General Dx Part 3 Flashcards
When is a hiatal hernia worse?
After a large meal or when lying down
When is refulx esophagitis worse?
Lying down, after a big meal, valsalva, or bearing down
Cause of mononucleosis
Epstein-Barre virus
Name for atypical lymphocytes seen with mono
Downey Cells
Tests for Mono (2)
Heterophile Agglutination
Paul Bunnell
Location of Crohn’s
RIght side of intestines
Presentation of Crohn’s
RLQ pain
Chronic Diarrhea
Cobblestone appearance on sigmoidoscopy
Crohn’s leads to malabsorption of __
B12
Location of Ulcerative Colitis
Left side of intestines
Presentation of Ulcerative Colitis
bloody diarrhea
Abdominal pain and gas relieved by bowel movement
Irritable bowel Syndrome AKA Spastic Colon
Special test for appendicitis
CT
WBC shifting to the left
Appendicitis
Appendicitis presentation
Dull periumbilical or epigastric pain that radiates to RLQ (McBurney’s Point)
Diverticulits Presentation
Chronic Constipation
LLQ Pain
Cushing’s DZ presentation
Moon Face (Pie Face) Buffalo Hump Pendulous Abdomen w/ purple striae Hirsutism Weakness HTN
Cause of Pherchromocytoma
Tumor of Adrenal medulla
Difference between Hyperthyroidism and Pheochromocytoma
pheochromocytoma produces extreme HTN
Nephroliths are MC made of…
Calcium oxalates
Best test for Nephrolithiasis and Kidney fxn
Creatinine Clearance
Cause of Nephritic Syndrome
Group A Hemolytic Strep
Nephritic Syndrome shows what kind of casts?
RBC
3 characteristics of Nephrotic Syndrome
(HEP) Hypertension Edema Massive Proteinuria *This is pre-eclamsia in pregnant women*
Type of casts seen with Nephrotic syndrome
Waxy or fatty
Pyelonephritis Cause
E Coli from UTI
Type of Casts with pyelonephritis
WBC
Cause of Gonococcal and Non-Gonococcal urethritis (UTI)
Gonococcal –> Gonorrhea
Non-Gonococcal–> Chlamydia
MCC of urethritis in females
E Coli
With urethritis, what will be in the urine?
Nitrites
Presentation of pain with cystitis
Suprapubic and low back
Indirect inguinal hernia is MC seen in …
Children and young adults
Direct inguinal hernia is MC seen in…
Adults over 40 y/o
AKA for tumor of smooth muscle origin
Leiomyoma
Presentation of Ectopic Pregnancy
Spotting, decreased BP, decrease in HCG
Presentation of normal pregnancy
Increased HCG, nausea, weight gain, breast tenderness
A non viable embryo which develops in the placenta
Hydatiform Mole
High HCG
Multiple round, freely movable masses
Fibrocystic Breast DZ
Fibrocystic breast DZ is worse with… (3)
Caffeine
Ovulation
Menses
Non tender, singular lump
Fibroadenoma
MC age group for breast Ca
> 50 y/o
Feeling of a Varicocele
Bag of worms
Transluminates with light because it is fluid-filled
Spermatocele
Epididymitis is usually a consequence of an ___
STD
Testicular cancer is the MC cancer for males aged __-__
20-34
Prostate is enlarged, non-tender, firm, smooth
BPH
Prostate is boggy, soft, enlarged and tender
Prostatitis
Prostate has hard posterior lobe, nodular, painless, and enlarged
Prostatic Carcinoma
MC place for Prostatic Carcinoma to metastasize is to ___ via ___
lumbar spine
Batson’s Plexus
Assoc. with excessive smoking
Thromboangitis Obliterans AKA Buerger’s
Color changes for Raynaud’s
White Blue Red
Test for Raynaud’s
Allen’s Test
Test for DVT and procedure
Homan’s: Pt. Supine, raise leg 45 degrees, dorsiflex the foot and squeeze the calf