Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
Pt presents with sudden onset of sever, diffuse, ab pain. Exam reveals peritoneal signs and AXR reveals free air under the diaphragm. Management?
|
Emergent Laparotomy to repair perforated viscus
|
|
The most likely cause of acute lower GI bleed in patients >40 yo?
|
Diverticulosis
|
|
Diagnostic modality used when US is equivocal for cholecystitis?
|
HIDA scan
|
|
Risk factors for cholelithiasis?
|
Fat,Female,Fertile, Fourty, Flatulent
|
|
Inspiratory arrest during palpation of RUQ?
|
Murphy's sign ....acute cholecystitis
|
|
Pt presents with sudden onset of sever, diffuse, ab pain. Exam reveals peritoneal signs and AXR reveals free air under the diaphragm. Management?
|
Emergent Laparotomy to repair perforated viscus
|
|
The most likely cause of acute lower GI bleed in patients >40 yo?
|
Diverticulosis
|
|
Diagnostic modality used when US is equivocal for cholecystitis?
|
HIDA scan
|
|
Risk factors for cholelithiasis?
|
Fat,Female,Fertile, Fourty, Flatulent
|
|
Inspiratory arrest during palpation of RUQ?
|
Murphy's sign ....acute cholecystitis
|
|
The most common cause of SBO(obstruction) in patients with no hx of abdominal surgery?
|
Hernia
|
|
The most common cause of SBO in patients with Hx of abdominal surgery?
|
Adhesions
|
|
Key Organisms causing diarrhea?
1.Most common 2. Recent Abx use 3. Camping 4. Traveler's 5. Church picnics and Mayo 6. Uncooked burgers 7. Fried rice 8. Poultry/eggs 9. Raw seafood 10.AIDS 11. Psuedoappendicitis |
1. Campylobacter
2. C. Diff 3. Giardia 4. ETEC 5. S. aureus 6. EHEC 0157 7. B. cereus 8. Salmonella 9. Vibrio/HAV 10. Isospora, Cryptosporidium, MAC 11. Yersinia |
|
A M25, jew presents with pain and watery diarrhea after meals. Exam shows fistulas between the bowel and skin and nodular lesions on his tibias?
|
Crohns
|
|
Inflammatory disease of the colon with inc risk of colon cancer?
|
Ulcerative colitis
|
|
Extraintestinal manifestations of IBD?(5)
|
1. Uveitis
2. Ankylosing spondylitis 3. Pyoderma gangrenosum 4. Erythema nodosum 5. Primary sclerosing cholangitis |
|
Medical tx for IBD?
|
5-ASA and steroids during acute exacerbations
|
|
Difference between mallory weiss and Borheave tears?
|
MW - superficial tears in esophageal mucosa
BH - Full thickness esophageal ruptures |
|
Charcot's triad?
|
1. RUQ pain
2. Jaundice 3. Fever/chill in the setting of ascending cholangitis |
|
Reynold's pentad?
|
1. Charcot's triad
2. Shock 3. Mental status changes with suppurative ascending cholangitis |
|
Medical tx for hepatic encephalopathy?(3)
|
1. Decreased protein intake
2. Lactulose 3. Rifaximin |
|
First step in management of a pt with an acute GI bleed?
|
1. Establish the ABC's
|
|
A 4 yo child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely dx and cause?
|
Hemolytic Uremic Syndrome from E. Coli 0157:H7
|
|
Post HBV exposure tx?
|
HBV immunoglobulin
|
|
Classic causes of drug induced hepatitis?
|
1. TB meds(INH, rifampin, pyrazinamide)
2. Acetomenophin 3. Tetracycline |
|
A F40 yo obese, with elevated alk phos, bilirubin, pruritis, dark urine, and clay colored stools?
|
Biliary tract obstruction
|
|
Hernia with the highest risk of incarceration - indirect, direct or femoral?
|
Femoral
|
|
A M50 yo with hx of alcohol abuse presents with boring epigastric pain that radiates to his back and is relieved by sitting forward. Management?
|
1. Confirm Acute Pancreatitis with elevated Amylase and Lipase
2. Make him NPO 3.IV fluids 4.Analgesia |