Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCM III Midterm > GI Assessment > Flashcards

GI Assessment Flashcards

1
Q

Red flag symptoms of GI complaint

A

syncope, light-headedness, melena, hematochezia, dysphagia, odynophagia, unexplained weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Diagnostic data tx for GI complaint

A

FOB, H. pylori assessment, CBC, PPI; address lifestyle issues, treat for H. pylori, consider EGD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When to refer to EGD

A

anemia, FOB, any red flag sxs or findings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

PE biliary disease

A

RUQ colicky pain, associated with nausea radiating to lower ribs and back, positive murphy’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Test of choice for biliary disease

A

transabdominal US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

PE acute cholecystitis/choledocolithiasis

A

fever, N/V, RUQ pain, may or not be colicky or associated with infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HIDA scan steps

A
  1. radionucleotide injected that collects in the liver and moves to gall bladder
  2. administer CCK to activate GB to eject bile
  3. CCK will reproduce sxs
  4. Sequential imaging to track isotope movement
  5. failure to visualize GB is positive for obstruction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Scleral icterus

A

yellowing of sclera due to bilirubin binding to elastin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

PE pancreatitis

A

severe epigastric or periumbilical, N/V, fever, tachycardia, hypotension, epigastric rigid abdomen, ileus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lab data for pancreatitis

A

elevated serum amylase and lipase, leukocytosis, proteinuria with granular casts, glycosuria, hyperglycemia, elevated serum bilirubin and BUN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Acute pancreatitis treatment

A

NPO, pain management, hydration/fluid resuscitation, ID underlying cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Esophagus chapman point

A

between rib 2 & 3 parasternally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Stomach chapman point

A

Left between rib 5-6 and 6-7 at costochondral junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pancreas chapman point

A

Right between ribs 6-7 at costochondral junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Liver chapman point

A

right between 5-6 and 6-7 at costochondral junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Small intestines chapman point

A

ribs 8-11 b/l at costochondral junction

17
Q

Gallbladder chapman point

A

R rib 6-7 at costochondral junction

18
Q

Constipation definition

A

less than 3 BM/week OR excessive straining OR hard or dry stools OR sense of incomplete evacuation

19
Q

Dyspepsia

A

pain or discomfort center in upper abdomen associated with fullness, early satiety, bloating or nausea

20
Q

Behavioral model change for gastritis

A

stop intake of causative agent

21
Q

Metabolic/energetic model change for gastritis

A

urea breath test and triple therapy for H. pylori, acid suppression

22
Q

Respiratory/circulatory model change for gastritis

A

FOB, eval and treat lymphatic changes

23
Q

Neurologic model change for gastritis

A

treat chapman points, eval and treat viscerosomatic findings

24
Q

Biomechanical model change for gastritis

A

eval and tx somatic dysfunction

25
Q

Behavioral model change for GERD

A

lifestyle modification–elevating head of bed, avoiding cigarettes, alcohol, coffee, peppermint, chocolate, high carbs, large meals

26
Q

Metabolic/energetic model change for GERD

A

suppression of gastric acid production, promotility therapy

27
Q

Respiratory/circulatory model change for GERD

A

assess for reflux complications such as asthma, hoarseness, and dental erosions

28
Q

Biomechanical model change for GERD

A

MSK findings and chapman point tx

29
Q

Neurologic model for GERD

A

address PSI and SI to esophagus and stomach, address chapman points

30
Q

Preferred imaging for diverticulitis

A

CT with oral and IV contrast

31
Q

Bowel sounds associated with obstruction

A

high pitched

32
Q

Bowel sounds associated with ileus

A

decreased/absent

33
Q

Percussion of abdomen

A

tympany over air-filled viscera, dullness over solid organs and fluid or feces

34
Q

Expected liver span

A

6-12 cm at mid-clavicular line on R

35
Q

Expected spleen span

A

ribs 6-10 at mid-axillary line on L

36
Q

Rebound tenderness indicates…

A

peritoneal inflammation

37
Q

Percussion sounds of ascites

A

shifting dullness

38
Q

Quality of visceral pain

A

gnawing, burning, aching, cramping

PCM III Midterm (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions