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32 Cards in this Set

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pt presents with sudden onset of severe, diffuse abd. pain. exam reveals peritoneal signs and AXR reveals free air under the diaphragm. mgmt?
emergent laparotomy to repair perforated viscus, likely stomach
most likely cause of acute lower GI bleed in pts >40 yrs old?
diverticulosis
diagnostic modality used when u/s is equivocal for cholecystitis?
HIDA scan
sentinel loop on AXR?
acute pancreatitis
risk factors for cholelithiasis
Fat
Female
Fertile
Forty
Flatulent
inspiratory arrest during palpation of the RUQ
Murphy's sign, seen in acute cholecystitis
most common diarrhea organism?
campylobacter
diarrhea after recent antibiotic use. bug?
clostridium difficile
diarrhea after camping. bug?
giardia
traveler's diarrhea. bug?
ETEC
diarrhea from church picnics, mayonnaise. bug?
S. aureus
diarrhea from uncooked hamburgers. bug?
E. coli O157:H7
diarrhea from fried rice. bug?
Bacillus cereus
diarrhea from poultry/eggs. bug?
Salmonella
diarrhea from raw seafood. bug?
Vibrio, HAV
diarrhea from AIDS. bug?
Isospora
Cryptosporidium
Mycobacterium avium complex (MAC)
diarrhea from pseudoappendicitis. bug?
Yersinia
25yo Jewish male presents with pain and watery diarrhea after meals. Exam shows fistulas b/w the bowel and skin and nodular lesions on his tibias. Likely cause?
Crohn's disease
Inflammatory disease of colon with increased risk of colon CA.
Ulcerative colitis
Extraintestinal signs of IBD?
uveitis
ankylosing spondylitis
pyoderma gangrenosum
erythema nodosum
primary sclerosing cholangitis
medical tx for IBD?
5-aminosalicylic acid +/- sulfasalazine and steroids during acute exacerbations
difference b/w Mallory-Weiss and Boerhaave tears
Mallory-Weiss: superficial tear in the espophageal mucosa

Boerhaave: full-thickness esophageal rupture
Charcot's triad? disease?
RUQ pain, jaundice, and f/c in setting of ascending cholangitis
Reynold's pentad
Charcot's triad plus shock and MS changes with suppurative ascending cholangitis
Medical tx for hepatic encephalopathy
lower protein intake, lactulose, neomycin
1st step in the mgmt of a pt with acute GI bleed
establish the ABC's
4yo child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely dx and cause?
hemolytic-uremic syndrome (HUS) due to E. coli O157:H7
post-HBV exposure tx
HBV immunoglobulin
classic causes of drug-induced hepatitis
TB meds (INH, rifampin, pyrazinamide), acetaminaphen, and tetracyclline
40yo obese female with elevated alkaline phosphatase, elevated bilirubin, pruritis, dark urine, and clay-colored spots
biliary tract obstruction
Hernia with highest risk of incarceration - indirect, direct, or femoral?
femoral hernia
50yo man with hx of ETOH abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. mgmt?
confirm dx of acute pancreatitis with elevated amylase and lipase. Make pt NPO and give IV fluids, O2, analgesia, and 'tincture of time'