Reading...
Play button
Play button
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;
105 Cards in this Set
- Front
- Back
|
VISCERAL PAIN IN THE RIGHT UPPER QUADRANT MAY BE FROM WHAT?
|
LIVER DISTENTION AGAINST A CAPSULE IN ALCOHOLIC HEPATITIS
|
|
|
VISCERAL PERIUMBILICAL PAIN MAY SIGNIFY WHAT?
|
EARLY ACUTE APPENDICITIS FROM DISTENTION OF AN INFLAMED APPENDIX
|
|
|
WHAT DOES THE ACUTE PERIUMBILICAL PAIN OF APPENDICITIS GRADUALLY CHANGE TO?
|
PARIETAL PAIN IN THE RIGHT LOWER QUADRANT FROM INFLAMMATION OF THE ADJACENT PARIETAL PERITONEUM
|
|
|
PAIN OF DUODENAL OR PANCREATIC ORIGIN MAY RADIATE WHERE?
|
TO THE BACK
|
|
|
PAIN FROM THE BILIARY TREE MAY RADIATE WHERE?
|
TO THE RIGHT SHOULDER OR THE RIGHT POSTERIOR CHEST
|
|
|
PAIN FROM PLEURISY OR ACUTE MI CAN REFER WHERE?
|
TO THE EPIGASTRIC AREA
|
|
|
WHAT DO NEUROPEPTIDES LIKE 5-HYDROXYTRYPTOPHAN AND SUBSTANCE P MEDIATE?
|
INTERCONNECTED SYMPTOMS OF PAIN, BOWEL DYSFUNCTION, AND STRESS
|
|
|
DOUBLING OVER WITH CRAMPING COLICKY PAIN INDICATES WHAT
|
RENAL STONE
|
|
|
SUDDEN KNIFELIKE EPIGASTRIC PAIN MAY BE FROM
|
GALLSTONE PANCREATITIS
|
|
|
GASTRITIS OR GERD MAY BOTH EXHIBIT WHAT TYPE OF PAIN
|
EPIGASTRIC
|
|
|
VISCERAL PAIN IN THE RIGHT UPPER QUADRANT MAY BE FROM WHAT?
|
LIVER DISTENTION AGAINST A CAPSULE IN ALCOHOLIC HEPATITIS
|
|
|
VISCERAL PERIUMBILICAL PAIN MAY SIGNIFY WHAT?
|
EARLY ACUTE APPENDICITIS FROM DISTENTION OF AN INFLAMED APPENDIX
|
|
|
WHAT DOES THE ACUTE PERIUMBILICAL PAIN OF APPENDICITIS GRADUALLY CHANGE TO?
|
PARIETAL PAIN IN THE RIGHT LOWER QUADRANT FROM INFLAMMATION OF THE ADJACENT PARIETAL PERITONEUM
|
|
|
PAIN OF DUODENAL OR PANCREATIC ORIGIN MAY RADIATE WHERE?
|
TO THE BACK
|
|
|
PAIN FROM THE BILIARY TREE MAY RADIATE WHERE?
|
TO THE RIGHT SHOULDER OR THE RIGHT POSTERIOR CHEST
|
|
|
PAIN FROM PLEURISY OR ACUTE MI CAN REFER WHERE?
|
TO THE EPIGASTRIC AREA
|
|
|
WHAT DO NEUROPEPTIDES LIKE 5-HYDROXYTRYPTOPHAN AND SUBSTANCE P MEDIATE?
