Ztri 4 - Phys Dx Final - Abdomen And Gi

Front 1

why is loss of appetite a concern

Back 1

sign of flu or alcohol ingestion

pancreatic and liver cancer manifest first with anorexia

Front 2

what group is most at risk for lactose intolerance

Back 2

75% of blacks
90% of asians

Front 3

pain timing pattern of gastric, duodenal and cholecystitis

Back 3

gastirc-soon after eating
duodenal-2-3 hrs after eating
cholecystitis-pain usually at night 3-5 hours after meal

Front 4

pain difference b/w obstruction of a viscus vs peritoneal irritation

Back 4

obstruction-intermittent crampy pain
peritoneal-diffuse constant pain

Front 5

significance of a rigid board like abdomen

Back 5

indicate an acute abdomen

Front 6

how to distinguish between food poisoning and appendicitis

Back 6

both have nausea and vomiting, appendicitis also has a fever present

Front 7

significance of discolored stool

Back 7

black-suggest upper gi bleeding likely from ulcer
red-lower gi bleed, hemorrhoids
pale-foul smelling that floats,gallbladder

Front 8

4 terms to describe abdominal contour

Back 8

scaphoid
flat
rounded
protuberant

Front 9

significance of purple striae on abdomen

Back 9

cushings

Front 10

significance of a prominent dialated abdominal vein

Back 10

suspect portal hypertension and cirrosis

Front 11

significance of a prominent pulsation of the abdominal aorta

Back 11

hypertension or abdominal aortic aneurysm

Front 12

significance of visible waves of peristalsis in the abdomen

Back 12

suspect gastroenteritis or intestinal blockage

Front 13

purpose of abdominal auscultations

Back 13

check presence of bowel sounds and vascular bruits

Front 14

bruits in abdomen suggest?

Back 14

possible aneurysm
atherosclerotic plaque

Front 15

significance of friction rubs over liver and spleen?

Back 15

condition that cause inflammation of the membrane such as cancer or infection

Front 16

significance of venous hum over periumbilical region

Back 16

cirrhosis and portal hypertension

Front 17

normal tone upon abdominal percussion

Back 17

tympany

Front 18

normal span of liver and midclavicular line

Back 18

6-12cm

Front 19

if liver enlargment, what follow up should be done

Back 19

chem screen of liver enzymes

Front 20

if pt pain, where should you start palpation?

Back 20

most distant from area of complaint

Front 21

which abdominal organs are normally palped during routine exam of healthy individual

Back 21

liver
large intestine
ab aorta

Front 22

if ab mass is palped, what characteristics are recorded?

Back 22

size
location
consistency
mobility

Front 23

expected characteristics of normal lymph nodes of inguinal region

Back 23

small movable soft nontender are norm

Front 24

what is rovsings sign

Back 24

rebound palpation of the llq creates rlq pain, typical of appendicitis

Front 25

decreased pulse and BP in lower extremity suggest?

Back 25

possibility of leaking abdominal aneurysm

Front 26

what blood test for suspected pancreatitis?

Back 26

amylase and lipase

Front 27

what test is ordered if you suspect pregnancy

Back 27

beta hcg

Front 28

GERD stands for

Back 28

gastroesophageal reflux disease

Front 29

symptoms of GERD

Back 29

heartburn
bitter sour taste in mouth

Front 30

what bacteria is involved with peptic ulcer disease

Back 30

helicobacter pylori

Front 31

what role does stress play in peptic ulcer disease

Back 31

can suppress immune response
so bacteria can thrive
stress+h.pylori=peptic ulcer

Front 32

what is obstipation

Back 32

lack of bowel movement

Front 33

what is Ileus

Back 33

temporary arrest of intestinal peristalsis. can decrease bowel sounds. may result from peritoneal infection

Front 34

what is mechanical intestinal obstruction

Back 34

increase bowel sounds

Front 35

signs and symptoms of appendicitis

Back 35

initially dull periumbillical pain, pain becomes sharp
fever,nausea,vomit,anorexia
WBC=>10,000

Front 36

usual cause of pancreatitis

Back 36

alcohol abuse

Front 37

what is cullens sign

Back 37

periumbilical ecchymosis, black and blue bruise

Front 38

what is grey turners sign

Back 38

flank eccymosis

Front 39

dif between celiac and tropical sprue

Back 39

celiac-glutten allergy cause inflammation of SI. manifest iron deficiency anemia
Tropical sprue- typically from s.e. asia or caribbean. macrocytic anemia. treated with high dose folic acid

Front 40

m/c site for crohns

Back 40

terminal ileum

Front 41

m/c site for ulcerative colitis

Back 41

colon and rectum

Front 42

maifest a patchy cobblestone inflammation

Back 42

crohns

Front 43

50% of all visits to gastroenterologist characterized by diarrhea alternated with constipation

Back 43

IBS

Front 44

clinical dif between appendicitis vs diverticulitis

Back 44

appendicitis-10-15 yrs, nausea,RLQ pain
diverticulitis-40yrs, LLQ pain

Front 45

why does hepatitis often go undiagnosed

Back 45

symptoms similar to flu,

Front 46

palp findings for hepatitis, cirrhosis and liver cancer

Back 46

hepatitis-liver tender and enlarged, but edge soft and smooth
cirrhosis-enlarged with smooth firm blunt edge
liver cancer-enlarged with hard irregular border

Front 47

what type hepatitis transmits via fecal oral

Back 47

A

Front 48

usual cause of cirrhosis

Back 48

lifetime of alcohol

Front 49

cause of jaundice

Back 49

liver with hepatitis, cirrohosis, cancer

Front 50

most common liver cancer in US

Back 50

metastatic 20X more than primary

Front 51

m/c cause of acute ab pain in pts over 50

Back 51

cholecystitis

Front 52

pain from cholecystitis often radiates

Back 52

to thetip of right scapula

Front 53

how common is colorectal cancer in relation to other forms of cancer

Back 53

3rd leading cause in either sex
90% in ages over 50 yrs

Front 54

how does colorectal carcinoma palpate?

Back 54

rectal mass with rolled edges and an ulcerated center maybe palpable. about 50% of palpable lesions are malignant

Front 55

term for vericose veins of the rectum

Back 55

hemorrhoids

Front 56

greater pain sensation, internal or external hemorrhoids?

Back 56

external

Front 57

how does a thromboses external hemorrhoid appear

Back 57

small blue bulge that may bleed

Front 58

significance of a skin tag at the rectum

Back 58

suggest preciously healed external hemorrhoids

Front 59

what is pilonidal cyst

Back 59

"hair nest" hair becomes ingrown and can form a cyst

Front 60

how does rectal prolapse appear upon inspections

Back 60

moist red rosette

Front 61

what is fistula

Back 61

a tube like tract with one opening in the anal canal and the other usually in the perianal skin

Front 62

what is anorectal abscess

Back 62

a localized collection of pus resulting from bacterial invasion of the pararectal spaces, originiating in anintermuscular space into which an anal crypt has penetrated