ICM GI Flashcards
Describe the clinical presentation, PE findings, differential diagnosis and "next best test" for the following disease conditions: PUD, pancreatitis, cholecystitis, diverticulitis, peritonitis, hepatitis, and colon cancer Describe the conditions associated with the following PE findings: 1) Murphyâs sign 2) McBurneyâs point tenderness 3) Gray-Turners 4) Cullens 5) Spider angiomas Describe the conditions associated with the following PE findings: 6) Ascites- Fluid wave 7) Signs of peritonit
gradual diffues periumbilical pain early, RLQ localized late
appy
rapid onset RUQ pain, localized and radiating to scapula
cholecystitis
rapid severe, boring, epigastric pain radiating to back
pancreatitis
gradulal onset LLQ ache pain localized
diverculitis
sudden epigastric burning pain localized early, diffuse late
perforated peptic ulcer
gradual periumbilical pain, diffuse and cramy
small bowel obstruction
sudden periumbilical diffuse agonizing pain
mesenteric ischemia, infarction
sudden abdominal, flank, back pain. Diffuse and tearing radiating to back
ruptured AAA
gradual periumbilical pain diffuse and spasmodic
gastroenterites
female, LQ or pelvic, localized and achy, radiate to upper thigh
PID
female sudden, LQ or pelvic pain localized with ligh-headedness
ruptured ectopic pregnancy
patient is still ans anxious indicates
peritonitis
pt is leaning forward
reteoperitneal inflammation
cullen sign
ecchymosis on front
cullen sign indicates
hemoperitoneum
grey-turner’s sign
ecchymosis on back
grey-turner’s sign indicates
retroperitneal bleeding (think hemorragic pancreatitis)
spider angiomas indicates
cirrhosis
hyperactive bowel sounds
early obstruction
succssion splash
obstruced colon or stomach
rebound pain shows
peritonitis
RUQ masses
enlarged gallblader
enlarged liver
liver cancer
LUQ masses
enlarged spleen
pancreatic pseudocyst
gastric cancer
lower abdomen masses
distened bladder
preg
GYN issues
hernia
aneurysm
colorectal cancer
elevated AST/ALT
hepatitis
elevated bilirubin and alkaline phosphatease
biliary tract injury
what to look for in acute abdominal series exray
bowel gass
free air
masses
stones
calcifications
pneumonia
what to look for on CT
causes of bowel obstuction
masses
abcesses
pancreatitis
aneurysms
trauma
kidney stones
what ultrasound can show
gallstones, pancreatic issues, pelvic abnormalities
when to order EGD
suspected PUD, gastritis, upper GI bleeding
when to order ERCP
jaundice,( can show CBD stone, tumor) pancreatic cancer
traube’s space
LUQ
dullness to percussion over traube’s space
splenomegaly
murphy’s sign
gallbladder issue
pain an mcburney’s space
appy