|
INTERCONNECTED SYMPTOMS OF PAIN, BOWEL DYSFUNCTION, AND STRESS
|
|
|
DOUBLING OVER WITH CRAMPING COLICKY PAIN INDICATES WHAT
|
RENAL STONE
|
|
|
SUDDEN KNIFELIKE EPIGASTRIC PAIN MAY BE FROM
|
GALLSTONE PANCREATITIS
|
|
|
GASTRITIS OR GERD MAY BOTH EXHIBIT WHAT TYPE OF PAIN
|
EPIGASTRIC
|
|
|
RIGHT UPPER QUADRANT PAIN AND UPPER ABDOMINAL PAIN SIGNIFY
|
CHOLECYSTITIS
|
|
|
ANGINA FROM INFERIOR WALL CORONARY ARTERY DISEASE MAY PRESENT AS
|
INDIGESTION, BUT IS PRECIPITATED BY EXERTION AND RELIEVED BY REST
|
|
|
BELCHING MAY BE A RESULT OF WHAT
|
AEROPHAGIA OR SWALLOWING OF AIR
|
|
|
THESE SYMPTOMS AND MUCOSAL DAMAGE ON ENDOSCOPY ARE DIAGNOSTIC FOR GERD
|
HEARTBURN, ACID REFLUX, OR REGURGITATION
|
|
|
RISK FACTORS FOR GERD
|
REDUCED SALIVARY FLOW, WHICH PROLONGS ACID CLEARANCE BY DAMPING ACTION OF THE BICARBONATE BUFFER, DELAYED GASTRIC EMPTYING, SELECTED MEDICATIONS, AND HIATAL HERNIA
|
|
|
RISING RETROSTERNAL BURNING PAIN OR DISCOMFORT OCCURRING WEEKLY OR MORE OFTEN AND AGGRAVATED BY FOOD
|
HEARTBURN
|
|
|
WHAT IS THE MOST LIKELY PREDICTOR OF APPENDICITIS?
|
RLQ PAIN OR PAIN THAT MIGRATES FROM THE PERIUMBILICAL REGION, COMBINED WITH ABDOMINAL WALL RIGIDITY ON PALPATION
|
|
|
IN WOMEN, ALTERNATE CAUSES OF RLQ PAIN MAY BE WHAT
|
PELVIC INFLAMMATORY DISEASE, RUPTURED OVARIAN FOLLICLE, AND ECTOPIC PREGNANCY
|
|
|
TYPE OF ABDOMINAL PAIN WITH RENAL STONE
|
CRAMPING PAIN RADIATING TO THE RIGHT OR LEFT LOWER QUADRANT
|
|
|
LEFT LOWER QUADRANT PAIN WITH A PALPABLE MASS COULD BE
|
DIVERTICULITIS
|
|
|
DIFFUSE ABDOMINAL PAIN WITH ABSENT BOWEL SOUNDS AND FIRMNESS, GUARDING, OR REBOUND ON PALPATION INDICATES WHAT
|
SMALL OR LARGE BOWEL OBSTRUCTION
|
|
|
CHANGES IN BOWEL HABITS WITH MASS LESION INDICATES WHAT?
|
COLON CANCER
|
|
|
INTERMITTENT PAIN FOR 12 WEEKS OF THE PRECEDING TWELVE MONTHS WITH RELIEF FROM DEFECATION, CHANGE IN FREQ. OF BOWEL MOVEMENTS, OR CHANGE IN FORM OF STOOL WITHOUT STRUCTURAL OR BIOCHEMICAL ABNORMALITIES ARE SYMPTOMS OF
|
IRRITABLE BOWEL SYNDROME
|
|
|
INDUCED VOMITING WITHOUT NAUSEA INDICATES
|
ANOREXIA OR BULIMIA
|
|
|
REGURGITATION OCCURS IN WHAT CONDITIONS
|
GERD, ESOPHAGEAL STRICTURE, ESOPHAGEAL CANCER
|
|
|
SYMPTOMS OF SMALL BOWEL OBSTRUCTION
|
VOMITING AND PAIN
|
|
|
FECAL ODOR OCCURS WITH WHAT TWO CONDITIONS
|
SMALL BOWEL OBSTRUCTION OR GASTROCOLIC FISTULA
|
|
|
HEMATEMESIS MAY ACCOMPANY THESE CONDITIONS
|
ESOPHAGEAL OR GASTRIC VARICES, GASTRITIS, OR PUD
|
|
|
SYMPTOMS OF BLOOD LOSS SUCH AS LIGHTHEADEDNESS OR SYNCOPE DEPEND ON RATE AND VOLUME OF BLOOD LOSS AND MAY NOT BE SEEN TIL YOU LOSE HOW MUCH
|
500 ML
|
|
|
EARLY SATIETY MAY BE SYMPTOM IN WHAT CONDITION
|
HEPATITIS
|
|
|
PINK PURPLE STRIAE- WHAT CONDITION?
