Other Flashcards
when to perform breast exam
- 19-39: every 1-3 years beginning at age 20
- 40+ start doing every year
cervical motion tenderness suggests ____
PID
compare cervical consistency b/w pregnant and non-pregnant pts
pregnant: softer
non-pregnant: feels firm like the tip of your nose
how to palpate uterus in internal bimanual exam
place left hand above pubic symphysis and right intravaginal fingers in posterior fornix behind cervix
- abdominal hand presses down firmly
- vaginal hand lifts up the uterus
what is hegar’s sign
softer uterine consistency on IBE and you can palpate between the cervix and fundus
- happens in pregnancy
how to palpate ovaries in internal bimanual exam
place fingers of abdominal hand on RLQ and intravaginal hands in right lateral fornix
- intravaginal hands press upward
- abdominal hand press inwardly and obliquely downward towards pubic symphysis
how should normal ovaries feel
firm, ovoid, slightly tender, and approximately 3x2x1
test of choice for ureterolithiasis
CT WITHOUT contrast
test of choice for abdominal trauma
CT with IV contrast ONLY
test of choice for bowel pathology, solid organ pathology, or vascular pathology
CT with IV AND ORAL contrast
“fat stranding” on CT indicates what
appendicitis
imaging of choice for gallbladder
US, if suspect choledocolithiasis then MRCP or ERCP
imaging of choice for GYN
US if pregnant or suspect torsion or cyst
- CT w/ contrast if suspect CA or abscess
imaging of choice for male GU
US for torsion, CT w/ contrast if suspect CA or infection
imaging of choice for kidney/ureter/bladder
CT w/o contrast if suspect stone, with contrast if suspect CA, IV contrast if infection
