GI

Question 1

Acute Cholecystitis

Answer 1

Pain can radiate to right shoulder

Question 1

Acute Appendicitis Symptoms

Answer 1

Acute periumbilical pain which starts to localize at McBurney’s point (RLQ)., anorexia, low-grade fever. + psoas and obturator signs

Question 2

Acute Diverticulitis

Answer 2

S/sx: high fever, anorexia, n/v, LLQ pain

CBC includes Leukocytosis w/ neutrophilia, shift to the left

Question 3

Acute Pancreatitis

Answer 3

+ Cullen’s sign (blue discoloration around umbilicus)
+ Grey Turner’s sign (blue discoloration on the flanks)

Signs: onset of fever & n/v w/ abd pain that radiates to the epigastric region and LLQ

Question 4

C. Diff

Answer 4

Caused by gram-positive anaerobic bacterium

Antibiotics that contribute: Clinda, fluoroquinolones, cephalosporins, PCNs

Question 5

Colon Ca screening

Answer 5

USPSTF recommends between 45-75 yo

Question 6

Chrohn’s

Answer 6

Can affect the entire GI tract

Question 7

+psoas/illiopsoas sign

Answer 7

Acute Appendicitis

RL! abd pain w/ passive right hip extension

Question 8

+ obturator sign

Answer 8

Acute Appendicitis

internal rotation of the hip causes RLQ abd pain

Question 9

+ Rovsing’s Sign

Answer 9

Acute Appendicitis

Deep palpation of LLQ results in referred pain to RLQ

Question 10

McBurney’s Point

Answer 10

Acute Appendicitis

Max tenderness at 1.5-2 inches from the anterior superior iliac spine on a straight line to the umbilicus (in the RLQ)

Question 11

+ Murphy’s Maneuver

Answer 11

Cholecystitis or gallbladder disease

Question 12

Grey Turner’s Sign

Answer 12

+ pancreatitis

Ecchymosis or discoloration of flank, sign of intra-abdominal hemorrhage