|
CUSHING'S SYNDROME
|
|
|
DILATED ABDOMINAL VEINS- WHAT CONDITION?
|
HEPATIC CIRRHOSIS OR INFERIOR VENA CAVA OBSTRUCTION
|
|
|
SUPRAPUBIC BULGE MIGHT BE?
|
DISTENDED BLADDER OR PREGNANT UTERUS
|
|
|
BULGE IN INGUINAL OR FEMORAL AREA COULD BE?
|
HERNIA
|
|
|
MASSES IN LOWER ABDOMEN LIKELY TO BE?
|
OVARIAN OR UTERINE TUMOR
|
|
|
INCREASES PERISTALTIC WAVES SEEN IN WHAT CONDITION?
|
INTESTINAL OBSTRUCTION
|
|
|
INCREASED AORTIC PULSATION
|
AORTIC ANEURYSM OR OF INCREASED PULSE PRESSURE
|
|
|
CONDITIONS THAT MAY CAUSE ALTERED BOWEL SOUNDS
|
DIARRHEA, INTESTINAL OBSTRUCTION, PARALYTIC ILEUS, PERITONITIS
|
|
|
WHAT WILL YOU HEAR IF RENAL ARTERY STENOSIS IS THE CAUSE OF HYPERTENSION?
|
BRUITS WITH SYSTOLIC AND DIASTOLIC COMPONENTS
|
|
|
WHAT DO BRUITS WITH BOTH SYSTOLIC AND DIASTOLIC COMPONENTS SUGGEST?
|
THE TURBULENT BLOOD FLOW OR PARTIAL ARTERIAL OCCLUSION OR ARTERIAL INSUFFICIENCY
|
|
|
WHEN MIGHT YOU HEAR FRICTION RUBS
|
IN LIVER TUMOR, GONOCOCCAL INFECTION AROUND THE LIVER, SPLENIC INFARCTION
|
|
|
A PROTUBERANT ABDOMEN THAT IS TYMPANITIC THROUGHOUT SUGGESTS
|
INTESTINAL OBSTRUCTION
|
|
|
LARGE DULL AREA IN ABDOMEN MIGHT BE
|
PREGNANT UTERUS, OVARIAN TUMOR, DISTENDED BLADDER, LARGE LIVER, OR SPLEEN
|
|
|
DULLNESS IN BOTH FLANKS, ASSESS FOR WHAT?
|
ASCITES
|
|
|
SITUS INVERSUS
|
ORGANS ARE REVERSED ; AIR BUBBLE ON RIGHT, LIVER ON LEFT
|
|
|
INVOLUNTARY RIGIDITY INDICATES
|
PERITONEAL INFLAMMATION
|
|
|
CATEGORIES OF ABDOMINAL MASSES
|
PHYSIOLOGIC (PREGNANT), INFLAMMATORY (DIVERTICULITIS), VASCULAR (AAA), NEOPLASTIC (COLON CANCER), OR OBSTRUCTIVE (DISTENDED BLADDER)
|
|
|
ABDOMINAL PAIN WITH COUGHING OR LIGHT PERCUSSION SUGGESTS
|
PERITONEAL INFLAMMATION
|
|
|
REBOUND TENDERNESS SUGGESTS
|
PERITONEAL INFLAMMATION
|
|
|
WHAT MAY FALSELY INCREASE THE ESTIMATE OF THE SIZE OF THE LIVER?
|
DULLNESS OF A RIGHT PLEURAL EFFUSION OR CONSOLIDATED LUNG, IF ADJACENT TO LIVER DULLNESS
|
|
|
WHAT MAY FALSELY DECREASE THE ESTIMATE OF THE SIZE OF THE LIVER?
