)
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seen in immunosuppressed patients receiving antibiotics or chemotherapy and terminally ill patients
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acetone breath
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uremia
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foul breath
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may result from liver disease, respiratory infections, poor oral hygiene
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When is tymany present?
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over gas filled areas
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When is dullness preseent?
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over spleen, liver, enlarged kidney, full stomach
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What organs are normally not palpable?
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gallbladder and spleen
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lower abdominal distention
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bladder distention, pregnancy, ovarian mass
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general abdominal distentioin and an everted umbilicus
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ascites and/or tumors
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spider angiomas on abdomen
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liver disease
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dilated veins on abdomen
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cirrhosis of liver, ascites, portal HTN, venocaval obstruction
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venous hum
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heard over a cirrhotic liver
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friction rubs
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heard over inflamed liver or spleen
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what sound should normally be heard over the stomach?
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tympany
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When is the liver enlarged?
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cirrhosis and hepatitis
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What occurs in palpation of peritoneal inflammation?
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abdominal pain and involuntary muscle spasms
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left lower quadrant pain
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acute diverticulitis
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enlarged liver with smooth, tender edge
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hepatitis or venous congestion
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enlarged, nontender liver
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malignancy
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patient feels sharp pain on inspiration and stops inspiring (Murphy's sign)
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inflammation of gallbladder
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bulge or mass in inguinal area
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hernia
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