Gastrointestinal Flashcards
What is the Blumberg sign?
it’s rebound tenderness
what’s the obturator sign?
internal rotation of the right hip at 90 degrees and causes pain if it’s positive
what’s the psoas sign?
patient raises their leg against resistance
What’s another word for scaphoid fracture?
navicular fracture
When do you see a positive Murphy’s sign?
cholecystitis
If a patient on US has cholecystitis and the typical symptoms, what do we order next and why?
HIDA scan to see how the gall bladder is functioning
What is a Cullen’s sign? c= center
bluish discoloration around the belly button
What is Chvostek’s sign?
seen with low Ca
tap on patient’s face and they scrunch up on one side
What is Trousseau’s sign?
usually seen why low Ca
inflate BP cuff and their arm draws in
What are people with low Ca at risk for?
seizures
What if a patient has elevated Ca but asymptomatic…what do you do?
bring back to the clinic to get f/u labs
What first line for mild GERD?
h2 antagonist
-famotidine
-cimetidine
What 3 things can PPI use lead to?
osteoporosis
b12 deficiency
c diff
What antibiotics do you use to treat with h. pylori?
Triple therapy = CAP
clarithromycin
amoxicillin
PPI
quadruple therapy
-Tetracycline
-Flagyl
-PPI
-bismuth salt
When should patient’s start getting colonoscopies?
how often?
50 years
every 10 years with a fecal occult blood test