|
GAS IN THE COLON MAY PRODUCE TYMPANY IN THE RIGHT UPPER QUADRANT OBSCURING LIVER DULLNESS
|
|
|
WHEN THE EDGE OF THE LIVER IS PALPABLE BELOW THE RIGHT COSTAL MARGIN, WHAT DOES IT DOUBLE THE LIKELIHOOD OF?
|
HEPATOMEGALY
|
|
|
FIRMNESS OR HARDNESS, BLUNTNESS OR ROUNDING OF ITS EDGE, AND IRREGULARITY TO CONTOUR SUGGEST WHAT FOR LIVER?
|
ABNORMALITY
|
|
|
WHAT DOES TENDERNESS OVER LIVER SUGGEST?
|
INFLAMMATION, AS IN HEPATITIS, OR CONGESTION, AS IN HEART FAILURE
|
|
|
IF PERCUSSION DULLNESS IN PRESENT WHEN PERCUSSING FOR SPLENOMEGALY, AND PALPATION IS PROPERLY DONE, WHAT DOES IT DETECT?
|
CORRECTLY DETECTS THE PRESENCE OR ABSENCE OF SPLENOMEGALY MORE THAN 80% OF THE TIME
|
|
|
BESIDES SPLENOMEGALY, WHAT CONDITIONS MAY CAUSE DULLNESS IN TRAUBE'S SPACE?
|
FLUID OR SOLIDS IN THE STOMACH OR COLON
|
|
|
WHAT DOES A CHANGE IN PERCUSSION NOTE FROM TYMPANY TO DULLNESS ON INSPIRATION SUGGEST IN THE LOWEST INTERSPACE IN THE LEFT ANTERIOR AXILLARY LINE?
|
SPLENIC ENLARGEMENT (POSITIVE SPLENIC PERCUSSION SIGN); CAN BE POSITIVE WHEN SPLEEN SIZE IS NORMAL TOO
|
|
|
CAUSES OF SPLENOMEGALY
|
PORTAL HYPERTENSION, HEMATOLOGIC MALIGNANCIES, HIV INFECTION, AND SPLENIC INFARCT OR HEMATOMA
|
|
|
WHERE IS THE SPLEEN TIP PALPABLE
|
JUST DEEP TO THE LEFT COSTAL MARGIN
|
|
|
WHERE IS THE ENLARGE SPLEEN PALPABLE?
|
ABOUT 2 CM BELOW THE LET COSTAL MARGIN ON DEEP INSPIRATION
|
|
|
WHEN DO YOU SUSPECT SPLENOMEGALY RATHER THAN ENLARGE LEFT KIDNEY WHEN A LEFT FLANK MASS IS PRESENT?
|
SUSPECT SPLENOMEGALY IF A NOTCH IS PALPATED ON MEDIAL BORDER, THE EDGE EXTENDS BEYOND THE MIDLINE, PERCUSSION IS DULL, AND YOUR FINGERS CAN PROBE DEEP TO THE MEDIAL AND LATERAL BORDERS BUT NOT BETWEEN THE MASS AND THE COSTAL MARGIN
|
|
|
THINGS THAT FAVOR AN ENLARGED KIDNEY OVER AN ENLARGED SPLEEN
|
PRESERVATION OF NORMAL TYMPANY IN THE LUQ AND THE ABILITY TO PROBE WITH YOUR FINGERS BETWEEN THE MASS AND THE COSTAL MARGIN, BUT NOT DEEP TO ITS MEDIAL AND LOWER BORDERS
|
|
|
CAUSES OF KIDNEY ENLARGMENT
|
HYDRONEPHOSIS, CYSTS, TUMORS
|
|
|
BILATERAL ENLARGEMENT OF KIDNEYS SUGGESTS?
|
POLYCYSTIC KIDNEY DISEASE
|
|
|
PAIN WITH PRESSURE OR FIST PERCUSSION AT CVA SUGGESTS?
