GI Flashcards
appendicitis s/s
vague, cramp-like, moves to RLQ
biliary colic s/s
severe, steady aching pain in RUQ or epigastrium lasting 1-4hrs, associated with meals, occurs at night
acute cholecystitis s/s
persistent pain with fever, pain referred to R scapula
Pancreatitis s/s
epigastric/periumbilical steady, boring pain radiating to back, relieved when sitting, recent alcohol engestion
bowel ischemia s/s
sudden, severe onset
if you have afib and bowel ischemia what are you at risk for
arterial embolism
bowel obstruction s/s
crampy, midabdominal pain, no BMs
Nephrolithiasis s/s
begins gradually and escalates to severe in 20-60mins with flank pain to groin
Jaundiced occurs with what?
Hepatitis, doesn’t occur in cholecytitis or biliary colic unless bile duct obstruction
Diminished peripheral pulses occur with what?
bowel ischemia or AAA
absent bowel sounds occur in which problems?
pancreatitis, bowel ischemia
bowel sounds are high pitched in which problem?
bowel obstruction
rebound tenderness occurs with?
peritoneal irritation—IMMEDIATE REFERRAL
point tenderness occurs with which problems?
appendicitis, diverticulitis, cholecystitis
McBurney’s point occurs with which problem?
appendicitis
Murphy’s sign occurs which which problem?
associated with cholecystitis
severe abdominal pain but a normal physical exam would indicate which problems?
ischemic bowel, pancreatitis, acute intermittent porphyria
on ultrasound fluid filled will look?
dark
on ultrasound solid masses will look?
white
which scan is good for pancreatitis and diverticulitis?
CT
an increased anion gap=acids are added. This is associated with which problems?
bowel infarcts, DKA, severe pancreatitis
a normal anion gap=loss of base but chloride is preserved. This is associated with which problems?
diarrhea, illial loop problems
what happens to K with bowel infarcts?
it increases
which test is mandatory to do if woman is not 2 years post metapause to r/o preg related conditions?
Serum HcG