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Med Surg 2 > Gastro > Flashcards

Gastro Flashcards

1
Q

appendicitis

A

RLQ

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2
Q

acute cholecystitis

A

RUQ

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3
Q

splenic trauma
pancreatitis

A

LUQ

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4
Q

ulcerative colitis
diverticulitis

A

LLQ

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5
Q

do stress ulcers develop immediately

A

no its over 5 days

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6
Q

who is predisposed to stress ulcer

A

critically ill
cortisol levels high
patents who are NPO
require GI prophylaxis
- PPI
- antacids
- H2 blockers

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7
Q

main causes of peptic ulcer

A

NSAID/H pylori

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8
Q

throw up bright red blood

A

upper GI
- more severe

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9
Q

stool of black/tarry

A

lower

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10
Q

if a patient has bloody throw up

A

NGT

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11
Q

what happens to the blood sugar if liver failure

A

decrease

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12
Q

portal hypertension

A

high pressure in portal vein

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13
Q

enlarged spleen

A

hypertension, keep platelets and WBC in there
leading to decrease platelets and WBC

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14
Q

cirrhosis can be due to

A

alcohol/autoimmune

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15
Q

portal hypertension can develop into

A

esophageal varices

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16
Q

hepatic encephalopathy is due to

A

ammonia

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17
Q

asterixis

A

flapping of the arms

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18
Q

hepatic fetor

A

ammonia causes musty smell

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19
Q

assessment of ascities

A

abdominal girth and weight

20
Q

ballon tampnade is an effective way to acheiev

A

short term hemostasis

21
Q

what is treatment for portal HTN and cirrhosis

A

TIPS

22
Q

what is TIPs

A

portal vein and hepatic vein together to allow blood flow and decrease pressure

23
Q

fulminant hepatic failure

A

severe acute liver failure (1-3wks)
can lead to encephalopathy

24
Q

fulminant hepatic failure
- leading to

A

JAUNDICE
BLEEDING
HYPOGLYCEMIA
MET ACIDOSIS

25
Q

Neomycin

A

reduces bacteria flora

26
Q

lactolouse

A

decrease bacterial growth, traps ammonia and has a laxative effect

27
Q

acute pancreatitis

A

pancreatic enzymes into pancreas and surrounding tissue
- loss of volume into retroperitoneal and peripancreatic spaces

28
Q

signs of hypocalcemia

A

chovsteck
trousseau

29
Q

acute pancreatitis GI labs

A

elevated serum amylase and lipase

30
Q

management of acute pancreatitis

A

NPO
- NG tube
eneretal or TPN

31
Q

complications of acute pancreatitis

A

hypovolemic shock

32
Q

in blunt trauma what organs are involved

A

liver/spleen

33
Q

what organs are worse to have punctured

A

fluid filled

34
Q

liver injuries pain in what quadrant

A

URQ

35
Q

10-12th rib can be associate with damage to

A

spleen

36
Q

pain in left shoulder

A

Kehr sign

37
Q

spleen pain in what quadrant

A

upper left

38
Q

splenectomy requires

A

penumovax

39
Q

uretrhal trauma is more common in

A

males

40
Q

blood at the meatus

A

signifies trauma to the urethra

41
Q

if there is blood at the meatus should we insert a foley

A

no

42
Q

why do we care to know if someone died in a wreck

A

more likely to have severe injuries

43
Q

cullens sign

A

blush purple sign at the umbilicus is a sign of bleeding in the peritoneum

44
Q

gray turners sign

A

ecchymosis over flank
- retroperitoneal bleeding

45
Q

tension percussion

A

hyper resonance

46
Q

dullness percusion

A

ascites
hemothorax

47
Q
A

Med Surg 2 (29 decks)

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