|
PYELONEPHRITIS, MAY ALSO HAVE A MUSCULOSKELETAL CAUSE
|
|
|
BLADDER DISTENTION FROM OUTLET OBSTRUCTION CAN BE CAUSED BY WHAT CONDITIONS?
|
URETHRAL STRICTURE, PROSTATIC HYPERPLASIA, ALSO FROM MEDS AND NEUROLOGIC CONDITIONS LIKE MS AND STROKE
|
|
|
WHERE IS THE ENLARGE SPLEEN PALPABLE?
|
ABOUT 2 CM BELOW THE LET COSTAL MARGIN ON DEEP INSPIRATION
|
|
|
RISK FACTORS FOR ABDOMINAL AORTIC ANEURYSM
|
65 YEARS OR OLDER, HISTORY OF SMOKING, MALE GENDER, AND A FIRST DEGREE RELATIVE WITH AAA REPAIR
|
|
|
WHEN DO YOU SUSPECT SPLENOMEGALY RATHER THAN ENLARGE LEFT KIDNEY WHEN A LEFT FLANK MASS IS PRESENT?
|
SUSPECT SPLENOMEGALY IF A NOTCH IS PALPATED ON MEDIAL BORDER, THE EDGE EXTENDS BEYOND THE MIDLINE, PERCUSSION IS DULL, AND YOUR FINGERS CAN PROBE DEEP TO THE MEDIAL AND LATERAL BORDERS BUT NOT BETWEEN THE MASS AND THE COSTAL MARGIN
|
|
|
WHAT DOES A PERIUMBILICAL OR UPPER ABDOMINAL MASS WITH EXPANSILE PULSATIONS THAT IS 3 OR MORE CM WIDE SUGGEST?
|
ABDOMINAL AORTIC ANEURYSM
|
|
|
THINGS THAT FAVOR AN ENLARGED KIDNEY OVER AN ENLARGED SPLEEN
|
PRESERVATION OF NORMAL TYMPANY IN THE LUQ AND THE ABILITY TO PROBE WITH YOUR FINGERS BETWEEN THE MASS AND THE COSTAL MARGIN, BUT NOT DEEP TO ITS MEDIAL AND LOWER BORDERS
|
|
|
CAUSES OF ASCITES
|
INCREASED HYDROSTATIC PRESSURE IN CIRRHOSIS, CHF, CONSTRICTIVE PERICARDITIS, OR INFERIOR VENA CAVA OR HEPATIC VEIN OBSTRUCTION; FROM DECREASED OSMOTIC PRESSURE IN NEPHROTIC SYNDROME AND MALNUTRITION; ALSO OVARIAN CANCER
|
|
|
CAUSES OF KIDNEY ENLARGMENT
|
HYDRONEPHOSIS, CYSTS, TUMORS
|
|
|
BILATERAL ENLARGEMENT OF KIDNEYS SUGGESTS?
|
POLYCYSTIC KIDNEY DISEASE
|
|
|
PAIN WITH PRESSURE OR FIST PERCUSSION AT CVA SUGGESTS?
|
PYELONEPHRITIS, MAY ALSO HAVE A MUSCULOSKELETAL CAUSE
|
|
|
BLADDER DISTENTION FROM OUTLET OBSTRUCTION CAN BE CAUSED BY WHAT CONDITIONS?
|
URETHRAL STRICTURE, PROSTATIC HYPERPLASIA, ALSO FROM MEDS AND NEUROLOGIC CONDITIONS LIKE MS AND STROKE
|
|
|
RISK FACTORS FOR ABDOMINAL AORTIC ANEURYSM
|
65 YEARS OR OLDER, HISTORY OF SMOKING, MALE GENDER, AND A FIRST DEGREE RELATIVE WITH AAA REPAIR
|
|
|
WHAT DOES A PERIUMBILICAL OR UPPER ABDOMINAL MASS WITH EXPANSILE PULSATIONS THAT IS 3 OR MORE CM WIDE SUGGEST?
