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17 Cards in this Set
- Front
- Back
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CC AP
Key hx |
normal stuff
meals associated sx- renal, pelvic, pulm, cv, abd -hx of similar -prior surgeries (abdominal) - stones (renal, gall) -vascular disease meds etoh/drug -violence |
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AP
physical exam |
Vitals
CV/Pulm full abdominal exam- psoas, obterator, rebund, CVAT consider pelvicrectal |
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CC AP
45 yo M sudden onset colicky R flank rad to testicle n/v, hematuria, cVAT DDX work up |
DDX: nephrolithiasis, pyelonephritis, RCC, appendicitis
Work up: UA and culture, CBC diff, BUN/Cr, CT abd/pelvis, Renal US |
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CC AP
60 yo M, dull epigastric pain rad to back weight loss, dark urine, clay stool heavy drink and smoker ddx work up |
DDx: Pancreatic CA, chronic pancreatitis, hepatitis, cholecystitis, PUD
Work up: CBC w/ Diff, Amylase, Lipase, CT abd, US abd, Electrolytes, ALT/AST/Alk Phos, viral hepatitis panel |
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CC AP
56 yo M severe midepigastric pain radiate to the back, improves leaning forward anoresx, an/v etoh binge, alcoholic ddx work up |
DDx: Acute pancreatitis, pancreatic CA, PUD, cholecystitis/choledocholithiasis, gastritis, alcoholic hepatitis
Work up: CBC w/ Diff, electrolytes, amylase/lipase, ALt/AST/alk phos, BUN/Cr, US abdomen, CT abdomen |
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CC AP
41 yo obese F RUQ ap, rad to R scapula n/v/, fever 101.5 after eating fatty food similar less intense previously + murphy sign ddx work up |
DDx: cholecystitis, choledocholithiasis, ascending cholangitis, PUD, gastritis, acute hepatitis
Work up: CBC w/ diff, electrolytes, alt/ast/alkphos/bilirubin, US abdomen, CT abdomen |
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CC AP
43 yo obese F RUQ pain, fever, jaundice dx gallstones 1 yr ago ddx work up |
DDx: ascending cholangitis, acute cholycystitis, choledocholithiasis, PUD, acute viral hepatitis
work up: CBC w/ Diff, electrolytes, alt/ast/alkphos/bili, viral hep panel, US abdomen, MRcP |
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CC AP
25 yo M RUQ pain, fever, anorexia, n/v dark urine, clay colored stool ddx work up |
DDx: Acute heptitis, pancreatitis, acute cholecystitis, choledocholithiasis, ascending cholangitis
work up: cbc/diff, US abdomen, liver enzymes, bun/cr, viral hep |
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CC AP
35 yo M burning epigastric pain 2-3 hrs post meal relieved by food/antacids ddx work up |
DDx: PUD, GERD, gastritis, cholecystitis
Work up: rectal exam w/ FOBT, CBC w/ Diff, H pylori antigen/antibodies, endoscopy, liver enzymes |
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CC AP
37 yo M severe epigastric pain n/v fever toxic hx of intermittent epigastric pain better w/ food and antacids smokes , ASA regularly ddx work up |
DDx: perforated PUD, pancreatitis, ascending cholangitis, hepatitis
Work up: CXR, CBc w/ diff, electrolytes, liver enzymes, amylase/lipase, rectal examination, CT abdomen |
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CC AP 18 yo M boxer
sever LUQ pin to L scapula infectious mono 3 wk ago ddx work up |
DDx: splenic rupture, kidney stone, rib fracture, pneumonia
work up: CXR, US abdomen, CBC w/ diff, UA |
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CC AP
40 yo M w/ crampy ap vomiting, distention, not passing gas or stool multiple prior abd surgeries ddx work up |
DDx: bowel obstruction, colon cancer, volvulus, gastroenteritis, ileus
Work up: XR abdomen, rectal exam w/ FOBT, CBC w/ Diff, electrolytes, |
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CC AP
70 yo F acute onset severe cramping AP vomiting massive dark bowel movement hx CHF and afib meds on dig pain out of proportion to exam ddx work up |
DDx: Acute mesenteric ischemia, diverticulitis, bleeding PUD, pancreatitis
Work up: mesenteric angiography, CT abd, CBC w/ diff, rectal exam, electrolytes, amylase/lipase, LACTATE, EKG |
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CC AP
21 yo F acute onset sever rLQ pain n/v no fever, urinary, vag sx not on ocps lmp reg no hx stds ddx work up |
DDx: ovarian torsion, ruptured ovarian cyst, appendicitis, PID, ectopic pregnancy, nephrolithiasis
work up: pelvic exam, rectal exam, US pelvis/doppler, CBc diff, urine hcg, UA, CT abdomen |
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CC AP
68 yo M LLQ pin, fever, chills x3 days recent alt diarrhea/constip low fiber/high fat diet ddx work up |
DDx: Diverticulitis (w/ abscess), crohns disease, UC, gastroenteritis
Work up: rectal exam w/ fobt, CBC diff, electrolytes, CT abdomen |
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CC AP
30 yo F periumbilical pain 6 mo never wakes from sleep relieved by def, worse when upset alternating constipation/diarrhea no n/v, weight loss, or anorexia ddx work up |
DDx: IBS, somatoform, chrohns, deliac disease, GI parasite
Work up: rectal exam fobt, stool sample (wbc, ova, parasite, culture) colonoscopy, cbc, electrolytes, |
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CC AP
24 yo F bilateral lower quadrant first day period fever, thick green/yellow discharge unprotected sex multiple people ddx work up |
DDx: PID, endometriosis, dysmenorrhea, cystitis, pyelonephritis
work up: rectal exam, pelvic exam, urine hcg, urine gc/chlamyia naat, US pelvis, UA and culture, cervical culture |
