Day 1 Flashcards

1
Q

RUQ Pain

A
RLL pneumonia
Hepatitis
Pyelonephritis
Duodenal Ulcer
Gallstone Dz
Acute cholecystitis
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2
Q

LUQ Pain

A
Acute pancreatitis
Gastric Ulcer
Gastritis
Splenic dz
LLL Pneumonia
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3
Q

RLQ Pain

A
Renal Colic
Appendicitis
Small bowel obs
Ruptured ectopic pregnancy
Hernia
Testicular torsion
Ureteral Calculi
PID
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4
Q

LLQ Pain

A
Renal colic
Perforated colon
Ulcerative colitis
Crohns
Strangulated hernia
Ruptured ectopic pregnancy
Sigmoid diverticulitis
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5
Q

Periumbicular Pain

A
Dz of transverse colon
Gastroenteritis
Small bowel pain
Early Appendicitis
Early bowel obs
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6
Q

Epigastric pain

A
MI
Gallstone dz
Pancreatitis
Peptic ulcer
Perforates esophagus
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7
Q

Qualm

A

Attack of nausea

You are just sitting there and then BANG! nausea.

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8
Q

Adenomatous Polyps

A

Increase colon cancer risk

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9
Q

Things to avoid before FOBT because of false positives.

A

NSAIDS for 7 days
Vitamin C in excess for 3 days
Red meats for 3 days

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10
Q

Insoluble fiber treats?

A

Constipation

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11
Q

Soluble fiber treats?

A

Diarrhea

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12
Q

Layers of GI in to out

A
Lumen
Mucosa
Submucosa
Circular muscle
Longitudinal muscle
Serosa
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13
Q

Segmental movement does what?

A

Mixes the food

Caused by circular muscle

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14
Q

Pepsin and peptidase do what?

A

Break down proteins in the tummy.

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15
Q

Cephalic Phase

A

Before food enters the mouth, preparatory.

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16
Q

What protects gastric mucosa from HCl?

A

Mucus .. EW GROSS

17
Q

Parietal cells release?

A

HCl and intrinsic factor

18
Q

Chief cells release?

A

Pepsinogen

19
Q

G cells secrete

A

Gastrin into circulation

20
Q

What stimulates gastrin secretion?

A

Proteins
Distention of stomach
Vagal stimulation (GRP)

21
Q

What inhibits gastrin secretion?

A

Low pH in stomach

22
Q

Gastrin does?

A

Promotes H+ secretion
Stimulates growth of mucosa
Increase motility
Relax pyloric sphincter

23
Q

What causes H+ to be released?

A

ACh (atropine opposes)
Histamine (cimetidine opposes)
Gastrin

24
Q

When does the sphincter of odi open?

A

Within 30 mins of food intake

25
Q

Pancreatic delta cells produce

A

Somatostatin

26
Q

Pancreatic alpha cells produce

A

Glucagon

27
Q

Secretin

A

Released by duodenum in response to low pH

28
Q

Haustrations

A

Ring like contractions in the large intestine that mix feces

29
Q

When is ammonia elevated?

A

Hepatic encephalopathy

30
Q

Alkaline phosphatase increase is due to?

A

Cholelithiasis

31
Q

Gray feces =

A

biliary obstruction

32
Q

C diff tx

A

Flagyl

ORAL Vanc, IV does not work