Exam 3 Flashcards

1
Q

Rotavirus

A

children with:

  • low grade fever
  • vomiting, diarrhea/watery stools
  • still eating and drinking well
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2
Q

S/S of Heartburn and Reflex for several weeks

A

Dysphagia & Atonia (change in voice)

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3
Q

Acute Pancreatitis

A

patients present with:

  • persistent abdominal pain
  • pain unrelieved by position change
  • hx of diabetes & high triglycerides
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4
Q

E.coli

A

organism most commonly associated with chronic and acute prostatitis

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5
Q

Bacterial Vaginitis

A
  • clue cells under microscope
  • odorous vaginal discharge
  • gray/white, musky discharge
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6
Q

Yeast Infection

A
  • white, cheesy discharge

- itching

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7
Q

Bacterial Cystitis

A
  • dysuria
  • lower abdominal pain
  • hematuria
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8
Q

Recurrent Balanitis (inflammation/pain at tip of penis)

A

assess for Paraphimosis (foreskin doesn’t return to normal position after being retracted)

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9
Q

Phimosis

A

inability to retract foreskin

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10
Q

Indirect Inguinal Hernia

A

bulge near the the external inguinal canal/ring

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11
Q

Acute Appendicitis presentation

A
  • RLQ pain
  • abdominal guarding
  • Low grade fever
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12
Q

Acute Appendicitis confirmatory diagnostics

A
  • CBC

- CT of the Abdomen

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13
Q

Irritable Bowel Syndrome

A
  • intermittent hypogastric abdominal pain for years

- gas and bloating that improves after BM

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14
Q

Vaginal Atrophy

A

occurs in menopausal women due to insufficient estrogen

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15
Q

Pyelonephritis

A

colicky pain with CVA tenderness

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16
Q

Cholelithiasis

A

colicky pain that persist to constant pain

17
Q

Pyloric Stenosis

A

olive-shaped mass in the stomach

18
Q

Epididymitis

A
  • Urine dipstick reveals UTI

- confirm patient is sexually active (higher risk)

19
Q

Endometrial Cancer (geriatric)

A

suspect in:

  • post menopausal geriatric female
  • had hormone therapy
  • has enlarged uterus
20
Q

Endometrial Cancer indicators

A
  • hormone therapy
  • enlarged uterus
  • spotting and/or inconsistent bleeding
21
Q

Secondary Amenorrhea

A
  • teenage female athlete
  • had normal periods before training season
  • periods have stopped
22
Q

Pelvic Inflammatory Disease

A
  • pelvic exam with cervical motion tenderness

- patient is at risk for ectopic pregnancy

23
Q

Ectopic Pregnancy

A
  • RLQ pain
  • right fallopian tube tenderness and inflammation
  • refer to ED or OBGYN immediately
24
Q

Fibroids

A
  • most common, non-cancerous breast mass
  • typically in females under 30 yrs
  • triggered by caffeine, chocolate, and stress
25
Q

Fibroadenoma Lesions

A
  • generally painful

- women will have multiple at a time

26
Q

Unilateral venous pattern upon breast exam

A

concern for pathology (venous pattern should be bilateral).

27
Q

Breast cancer in males

A

palpable, non-tender mass that was not present before

28
Q

Leiomyoma

A
  • irregular shape, uterus is mobile with no cervical motion tenderness
  • fibroids found in 25% of women w/uterus after 35 yrs old
  • more common in AA women
  • benign tumors that are estrogen dependent (may grow during hormone therapy)
  • most frequent s/s is bleeding
29
Q

Peptic Ulcer

A
  • episodic gnawing/epigastric pain2-4 hours after meals or on an empty stomach
  • night time waking d/t pain
  • s/s relieved by food intake/antacids
30
Q

Pancreatitis

A
  • common in patients with cholelithiasis & hx of alcohol abuse
  • pain is steady/boring/unrelieved by position change
  • LUQ pain that radiates to back
  • N/V/Diaphoresis
  • physical exam: distention, decreased BS, diffuse rebound tenderness
31
Q

Ulcerative Colitis (defined)

A

inflammatory bowel disease:

  • chronic diarrhea alternating with constipation
  • begins gradually, worsens over time
  • periods of remission
  • usually requires referral to gastroenterologist
32
Q

Ulcerative Colitis (physical exam)

A
  • weight loss
  • rectal bleeding
  • inflamed rectal membranes
33
Q

Testicular Torsion

A
  • immediate referral to ED
  • untreated can result in testicular atrophy
  • atrophied testicles may be unable to produce sperm
34
Q

Hydrocele

A
  • enlarged, swollen scrotal mass
  • NOT painful
  • transilluminates
  • trauma of birth can create swollen scrotum