CIS Flashcards
what does a positive murphys sign?
a problem with the gallbladder
what is a positive rebound tenderness indicate
peritoneal inflammation
how do you measure for h pylori
urease breath test
what would you use to check the gallbladder and what quadrant
ultrasound and RUQ
what is a gram negative microaerophilic spiral bacilli with flagella, oxidase positive, urease positive
h pylori
how do you test for H pylori
EGD with biopsy or rapid CLO (clofazimine test)
H pylori antibodies, IgA, not helpful to show eradication
stool h pylori antigen
C-13 or C-14 urea breath test
how does h pylori cause ulcers
resides in mucosal layer of surface epithelium of antrum impairing mucosal defenses
produces toxin that erodes the mucosal layer in the antrum impairing mucosal defenses
h pylori, nsaids, steroids, smoking are risk factors for what
peptic ulcer disease
how do NSAIDs cause ulcers
decrease the secretion of mucin and bicarb
what can cause stress ulcers
head trauma (cushing ulcer), burns, sepsis
how do you treat peptic ulcer disease
proton pump inhibitor, eradicate h pylori
95% of the time an ulcer is what kind
duodenal ulcer
symptoms of duodenal ulcer
gnawing pain
1-3 hrs after eating
relieved by food/eating
RUQ or epigastric pain
gastric ulcer symptoms
pain within 1/2 hour of eating pain worse
sharp burinn pain
nsaid/alcohol/smoking
arcus senilis
may indicate familial hyperlipidemia
lipid deposits in cornea
typically over age 50
