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60 Cards in this Set
- Front
- Back
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Ransons criteria On admission |
Estimates mortality of pts WBCs> 16,000 Age>55 Aspartate Aminotransferase>250 LDH>350 Glucose>200 |
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Pancreatitis CM |
Constant epigastric Pain radiating to the back N/v Grey Turners sign-large ecchymosis in flanks Cullen's sign-peri umbilical ecchymosis |
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Pancreatitis Tx |
NPO Supportive Care Pain control Gallstones:cholecystectomy No ETOH |
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Phenylketonuria Etiology |
Inborn error of metabolism Autosomal recessive Decreased activity of phenylalanine hydroxylase |
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Phenylketonuria CM |
MR ADHD Seizures Eczema Light complexion |
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Phenylketonuria Tx |
Limit dietary intake of phenylalanine- milk, eggs, meat |
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Pancreatitis Etiology |
Alcohol Gallstones Pancreatic obstruction Drugs/toxins High TGs |
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Ransons criteria 48 hrs after admission |
Hct decrease >10% BUN increase by 5 Calcium<8 Arterial PO2<60 Base deficit > 4 Fluid seq > 6L |
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Pancreatic CA Etiology |
Ductal Adenocarcinoma Head of pancreas |
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Pancreatic CA Etiology |
Ductal Adenocarcinoma Head of pancreas |
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Pancreatic CA CM |
Nonspecific abd discomfort N/v Anorexia Malaise Obstructive jaundice Weight loss |
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Pancreatic CA Etiology |
Ductal Adenocarcinoma Head of pancreas |
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Pancreatic CA CM |
Nonspecific abd discomfort N/v Anorexia Malaise Obstructive jaundice Weight loss |
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Pancreatic CA Courvoisiers sign |
Palpably distended nontender gallbladder |
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Pancreatic CA Dx |
CT scan CA 19-9 tumor marker elevated |
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Pancreatic CA Tx |
Surgical resection Chemo Whipple procedure |
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Appendicitis Etiology |
10-30 y/o Obstruction by a fecalith |
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Appendicitis CM |
RLQ pain +McBurneys point tenderness Rebound tenderness N/v +Psoas sign +obturator sign +Rovsings sign |
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obturator sign |
Flexing in internal rotation of the hip Appendicitis |
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obturator sign |
Flexing in internal rotation of the hip Appendicitis |
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Psoas sign |
RLQ pain with passive ext of hip |
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Cullen's sign |
Periumbilical ecchymosis Pancreatitis |
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Grey Turners sign |
Flank ecchymosis Pancreatitis |
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Rovsings sign |
RLQ pain with palpation of LLQ Appendicitis |
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Murphys sign |
Abrupt interruption of inspiration with palpation of RUQ Cholecystitis |
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Charcots triad |
RUQ pain Fever Jaundice |
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Ascending cholangitis Def |
Stone stuck in common bile duct -> infection Very sick |
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Hepatitis Etiology |
A&E Food (not chronic) B&D sex Hep C blood |
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Hepatitis Etiology |
A&E Food (not chronic) B&D sex Hep C blood |
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Liver CA Etilogy |
#1: metastatic tumors hepatocellular carcinoma-common primary malignancy |
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Cirrholsis Def |
End stage of chronic liver dz |
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Cirrhosis Et |
ETOH Viral hepatitis B C D Metabolic disorders Autoimmune Biliary disorders Drugs/toxins |
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Diverticulitis CM |
LLQ pain Anorexia N/v Fever |
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Diverticulitis Dx |
CT Barium enema-saw tooth pattern of involved segment |
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Diverticulitis Tx |
Pain control Rehydration Broad spectrum IV abx |
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Duodenal atresia Dx |
X-ray double bubble sign |
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Duodenal atresia Dx |
X-ray double bubble sign |
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Duodenal atresia CM |
1st day of life bilious vomiting w/o abd distension |
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Ulcerative Colitis Path |
Inflam begins at rectum and extends proximally Bloody diarrhea |
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UC Tx |
Supportive care Aminosalicylates Corticosteroids Immunomodulator |
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Chron's dz Def |
Inflam extends through the intestinal wall from mucosa to serosa Can be in any part of GI tract, but typically in distal small bowel and colon |
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Chron's dz CM |
Aphthous ulcers in mouth Abd pain Diarrhea Weight loss Perianal disease |
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Crohn's dz Pth |
Skip lesions Cobblestones mucosa |
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Crohn's dz Pth |
Skip lesions Cobblestones mucosa |
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Intussusception Def |
Invagination of one part of the bowel into itself #1 cause of intestinal obst up to 2 y/o Ileocolic |
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Intussusception CM |
Paroxysmal colicky abd pain With vomiting and diarrhea Current jelly stool Sausage shaped mass mid upper abd |
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Intussusception CM |
Paroxysmal colicky abd pain With vomiting and diarrhea Current jelly stool Sausage shaped mass mid upper abd |
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Intussusception Dx |
Barium enema - Dx and tx U/S target donut sign |
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Toxic megacolon Def |
Life threatening form of UC |
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Toxic megacolon CM |
Fever Tachycardia Abd distension Peritonitis |
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Toxic megacolon CM |
Fever Tachycardia Abd distension Peritonitis |
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Toxic megacolon Dx |
X-ray colon > 6cm Leukocytosis |
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Toxic megacolon Tx |
Fluid management IV steroids Broad spectrum abx Surgery if no better in 24-48 hrs |
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Volvulus def |
Rotation of bowel loops around a fixed point in small intestine Congenital Adhesions Onset abrupt->strangulation |
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Volvulous CM |
N/v Pain Distension |
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Bowel obstruction dx |
X-ray-dilated SI with air fluid levels |
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Wilsons dz Def |
Auto rec metabolic dz of liver Copper accumulation |
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Wilsons dz CM |
Kayser-Fleischer rings (dark circles around iris of the eye) Cirrhosis |
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Wilson's disease Labs |
High copper Low ceruloplasmin |
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Wilson's disease Tx |
Copper chelation with penicillamine |
