GI Cases / SOAP Note

Question 1

What is a good abbreviation for Tenderness to palpation?

Answer 1

TTP

Question 2

Differentiate between Voluntary and Involuntary guarding.

Answer 2

Voluntary: Patient is going to swat your hand away

Involuntary: Abdominal muscles will tighten up

Question 3

How would you abbreviate Costovertebral Angle Tenderness?

Answer 3

CVAT

Question 4

How would you abbreviate abdominal exam of: Nontender, Nondistended, bowel sounds present in all four quadrants, no hepatosplenomegaly

Answer 4

ABD: NT/ND/+BSx4/no HSM

Question 5

How would you abbreviate No Acute Distress?

Answer 5

NAD

Question 6

Where would you find PTPs associated with Appendicitis?

Answer 6

T10-12

Question 7

Are you going to have INCREASED or DECREASED bowel sounds associated with Appendicitis?

Answer 7

DECREASED (Hypoactive)

Question 8

What does OTC stand for?

Answer 8

Over The Counter

Question 9

Sudden weight loss can provoke what disease?

Answer 9

Gallbladder Disease (Stones or Inflammation)

Question 10

With Gallbladder disease, where would you find PTPs?

Answer 10

T5-9 (Upper GI)

Question 11

What are some differentials to go along with Gallbladder disease?

Answer 11

1. Liver Disease
2. Pancreatitis
3. Ulcer

Question 12

How do you administer medications when you have a patient that is vomiting?

Answer 12

IV access!