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Visceral Diagnosis > Lecture final 2 > Flashcards

Lecture final 2 Flashcards

1
Q

all medications are

A

Hepatotoxins

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2
Q

liver has full function up untill there is ___% left

A

about 40%

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3
Q

_____ _____ are the only way to identify liver damage

A

blood samples

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4
Q

liver damage is ______

A

irreversible

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5
Q

Portal hypertension can lead to

A

hepatosplenomegaly

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6
Q

caput medusa

A

opening of collateral veins “medusa’s head”

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7
Q

abdomen inspection

A

color, masses, vasculature, contour, other

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8
Q

increases in bilirubin is from ruptured ____

A

RBCs

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9
Q

epigastric I-S pulsation

A

abdominal anyeurism

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10
Q

smoking, low vitamin C

A

risk factor for abdominal anyeurism

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11
Q

percussion of abdomen predominately

A

tympanic

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12
Q

percussion is tympanic for abdominal percussion because

A

air pressure in stomach and intestines

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13
Q

Dullness during abdominal percussion is due to

A

organs and solid masses

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14
Q

A lower liver border that is more than 2 to 3 cm (3/4 to 1 in.) below the costal margin may indicate

A

organ enlargement or downward displacement of the diaphragm

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15
Q

Tympany of Stomach Percuss down the ________ line on the left side at the costal margin .

A

midclavicular

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16
Q

Most common form of peptic ulcer disease. Most common in men.

A

doudenal ulcer

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17
Q

HIATAL HERNIA what the #1 risk factor

A

being overweight

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18
Q

when hiatal hernia is accompanied by acid reflux the result is

A

Esophagitis

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19
Q

_____ is life-threatening and requires immediate surgical intervention. The patient exhibits signs of an acute abdomen.

A

perforation

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20
Q

H. pylori can lead to serious complications, such as ____ and _____ _____.

A

ulcers, stomach cancer

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21
Q

SPIRITS SMOKING SPICES STRESS SUBLUXATION

A

5 “Ss” of stomach cancer

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22
Q

stomach cancer

A

Arise from epithelial cells of the mucous membrane. Metastases are common.
Virchow lymph nodes. Left supraclavicular Lymph nodes

23
Q

non sinister headaches

A 
common migraine
classic migraine
tension
cluster
hypertensive
hyoglycemic
24
Q

sinister headaches

A 
Space occupying lesion
Glaucoma
Temporal arteritis
Subdural Hematoma
Meningitis
25
Q

space occupying lesion presentation

A

symptoms of incrased ICP

26
Q

glaucoma presentation

A

History/field defect

27
Q

temporal arteritis presentation

A

local tenderness and visible arteries

28
Q

Meningitis presentation

A

Headache with fever or nuchal rigiditiy

29
Q

Subdural hematoma presentation

A

History of trauma with neuro sign

30
Q

Headache redflags

A 
recent onset
positional headache
focal neurological sign
progressive headaches
Vomiting without nausea
cognitive changes (confusion,drowsiness, giddiness)
Persistent or severe headache in a child
31
Q

brudzinski’s and kernigs indicate

A

meningitis

32
Q

brudzinki sign

A

don’t want to flex head while sitting up

33
Q

Kernigs sign

A

pain when raising leg at hip

34
Q

Marijuana helps with _____ angle glaucoma

A

open angle

35
Q

temporal arteritis

A

tender nodule at the temporal part of the head

inflamed vessels of the scalp which are thickened and tender

36
Q

“pain when brushing hair”

A

temporal arteritis

37
Q

can affect the opthalmic branch of the int. carotid artery causing blindness

A

temporal arteritis

38
Q

what kind of headaches are associated with lucid intervals?

A

Subdural hematoma

39
Q

what is a lucid interval?

A

period of time that lapses between head trauma and the appearance of neurological findings (24-48hours)

40
Q

suspicious lymph nodes

A

hard, discrete, painless

41
Q

97% of lymph node enlargement is due to

A

fighting infections

42
Q

primary lymphnode malignancy seen in (3)

A

lymposarcoma, Hodgkin’s, Lymphatic leukemia

43
Q

3% of lymphnodes

A

fight cancer

44
Q

benign non-cancerous lympnodes

A

soft or firm, painfull or tender, movable

45
Q

Virchow Lymph nodes located

A

supraclavicular (especially Left)

46
Q

Inflammed Virchow lympnodes can be

A

thoracic or abdominal malignancy

47
Q

Sister mary joseph nodules

A

Malignant lymph nodes around the umbilicus which indicate intra abdominal malignancy

48
Q

ant. cervical chain lymph nodes

A

mono,strep

49
Q

postauricular

A

associated with ear infections

50
Q

Preauricular, retropharyngeal,deep cervical

A

Otis media

51
Q

axillary

A

breast

52
Q

Inguinal

A

private areas

53
Q

these +swollen lymph nodes=suspicious

A

coughing, night fever, night sweats, hemoptysis, loss of weight, lack of energy and general malaise, history of recent infection, history with TB person

Visceral Diagnosis (3 decks)

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