Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Emed 1 > Acute abdomen > Flashcards

Acute abdomen Flashcards

1
Q

MCC acute abdominal pain

A

unknown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

diarrhea

A

3 or more watery stool per day

determine if acute or chronic (< or > 3 weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

lakes or streams

A

giardia, metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

oysters

A

vibrio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

rice

A

b cereus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

eggs

A

salmonella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

meat

A 
campylobacter
e. coli
yersinia
staph
clostridium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

most specific test for diarrhea

A

stool cultures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1 cause of cyclic vomiting

A

weed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

which is better amylase or lipase

A

lipase is more sepcific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

mesenteric ischemia is MC associated with

A

A-fib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

MC electrolyte deficiency caused from diarrhea

A

hypokalemia, below 2.5 admit

20 meq dose will raise K by .25, don’ texceed 40 meq per hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hx of travel with weird foods, think

A

E. Coli, travelers diarrhea
cipro
also for shigella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

entamoeba tx

A

metro + iodoquinol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

common anti-motility agents

A
  • loperamide
  • bismuth subsalicylate
  • diphneoxylate and atropine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MCC infectious diarrhea in hospitalized pts

A

C. Diff, recent admission/recent anbx use (7-10 day after)+ diarrhea think this

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

C. Diff treatment

A

metro or vanco

if severe get a CT to rule out toxic megacolon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

S/S constipation

A
  • weight loss
  • rectal bleed
  • unexplained anemia
  • diarrhea alone can not rule out constipation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

pt complains of constipation, what should you do?

A

rectal exam

  • fluids, fiber, exercise
  • dulcolax
  • enema for severe
  • relistor for OIC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

initial test for constipation

best test

A

abdominal series

CT w/IV and PO contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

MCC esopageal perforation

A

intraluminal procedures (post endoscopy acute, severe, unrelenting pain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

initial test for esophageal perf

best test

A

CXR

CT

23
Q

esophagela perf tx

A
  • stat sx consult

- fluids and broad spectrum anbx (zosyn, ceftriaxone, clinda, flagyl)

24
Q

FB, plain films are good at finding

CT

A

radioopaque

non radioopaque

25
Q

who should you call if FB is above sternal notch?

Below?

A

ENT laryngoscopy

surgical consult

26
Q

PUD is usually relieved by

A
  • eating food

- anatacids

27
Q

how to evaluate a possible PUD

A

CXR may show free air

gold standard is endoscopy

28
Q

how to tx ulcers?

A
  • PPI (azole)

- if pt has C diff treat with triple therapy (flagyl/amox, clarithromycin, PPI)

29
Q

MCC of pancreatitis

A
  • gallstones

- etoh

30
Q

how does pancreatitis present?

A

mid-epigastric pain radiating to back, constant exacerbated in supine position

31
Q

what tests should you order for suspected pancreatitis

A
  • lipase

- CT

32
Q

pancreatitis tx

A
  • IVF
  • NPO
  • pts w/pseudocyst or abscess start imipenem-cilastatin or cipro/flagyl
33
Q

who gets cholecystitis

A 
female
fat
forty
fertile
rapid weight loss
34
Q

acute cholecystitis presentation

A
  • pain > 5 hours in RUQ

- + Murphy’s sign

35
Q

ascending cholangitis presents with

A

-charcot’s triad

36
Q

initial test to order for possible cholangitis

best

A
  • US

- HIDA

37
Q

ascending cholangitis tx

A
  • surgery
  • uncomplicated ceftriaxone/flagyl
  • septic clinda, genta, ampicillin
38
Q

when can you d/c biliary colic

A

after 4-6 hours of no symptoms

39
Q

acute appendicitis signs

A

bump (jump when pt goes over bumps in road)

pts don’t want to move

40
Q

initial appendicitis test

best

A

US

CT w/PO and IV contrast

41
Q

appendicitis tx

A
  • sx

- zosyn

42
Q

anbx for d/c diverticulitis

admitting

A

keflex or augmentin

ceftriaxone + flagyl

43
Q

do diverticulitis pts need to be admitted?

A

No, as long as they tolerate PO meds and are not septic or vomiting

44
Q

MCC SBO

LBO

A

adhesions

cancer

45
Q

how to dx intestinal ostruction

A

CBC > 20,000 suspect abscess or gangrene
flat and upright xray intially
CT IV/PO is test of choice

46
Q

how to tx intestinal obstruction

A
  • NG tube

- ceftoxamine/ceftriaxone plus clinda/flagyl/zosyn/ampicillin

47
Q

strangulated hernia tx

A
  • sx consult
  • IV fluids
  • analgesia
  • cefoxin or zosyn
48
Q

mesenteric ischemia

A
  • common in a-fibbers
  • superior mesenteric artery
  • pain out of proportion to PE
49
Q

best test for mesenteric ischemia

A

CT angio

-give papaverine

50
Q

emesis suggests

A

upper GI bleed

51
Q

melena suggests

A

source proximal to right colon

52
Q

hematochezia suggests

A

distal colorectal lesion

53
Q

weight loss think

A

malignancy

54
Q

vomiting or retching think

A

mallory weiss tear

Emed 1 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions