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43 Cards in this Set
- Front
- Back
noxious stimuli commonly cuased by inflammation that causes burning, cramping or gnawing pain that is difficult to localize
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visceral pain
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what may help relieve visceral pain
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moving around
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pain that is caused by inflamed abdominal lining ocming into contact with organs that is more painful when moving
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parietal pain
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what causes pain in RUQ
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gallbladder
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what causes pain in RLQ
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appendix or ileum
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what causes pain in LLQ
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colon
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what causes pain in LUQ
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spleen
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what cause midepigastric pain?
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duodenum, stomach and mesenteric lymph nodes
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what refers pain to the right scapula?
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gallbladder
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what refers pain to the left shoulder?
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splen
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what refers pain to the testicle or vagina?
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kidney stones
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what refers pain to the back?
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pancreas or aorta
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define borborygmi
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loud prolonged gurgles of hyperperistalsis
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how long must you listen before stating the abdominal sounds are absent?
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at least two minutes - silence is an omnious sign
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define tinkling
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tinkling sounds heard with ileus as liquid moves passively through the intestine
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define bruit
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arterial turbulence that can be caused by renal iliac, femoral or abdominal aortas
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what type of tissue causes dullness on percussion?
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solid organs or fluid
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what causes tympany on percussion?
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hollow organs
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what are the pre-test odds?
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4, 1, .25
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what is the pre-test probability?
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80%, 50%, 20%
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what are the post-test odds?
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pre-test odds x likelihood ratio
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what is the post-test probability?
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post test odds/(1+ post test odds)
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what causes peptic ulcer disease and reflux?
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inflammation due to acid that stimulates mucosal pain receptors
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where is peptic ulcer disease and reflux pain localized?
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midline, epigastric difficult to localize, can be referred to the back
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what aggrevates and relieves peptic ulcer disease and reflux pain?
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alcohol, aspirin like drugs, fasting, worse at night. Relieved by eating
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what causes acute cholecystitis?
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inflammation of the gallbadder
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what is characteristic of acute cholecysitis?
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RUQ pain that is referred to the right scapula, comes on after meals and aggrevated by fatty foods
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what is pancreatitis?
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inflammation of the pancraes that is associated with alcohol use
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what characterizes pancreatitis?
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mid abdominal pain that is poorly localized and referred to the back and aggrevated by eating
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what causes ureteral colic?
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stone in the urter
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what causes the pain associated with ureteral colic?
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peristaltic movement proximal to the stone
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what characterizes the pain associated with ureteral colic?
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costovertebral angle pain that radiates to testes/vagina; if inflammation occurs may feel need to defecate, may create vomiting
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what causes diverticulitis?
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colon inflammation
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what characterizes the pain associated with diverticulitis?
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diffuse lower abdominal (visceral) pain, if inflammation transcends the colonic wall pain is localized
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define ballottement
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bouncing motion to determine if gallbladder is collecting fluid
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define Fitz-Hugh Curtis Syndrome
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inflammation outside liver capsule that ocurs in women post chlamydial infeciton
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define iliopsoas sign
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RLQ pain when lying flat and trying to lift leg up against physcian's hand
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define obutrator sign
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RLQ pain when patient flexes and rotates leg laterally
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define rebound tenderness
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pain worsened when examiner lets off pressure
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define guarding
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involuntary contractio of the anterior abdominal wall muscles when pressed on
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define fluid wave
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pushing fluid from one side to the other, wave will hit your hand - used to diagnose ascites
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define shifting dullness
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precussion in 2 positions - water will displace organs causing a shift in where dullness was heard
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define scratch test
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used to estimate liver span, place stethoscope in middle of liver, scratch skin above and below liver and listen for changes in sound
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