Bio Med - Day 3b Flashcards
What is the most common inherited bleeding disease
Von Willebrand’s Disease
What does Hemophilia A arise from
Factor VIII deficiency
It is important to remember that Hemophilia is X linked…what does this mean
That the males will more likely inherit the disease
An inherited disorder that affects connective tissue
Marfan Syndrome
Endometriosis can be visualized by
Laparoscopy
The most common cause of infertility in woman >30
Endometriosis
Dysmenorrhea, cyclical pelvic pain, pain during intercourse, rectal pain are all signs and symptoms of what condition
Endometriosis
Non-cyclic pain, menorrhagia, enlarged uterus (boggy and big) are signs and symptoms of what condition
Adenomyosis
Associated with retained products of conception following delivery, miscarriage, abortion of a foreign body such as an IUD
Endometritis - inflammation of the endometrium
Most common benign tumor of the female genital track
Fibroids - Uterine Leiomyoma
Signs and Symptoms of Uterine cysts
Heavier than normal menstrual bleeding; pressure in the pelvic area (bloating/constipation/rectal pressure and pain); Pain; firm, non-tender, irregular enlarged lumps/bumps in the uterus
Risk factors of Aortic Aneurysm
Hypertension High Cholesterol Other vascular disease smoking family history gender (males>females) Age
Signs and Symptoms of Aortic Aneurysm
usually asymptomatic, and can accidentally sho up on a scan for something else
Pulsatile Abdominal masses OR abdominal bruits
A ruptured aneurysm leads to hypertension, and severe tearing abdominal pain that radiates to the back
Surgical candidate for Aortic Aneurysm
If it is more than 5.5cm for abdomen and 6cm for thoracic
Aortic Aneurysm is most commonly associated with what other condition
Artherosclerosis
Aortic Dissections are most commonly associated with
Hypertension
Asymmetrical Pulses and Blood pressure measurements are indicative of what condition
Aortic Dissection
4 muscle of the Rotator Cuff
SItS Supraspinatus Infraspinatus teres minor Subscapularis
Action of the Supraspinatus
abducts
Action of the Infraspinatus
, externally rotates
Action of the Subscapularis
adducts, internally rotates
What is the Drop Arm Test testing for
Suprispinatus, Rotator Cuff tear
What is the Drop Arm Test testing for
Suprispinatus Rotator Cuff tear - must common rotator cuff injury
What is the Yergason’s Speed Test used to check for
Bicipital Tenosynovitis
Name 3 tests that check for rotator cuff injury
Drop Arm Test
Hawkins Kennedy
Apprehension Test
Examiner grasps the patient’s wrist, and passively abducts it to 90 degrees. Examiner releases the patient’s arm with instructions to slowly lower the arm. The patient is unable to lower their arm in a slow/smooth fashion. What test is being done, and what is it testing for
Drop Arm Test
Suprispinatus Tear
Cause of Appendicitis
Hypertrophied Lymphoid Tissue
Fecalith
Most patients are between 10-30 years of age
male/female 2:1
How will a patient present that has appendicitis
Dull, periumbilical pain lasting 1 - 12 hours that leads to sharp lower left quadrant pain Nausea vomiting fever anorexia
What are some of the signs that look to indicate that a patient is experiencing Appendicitis
McBurney’s Sign
Psoas
Obturator
Rovsing’s Sign
How to diagnose Appendicitis
Clinical Impression - how do they look, and feel
Fever
Leukocytosis
CT Scan with PO and IV contrast and Ultrasound
Treatment for a patient that has Appendicitis
Nothing by mouth - NPO IV hydration analgesia antiemetics antibiotics with gram - coverage Surgical intervention - Laparoscopy
Acute causes of Pelvic Pain “A ROPE”
Appendicitis Ruptured Ovarian Cyst Ovarian Torsion/Abscess Pelvic Inflammatory Disease Ectopic Pregnancy
What type of pain does Biliary Colic cause
RUQ pain
What type of pain does Diverticulitis cause
LLQ pain
What are the two type of IBD - Inflammatory Bowel Disease
Crohn’s Disease
Ulcerative Colitis
Approximately what percentage of people diagnosed with Anorexia are Woman
90 - 95%
The current DSM criteria for binge/purge anorexia requires that a person be at least what percentage below body weight
15%
Which artery is the main supplier of blood to the body
Aorta
Which blood vessels provides blood to the cardiac muscle
Coronary arteries
How often should a woman 40 and over get a breast exam and mammography
Yearly
Wrist drop is due to palsy of what nerve
Radial Nerve
4 muscles that are part of the quadriceps of
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Tumor Marker for - Cancer types: Multiple myeloma, chronic lymphocytic leukemia, and some lymphomas
Beta-2-microglobulin (B2M)
Tumor Marker for - Cancer types: Liver cancer and germ cell tumors
Alpha-fetoprotein (AFP)
Tumor Marker for - Cancer types: Choriocarcinoma and germ cell tumors
Beta-human chorionic gonadotropin (Beta-hCG)
Tumor Marker for - Cancer types: Colorectal cancer and some other cancers
Carcinoembryonic antigen (CEA)
