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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
Q

left lower quadrant pain indicative of…

A

diverticulitis

- irritation of the intestine

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26
Q

diffuse abdominal pain, guarding, absent bowel sound indicative of…

A

large bowel obstruction

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27
Q

nausea/vomiting

- relief with vomiting indicative of…

A

peptic ulcer

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28
Q

severe nausea/vomiting indicative of

A

gallstones

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29
Q

acute diarrhea indicative of..

A

infection

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30
Q

chronic diarrhea indicative of…

A

Crohns

ulcerative colitis

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31
Q

constipation

- fewer than ___ movements per week

A

3

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32
Q

vomit looks like food indicative of ___ obstruction

A

esophageal

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33
Q

vomit smells like feces indicative of ____ obstruction

A

intestinal

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34
Q

missed period indicative of…

A

ectopic pregnancy

35
Q

pain after menses indicative of..

A

pelvic inflammatory disease

  • chlamydia
  • gonorrhea
36
Q

pain between menses indicative of…

A

ovarian cyst

37
Q

dull pain with pressure in bladder indicative of…

A

infection

38
Q

agonizing pain in bladder indicative of…

A

sudden retention

sudden over distention

39
Q

painless bladder indicative of…

A

chronic distention

40
Q

reiters syndrom

A 
reactive arthritis
gonorrhea
chlamydia
can't see
can't pee
can't bend the knee
41
Q

polyuria indicative of…

A

uncontrolled DM

42
Q

cauda equina

A

numbness in a saddle around inner legs
inf aspect of SC
UMN and LMN
paralyzed if irritant isn’t resolved

43
Q

causes of jaundice

A

hepatitis
cirrhosis
toxic liver damage
obstruction secondary to surgery

44
Q

organs in upper right quad

A 
liver
right kidney
colon
pancreas
gallbladder
45
Q

organs in upper left quadrant

A 
liver
spleen
left kidney
stomach
colon
pancreas
46
Q

organs in lower left quadrant

A

colon
small intestines
major artery and vein to left leg
ureter

47
Q

organs in lower right quadrant

A 
colon
small intestines
major artery and vein to left leg
ureter
appendix
48
Q

organs in the midline area

A 
aorta
pancreas
small intestine
bladder
spine
49
Q

____ refers to right inferior scapula

A

gallbladder

50
Q

____ refers to left shoulder blade

A

lung

51
Q

____ refers to epigastric area

A

stomach

52
Q

____ refers to flanks

A

kidneys

53
Q

____ refers to lower T/S and/right T/S

A

pancreas

54
Q

____ refers to left sided low back pain

A

liver

55
Q

striae indicative of…

A

cushings

  • excess cortisol (disease - can’t break down)
  • taking in too much (syndrome)
  • trunk fat
  • buffalo hump
  • skinny legs
56
Q

visible peristalsis indicative of…

A

intestinal obstructions

57
Q

increased pulsation indicative of…

A

abdominal aortic aneurysm

58
Q

___ ___: tear in the linea alba which allows protrusion of the rectus abdominus muscle

A

diastasis recti

59
Q

normal bowel sounds

A

5-34

- high pitched- diaphragm

60
Q

____: clicks and gurgles

A

borborygmi

61
Q

decreased bowel sounds indicative of…

A

paralytic ileus
peritonitis - pain all over
chronic long standing constipation

62
Q

increased bowel sounds indicative of…

A 
gastroenteritis
early obstruction
hunger
irritable bowel syndrome
early constipation
celiac sprew
63
Q

___: heard when there is a 50% occlusion of an artery; low pitched (bell)

A

bruits

64
Q

tympany while percussing intestines…

A

gas

65
Q

dullness while percussing intestines…

A

solid/fluid
hernia
impacted (constipation)
tumor

66
Q

dullness in both flanks indicates ____

A

ascites

67
Q

light palpation look for…

A 
tenderness
muscle guarding
superficial masses
superficial organs
pulses
lymph nodes
68
Q

deep palpation used for…

A

deep organs
deep masses
- expiratory effort

69
Q

murphy’s sign

A

can’t breath because it huts too much upon expiration

70
Q

indication of murphy’s sign

A

cholecystitis

cholelithiasis

71
Q

murphy’s punch indicative of…

A

kidney infection

perinephritic abscess

72
Q

jar test and rebound tenderness indicative of…

A

peritonitis

73
Q

rovsings sign

A

palpation of LLQ producing increased pain in RLQ

- appendicitis

74
Q

obturator sign

A

passive
flex knee to 90
IR hip
appendicitis

75
Q

psoas sign

A

R SIDE UP
passive extend R hip side lying
resisted hip flexion
appendicitis

76
Q

varicose veins indicative of

A

caput medusa

77
Q

distention of the stomach indicative of…

A

ascites

78
Q

paralytic ileum indicative of…

A

hurshsprungs

aganglionic

79
Q

enlarged liver indicative of…

A

hepatic hypertension
fatty liver
hepatits
hepatic carcinoma

80
Q

enlarged spleen indicative of…

A

mononeucosis
leukemia
HIV
portal hypertension

81
Q

murphys punch positive finding of pain indicative of….

A

kidney stones

glomerulonephritis

82
Q

kidney enlargement with pain indicative of….

kidney enlargement with no pain indicative of…

A

polycystic kidney disease

infection

83
Q

kindey nodule indicate of…

A

cyst

T3- IPES (10 decks)

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