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19 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is the best (most sensitive) test for detecting gallstones?
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HIDA scan: HIDA injection -> nuclear scanning
Utz is much less sensitive |
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Eponym: periumbilical hemorrhage
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Cullen sign
Josh: Cumbilical sign |
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Eponym: flank ecchymoses
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Turner sign
Josh: just around the turns |
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What is the classic x-ray finding with pancreatitis?
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Sentinel loop: air in the inflamed, immobile adjacent small intestine.
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Represents decreased motility of intestines that is typical of inflammed intestine.
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What lab test is contraindicated in a patient with a suspected perforation of a peptic ulcer?
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Barium swallow
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Which lab should be ordered in a patient with a suspected perforation of a peptic ulcer?
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Abdominal X-ray -> free intraperitoneal air under the diapragm indicates perforation
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What are the palpable masses in diverticulitis?
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Inflammation -> Fixed sausage-like mass -> loops of inflammed, immobile small intestine
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You shake a patient's heel, and he experiences extreme pain in his abdomen. What is this sign called (eponym)?
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Positive Merkel sign
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A patient experiences abdominal pain when you fix his foot with his knee flexed, then internally and externally rotate his hip. What is this sign called (eponym)?
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Positive Obturator sign
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A patient experiences abdominal pain with hip flexion. What is this sign called (eponym)?
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Psoas sign
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A patient experiences RLQ pain when you palpate the LLQ. What is this sign called (eponym)?
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Rovsing sign
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A patient has absent bowel sounds in the RLQ. What is this sign called (eponym)? WHAT IS THE DIAGNOSIS?
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Dance sign
Dx: intussusception |
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Describe the staging of hepatic encephalopathy.
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1: mild mood changes +/- asterix
2: lethargy w/ asterixis 3: marked confusion 4: comatose (ASTERXS DISAPPEARS) |
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What is a Dieulafoy lesion?
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Rare cause of upper GI bleed, where an arteriole protrudes through a defect in the mucosa.
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Pt has heart disease, CNS abmormalities, arthralgias, abdominal pain, fever, weight loss, and diffuse lymphadenopathy. Intestinal biopsy reveals PAS-positive foamy macrophages. What is the causative organism?
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Trophyerma whippelii - Whipple's disease
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What is a potential cause of a false-negative fecal occult blood test?
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Vitamin C
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an antioxidant that interferes with the reaction
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A patient eats fish and chips. The next day, during a routine physical, he has a positive FOBT. What caused it?
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Horseradish
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What is tenesmus? What disease is it most typically associated with?
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Tenesmus is a feeling of incomplete defecation and is associated with IBS, as well as IBD and a variety of rectal maladies, including rectal gonorrhea.
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Describe the grading of cirrhosis.
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1: No neuro deficits; Bili<2.0
2: Minimal deficits; Bili:2-3.0 3: Coma; Bili>3.0 |
Grade 1-3
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