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29 Cards in this Set
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- 3rd side (hint)
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prevertebral space infection
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usually from cervical osteo, presents similar to RPA
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arcanobacterioum pharyngitis
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exudate on tonsills, scarlitiniform rash, very similar to strep, treatment is z-pack
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diptheria
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PCN, anti-exotoxin, ENT consultation, Td for immunized contacts
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PUD tx
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antacids
H2 (will increase coumadin and beta blockers because cp450) PPIs can consider sulcralfate, misosprostol (NSAID induced) |
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perforated PUD, the facts and what to do
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anterior - 70% free air
posterior - may be just back pain dx and Tx |
ABX, surg consult PPI, flat and upright
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what is Gastric outlet obstruction
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caused by healed ulcer, presents with early satiety, will see succusion splash XR reveals
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dilated stomach shadow, treatment is NG suction, admit IVF, ANTICHOLINERGICS are contraindicated
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air in the biliary tree and signs of SBO on plain film
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gallstone ileus
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diarrhea is common in appy when the appendix is where
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pelvic
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most spec. finding of appy on CT
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periappendiceal stranding
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U/S for appy how does it work
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visualization of a noncmpressible, immobile appendix greater than 6 mm in diameter is highly suggestive of appy
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what is a closed loop obstruction
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blocked from both sides it occurs in volculus, herniation among others
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feculent emesis is seen in which types of obstructions
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LBO and distal ileal
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distention in bowel obstructions
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proportional to the distalness of the obstruction
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large bowel colon gas on plain films is distinguished from Small bowel by
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being peripheral and the presencsence of haustrations that do not involve the entire diameter
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sigmoid volvulus epidemiology
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NH patients or patients with neuro/psych disease because they often suffer from profound constipation and sigmoid elangation as opposed to cecal volvulus which occurs in patients in 20s-30s
treatment: |
restal tube and then resection because it is prone to reoccur
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MCC of mesenteric ischemia
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1. embolization
2. in situ thrombosis 3. mesenteric vein thrombosis (usually with Hx of hypercoag) |
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thumbprinting may bee seen in mesenteric ischemia it is what
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thickening of the bowel wall that is irregular
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CT finding suggesting mesenteric ischemia
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bowel wall thickening
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rarely incarcerate
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direct inguinal hernias
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more common in women, frequently inrcerates
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femoral (protrudes below inguinal ring)
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ileum is involved in almost all cases
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crohns
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toxic megacolon is more common with what IBD
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UC
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plain film of the abdomen reveals colonic diameter greater than 6cm
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C. DIff clinical picture
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usually presents 7 days after initiation of antibiotic
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sentinal pile is what
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external skin tag often confused as hemorrhoid, associated with fissure in ANO
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technically what is the dispo for a removed
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rectal foreign bodyobservation, post removal film, and sig
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diagnosis of C. Diff
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need stool toxin
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evaluation of AIDS diarrhea
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stool culture, blood Cx and Do NOT give empiric ABX
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Cholecystitis in most cases is associated with obstruction where
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neck of GB or Cystic duct
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most accurate test for cholecystitis?
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HIDA
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