|
ABDOMINAL AORTIC ANEURYSM
|
|
|
Name antibiotic that blocks mRNA synthesis
|
Rifampin (inhibits DNA-dependent RNA polymerase)
|
|
|
IN ASCITES, WHERE DO YOU FIND TYMPANY AND DULLNESS?
|
DULLNESS SHIFTS TO THE MORE DEPENDENT SIDE AND TYMPANY SHIFTS TO THE TOP
|
|
|
AN EASILY PALPABLE FLUID WAVE IMPULSE SUGGESTS WHAT?
|
ASCITES
|
|
|
POSITIVE FLUID WAVE, SHIFTING DULNESS, AND PERIPHERAL EDEMA LEAD TO A DIAGNOSIS OF?
|
ASCITES
|
|
|
WHERE DOES THE PAIN OF APPENDICITIS NORMALLY BEGIN
|
AT THE UMBILICUS, THEN SHIFTS TO THE RLQ (INCREASED BY COUGHING)
|
|
|
LOCALIZED TENDERNESS IN THE RLQ OR FLANK INDICATES
|
APPENDICITIS
|
|
|
RIGHT SIDED RECTAL TENDERNESS COULD BE CAUSED BY APPENDICITIS OR WHAT ELSE?
|
INFLAMED ADNEXA OR AN INFLAMED SEMINAL VESICLE
|
|
|
ROVSING'S SIGN
|
PRESS DEEP AND EVENL IN THE LEFT LOWER QUADRANT; QUICKLY WITHDRAW FINGERS; POSITIVE SIGN- APPENDICITISQ
|
|
|
TEST FOR CUTANEOUS HYPERESTHESIA
|
AT SERIES OF POINTS DOWN THE ABDOMINAL WALL, GENTLY PICK UP FOLDS OF SKIN BETWEEN YOUR THUMB AND INDEX FINGER, WITHOUT PINCHING IT; SHOULD NOT BE PAINFUL----LOCALIZED PAIN IN ALL OR PART OF RLQ MAY ACCOMPANY APPENDICITIS
|
|
|
HOW TO PERFORM MURPHY'S SIGN
|
HOOK YOUR LEFT THUMB OR THE FINGERS OF YOUR RIGHT HAND UNDER THE COSTAL MARGIN AT THE POINT WHERE THE LATERAL BORDER OF THE RECTUS MUSCLE INTERSECTS WITH THE COSTAL MAGIN; ASK PATIENT TO TAKE A DEEP BREATH
|
|
|
WHAT IS A POSITIVE MURPHY'S TEST?
|
A SHARP INCREASE IN THE TENDERNESS WITH A SUDDEN STOP IN INSPIRATORY EFFORT CONSTITUTES A POSITIVE MURPHY'S SIGN OR ACUTE CHOLECYSTITIS
|
|
|
WHAT ACTION WILLUISIALLY CAUSE A VENTRAL HERNIA ON THE ABDOMINAL WALL TO APPEAR?
|
ASKING THE PATIENT TO RAISE BOTH HEAD AND SHOULDERS OFF THE TABLE
|
|
|
WHEN A PATIENT RAISES THEIR HEAD AND SHOULDERS AND TIGHTENS ABDOMINAL MUSCLE, A MASS IN TEH ABDOMINAL WALL IS _____. AN INTRAABDOMINAL MASS WILL BE _______________.
|
PALPABLE; OBSCURED
|
|
|
WHAT DOES A HEPATIC BRUIT SUGGEST
|
CARCINOMA OF THE LIVER OR ALCOHOLIC HEPATITIS
|
|
|
GRATING SOUNDS WITH RESPIRATORY VARIATION THAT INDICATE INFLAMMATION OF THE PERITONEAL SURFACE OF AN ORGAN LIKE IN LIVER CANCER
|
FRICTION RUB
|
|
|
BOWEL SOUNDS ARE INCREASED WITH
|
DIARRHEA OR EARLY INTESTINAL OBSTRUCTION
|
|
|
BOWEL SOUNDS ARE DECREASED, AND THEN ABSENT, WITH
|
ADYNAMIC ILEUS AND PERITONITIS
|
