Mastering the boards Flashcards
Pt under 35 and has no cardaic disease; which test is needed for preop?
EKG
Pt with blunt abdominal trauma and right flank pain with bruising suggests what?
pancreatitis
bruising around the umbilicus (Cullen sign)
hemorrhagic pancreatitis, ruptured AAA
bruising in flank (Grey Turner sign)
retroperiotoneal hemorrhage
pain in the left shoulder
splenic rupture
dull percussion on the left and shifting dullness on the right
splenic rupture
pt with severe abdominal pain, 10/10, after eating, bloody diarrhea and no other findings. Peritoneal signs. Elevated WBCs. Ddx? best next step?
Acute mesenteric ischemia
angiography
right shoulder/scapula referred pain. Cause?
gall bladder
referred pain in back. Cause?
Pancreas
referred pain in left lower quadrant, cause?
appendix
referred pain in tip of penis/perineum, cause?
prostate
what tests are contraindicated in diverticulitis (closely associated w/ constipation)?
barium enema and colonoscopy in case of perforation
Tx for diverticulitis?
Antibiotics for first attack; surgical resection if it recurs or perforates
Which medication helps with stool impaction in patients with chronic opioid use?
methylnaltrexone
Elevated lactate with marked acidosis, severe waves of intermittent abdominal cramps, fever, hyperactive bowel sounds, hypovolemia due to third spacing. Ddx?
Bowel obstruction
Best initial test of fecal incontinence? Most accurate test?
Sigmoidoscopy/anoscopy
anorectal manometry
Tx for open fracture?
Surgery
Best diagnostic test for stress fx?
CT or MRI; X-ray doesn’t really show
Arm held to the side with externally rotated forearm and with severe pain. Ddx?
Anterior shoulder dislocation
Tx for trigger finger (acutely flexed and very painful)
Steroid injection
