224-2 Review Flashcards
Most possible outcome for women with abdominal pain
Ectopic pregnancy with hemorrhage/rupture
Male Pt with penis stuck in car door, most likely type of injury that will occur:
vascular damage
Cyanosis in the fingers, related to the autoimmune system is a sign of:
Raynaud’s Phenomenon
Portal hypertension can cause what
Esophageal Varices
Most common mechanism of life threatening GI bleed is :
Diverticulitis
Cystitis can cause what in elderly Pt’s:
Altered LOC
Excessive vaginal bleeding is considered, more than 1 pad per hour for how long:
2-3 hours in a row
COPD can cause uterine prolapse, due to:
extra pressure pushing downward
Obesity can cause uterine prolapse, due to:
extra weight pushing downward
During pregnancy elevated levels of HCG can cause:
nausea
How can you check for Deep Vein Thrombosis in the field:
Have the Pt point toes and if the pain/heat radiates to the calf area
Cauda Equina Syndrome is:
rare and requires surgery to fix
Sprain is:
partial tearing of a ligament, caused by sudden movement of the joint beyond its normal range of motion
Strain is:
injury to the muscle or its tendon from overexertion or overextension
Dermatomyositis is characterized by:
skin rash that precedes or accompanies progressive muscle weakness
D and C is:
a surgically procedure for early stage abortion
PID is:
the most common type of infection, hallmark sign is the shuffle step walk, also may see discharge and fever
Menarche is:
a females 1st menstruation
3 phases of menstruation:
Follicular phase
Ovulatory phase
Luteal phase
PID is caused by:
sexually transmitted bacteria, most commonly Neisseria gonorrhoeae (gonorrhea) and Chlamydia trachomatis (chlamydia)
Endometr-ITIS
inflammation of the uterine lining usually from infection , - bleeding
Endometr-IOSIS
an abnormal gynecological condition characterized by growth outside the uterus
During embarrassing emergencies you should use what type of communication:
Therapeutic
Ectopic pregnancy usually happens within the:
1st trimester
Rheumatoid Arthritis is:
inflammation of the joints that causes swelling, stiffness and loss of function
Renali Calculi is also called:
Kidney stone
UTI S&S:
Altered LOC
pain during urination
foul smelling urine
Renal failure S&S:
requires dialysis
uremic frost
little urine output
Oliguria is
urine O-utput is decreased
Anuria is
urine stops completely
Trace a bite of food:
- Mouth
- Pharynx
- Epiglottis
- Esophagus
- Cardiac Sphincter (also called the lower esophageal sphincter)
- Stomach
- Pyloric Sphincter
8 Duodenum - Jejunum
- Ileum
- IIeocecal Sphincter
- Cecum
- Ascending colon
- Transverse colon
- Descending colon
- Sigmoid colon
- Rectum
- Anal Canal
- Anus
Leads II, III, AVf are showing ST elevation you should suspect:
Inferior MI, Right side of the heart, effects preload
Murphy’s Sign:
Cessation of inspiration during palpation of RUQ, may be a sign of acute cholecystitis
McBurney’s Sign:
Anterior-superior iliac spine and umbilicus, may be a sign of acute appendicitis
Grey Turners Sign:
Bluish discoloration of the flanks, may indicate pancreatic hemorrhage or AAA
1st coastal to the buttocks
Kerr’s Sign:
Left shoulder pain, may indicate rupture spleen or rupture of ectopic pregnancy
Cullen’s sign:
Periumbilical bluish discoloration
Somatic Pain:
Constant pinpoint pain, involuntary guarding, rebound tenderness
common in appendicitis and inflamed/perforated viscus
Visceral Pain:
cramping or gas like, pain diffuses (hard to localize), early appendicitis
caused by stimulation of autonomic nerve fibers that surround the organ
Analgesics w/ abdominal pain:
are thought to mask serious signs and symptoms
Which type of pain can commonly cause nausea:
Visceral
Referred Pain:
considerably removed from the tissues that cause the pain
Biliary pain can refer to where:
right subscapular
Renal colic pain can refer to where:
genitalia and flank area
uterine and rectal pain can refer where:
lower back
leaking aortic aneurysm pain can refer where:
lower back and buttocks
A late sign of bleeding in the abdomen is:
distention
Esophageal varices are common in:
Alcoholism
Tarry stool is a sign of:
Upper GI bleed
Mallory-Weiss syndrome is:
an esophageal laceration that occurs from repeated vomiting or retching, Alcoholism
Bright red blood:
Lower GI bleed
Pyelonephritis is:
inflammation of the kidney parenchyma (Upper urinary tract), most commonly caused by lower UTI
commonly mistaken for lower back pain
Inflammation of the urinary bladder and ureters
Cystitis
Cholecystitis
Inflammation of the gallbladder, most often associated with gall stones
Gastroenter-ITIS
Inflammation of the stomach and intestines
Gastr-ITIS
Inflammation of the stomach
Salmonella
caused by eating food with salmonella bacteria, usually last 4-7 days, shits and vomiting
E coli
caused by eating food that has come into contact with fecal matter, causes
H. pylori is a common cause of:
gastritis
Birth Control effects hormones and must be taken:
on a regular schedule
Pain associated with menstruation is called:
dysmenorrhea
PID’s are caused by
STD’s
Intense, localized pain:
Somatic
Diffuse, crampy pain:
Visceral
Accessory organ of the gastrointestinal system:
Gallbladder
Route of gastroenteritis caused by bacteria:
Oral/Fecal
Bleeding associated with gastritis:
Dark to black color
Melana:
Maroon or tarry colored stools
Colitis
Inflammation of the large intestine
Crohn’s disease is:
a chronic inflammatory bowel disease
Cause of Crohn’s disease is:
Unknown
Bleeding from the esophagitis is typically:
Grossly bloody emesis
Pancreatitis usually presents after:
alcohol or a large amount of food
Pain associated with pancreatitis often presents:
mid-umbilicus to the back
Cholecystitis is inflammation of:
Gallbladder
Cholecystitis most common group:
Women 30-50
Cholecystitis is frequently associated with:
fried or fatty foods
Vomiting fecal matter is a sign of:
bowel obstruction
Most dangerous result of an obstructed bowel:
Peritonitis
Most serious type of hernia:
Strangulated
Diverticulitis is caused by a sac pouch that develops in the:
colon
Diverticulitis symptoms include:
Bleeding and LLQ pain
HEP-A
Oral/fecal
HEP-C
Blood or serum secretions
Hemorrhoids are the result of:
Swollen veins in the rectal area
Bleeding from a ruptured esophageal varies can expect:
Bright red and copious
Fluid resuscitation of dialysis Pt:
200-300mL
Pt with renal failure in cardiac arrest, medical control may order you to:
give calcium and sodium bicarb in different IV lines
Urinary calculus is more common in:
Men
Pt getting up to unite more frequently is called:
Nocturia
Urinary system:
Urethra, Ureters, uninary bladder and kidneys