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22 Cards in this Set
- Front
- Back
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what are the criteria for px with COPD to qualify for home O2
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pulse ox < 88%
peripheral edema polycythemia pulm HTN |
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lung cancer a/w SIADH
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small cell cancer
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What is Charcot's triad
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RUQ pain
jaundice fever Dx = cholangitis |
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what is reynolds pentad
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RUQ pain
jaundice fever Hypotension AMS Dx = cholangitis |
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Rx for cholecystitis
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cholecystectomy
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what type of pt is at high risk of acalculous cholecystits
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pts on TPN or in ICU
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Rx for cholangitis
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drain bile ducts (ERCP)
fluid & IV antibiotics cholecystectomy (LATER) |
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what are the MC presenting symptoms of primary biliary cirrhosis
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fatigue and pruruitis
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Rx for primary biliary cirrhosis
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ursodeoxycholic acid
(delays progression of ds & enhances survival) |
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Rx for pruritis in primary biliary cirrhosis
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cholestyramine
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what is the definitive Rx for primary biliary cirrhosis
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liver transplant
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antibodies in primary biliary cirrhosis
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anti-mitochondrial
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antibodies in primary sclerosing cholangitis
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pANCA
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what is seen on imagine of primary sclerosing cholangitis
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ERCP: beads on a string
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Sign/Dx:
deep palpation of RUQ causes arrest of inspiration due to pain |
murphy's sign/cholecystitis
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Sign/Dx:
fever, jaundice, RUQ pain |
reynold's pentad/cholangitis
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Sign/Dx:
RLQ pain on passive extension of hip |
psoas sign/appendicitis
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Sign/Dx:
RLQ pain on passive internal rotation of flexed hip |
obturator's sign/appendicitis
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Sign/Dx:
LUQ pain that refers to left shoulder |
kehr's sign/splenic rupture
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Sign/Dx:
ecchymosis of the skin overlying the flank |
grey turner's sign/pancreatitis
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Sign/Dx:
ecchymosis of skin overlying the periumbilical area |
cullen's sign/pancreatitis
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Compare location of pathology of primary biliary cirrhosis vs primary sclerosing cholangitis
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PBC: intrahepatic ducts ONLY
PSC: intra & extrahepatic ducts |
