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T3- IPES > abdominal findings and indications > Flashcards

abdominal findings and indications Flashcards

1
Q

_____

  • alternating periods of diarrhea and constipation
  • type A personality
A

irritable bowel syndrome

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2
Q

heartburn with exercise indicates

A

angina

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3
Q

heartburn with meals indicates

A

reflux

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4
Q

ulcers most commonly with which bacteria

- pain in epigastric area

A

H. pylori

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5
Q

___: difficulty swallowing

A

dysphagia

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6
Q

__: pain on swallowing

A

odynophagia

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7
Q

___: vomiting blood

A

hematemesis

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8
Q

____: bright red blood in stool

A

hematochezia

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9
Q

hematochezia indicates….

A

lower GI bleed

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10
Q

_____: digested or oxidized blood in the stool; tarry in color

A

melena

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11
Q

melena indicates…

A

upper GI bleed

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12
Q

___: fat in stool, grey or white

A

steatorrhea

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13
Q

___: feeling of incomplete voiding of the bowel

A

tenesmus

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14
Q

visceral pain…

A

hollow organs: distend

solid organs: capsule is stretched

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15
Q

parietal pain…

A

inflammation
steady, aching pain
aggravated by moving

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16
Q

referred pain…

A

refers as severity increases

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17
Q

cholecystitis/cholelithiasis refers…

A

inf aspect of R shoulder blade

gallbladder

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18
Q

5 Fs for cholecystitis/cholelithiasis

A 
female
forties
flabious
fat
fertile
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19
Q

abrupt pain usually indicative of…

A

blockage or rupture

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20
Q

slow onset of pain indicative of…

A

inflammatory or obstruction

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21
Q

if pain is worse on an empty stomach, indicative of…

A

ulcer

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22
Q

if pain is worse with full stomach, indicative of…

A

reflux

GERD

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23
Q

epigastric pain indicative of…

A

indigestion

angina - precipitated by exertion, relieved by rest

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24
Q

periumbilical pain that migrates to R lower quadrant indicative of…

A

appendicitis

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25
left lower quadrant pain indicative of...
diverticulitis | - irritation of the intestine
26
diffuse abdominal pain, guarding, absent bowel sound indicative of...
large bowel obstruction
27
nausea/vomiting | - relief with vomiting indicative of...
peptic ulcer
28
severe nausea/vomiting indicative of
gallstones
29
acute diarrhea indicative of..
infection
30
chronic diarrhea indicative of...
Crohns | ulcerative colitis
31
constipation | - fewer than ___ movements per week
3
32
vomit looks like food indicative of ___ obstruction
esophageal
33
vomit smells like feces indicative of ____ obstruction
intestinal
34
missed period indicative of...
ectopic pregnancy
35
pain after menses indicative of..
pelvic inflammatory disease - chlamydia - gonorrhea
36
pain between menses indicative of...
ovarian cyst
37
dull pain with pressure in bladder indicative of...
infection
38
agonizing pain in bladder indicative of...
sudden retention | sudden over distention
39
painless bladder indicative of...
chronic distention
40
reiters syndrom
``` reactive arthritis gonorrhea chlamydia can't see can't pee can't bend the knee ```
41
polyuria indicative of...
uncontrolled DM
42
cauda equina
numbness in a saddle around inner legs inf aspect of SC UMN and LMN paralyzed if irritant isn't resolved
43
causes of jaundice
hepatitis cirrhosis toxic liver damage obstruction secondary to surgery
44
organs in upper right quad
``` liver right kidney colon pancreas gallbladder ```
45
organs in upper left quadrant
``` liver spleen left kidney stomach colon pancreas ```
46
organs in lower left quadrant
colon small intestines major artery and vein to left leg ureter
47
organs in lower right quadrant
``` colon small intestines major artery and vein to left leg ureter appendix ```
48
organs in the midline area
``` aorta pancreas small intestine bladder spine ```
49
____ refers to right inferior scapula
gallbladder
50
____ refers to left shoulder blade
lung
51
____ refers to epigastric area
stomach
52
____ refers to flanks
kidneys
53
____ refers to lower T/S and/right T/S
pancreas
54
____ refers to left sided low back pain
liver
55
striae indicative of...
cushings - excess cortisol (disease - can't break down) - taking in too much (syndrome) - trunk fat - buffalo hump - skinny legs
56
visible peristalsis indicative of...
intestinal obstructions
57
increased pulsation indicative of...
abdominal aortic aneurysm
58
___ ___: tear in the linea alba which allows protrusion of the rectus abdominus muscle
diastasis recti
59
normal bowel sounds
5-34 | - high pitched- diaphragm
60
____: clicks and gurgles
borborygmi
61
decreased bowel sounds indicative of...
paralytic ileus peritonitis - pain all over chronic long standing constipation
62
increased bowel sounds indicative of...
``` gastroenteritis early obstruction hunger irritable bowel syndrome early constipation celiac sprew ```
63
___: heard when there is a 50% occlusion of an artery; low pitched (bell)
bruits
64
tympany while percussing intestines...
gas
65
dullness while percussing intestines...
solid/fluid hernia impacted (constipation) tumor
66
dullness in both flanks indicates ____
ascites
67
light palpation look for...
``` tenderness muscle guarding superficial masses superficial organs pulses lymph nodes ```
68
deep palpation used for...
deep organs deep masses - expiratory effort
69
murphy's sign
can't breath because it huts too much upon expiration
70
indication of murphy's sign
cholecystitis | cholelithiasis
71
murphy's punch indicative of...
kidney infection | perinephritic abscess
72
jar test and rebound tenderness indicative of...
peritonitis
73
rovsings sign
palpation of LLQ producing increased pain in RLQ | - appendicitis
74
obturator sign
passive flex knee to 90 IR hip appendicitis
75
psoas sign
R SIDE UP passive extend R hip side lying resisted hip flexion appendicitis
76
varicose veins indicative of
caput medusa
77
distention of the stomach indicative of...
ascites
78
paralytic ileum indicative of...
hurshsprungs | aganglionic
79
enlarged liver indicative of...
hepatic hypertension fatty liver hepatits hepatic carcinoma
80
enlarged spleen indicative of...
mononeucosis leukemia HIV portal hypertension
81
murphys punch positive finding of pain indicative of….
kidney stones | glomerulonephritis
82
kidney enlargement with pain indicative of…. | kidney enlargement with no pain indicative of...
polycystic kidney disease | infection
83
kindey nodule indicate of...
cyst

T3- IPES (10 decks)

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