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CLINICAL SKILLS 5 > UPPER GIT > Flashcards

UPPER GIT Flashcards

1
Q

WHAT CAN OSTEOS TALK TO PATIENTS ABOUT REGARDING THE PT ROLE IN THE MANAGEMENT OF THEIR VISCERAL COMPLAINT

A

DIET
FLUID INTAKE
EATING BEHAVIOURS
EXERCISE
STRESS MANAGEMENT
MEDICATIONS AND SUPPLEMENTS

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2
Q

WHAT ARE THE SPECIFIC CONTRAINDICATIONS TO VISCERAL TREATMENT

A

NEW OR WORSENING SYMPTOMS
ACUTE ABDOMINAL PAIN
NEW SURGICAL SCARRING ON THE ABDOMEN
GASTRIC BANDS OR SLEEVES
ULCERS
ADVERSE RESPONSE TO TREATMENT
RECENT CONSUMPTION OF A LARGE MEAL

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3
Q

WHEN CAN A PAIN FREE ACUTE ABDOMEN OCCUR

A

OLDER PEOPLE, CHILDREN, IMMUNOCOMPROMISED, AND LAST TRIMESTER OF PREGNANCY

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4
Q

PTS WITH ACUTE ONSET ABDOMINAL PAIN WILL OFTEN ALSO PRESENT WITH

A

NAUSEA AND VOMITING

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5
Q

WHAT IS ACUTE ABDOMEN CAUSED BY

A

INFECTION, INFLAMMATION, OBSTRUCTION OR VASCULAR OCCLUSION

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6
Q

ACUTE PAIN OCCURING IN THE GROIN COULD BE

A

TESTICULAR TORSION
HERNIA

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7
Q

ACUTE PAIN OCCURING IN THE RIF COULD BE

A

APPENDICITIS
CROHN DISEASE
DIVERTICULITIS
RENAL OR URETERIC COLIC
MESENTERIC ADENITIS

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8
Q

ACUTE PAIN OCCURING IN THE CENTRAL ABDOMEN COULD BE

A

SMALL BOWEL OBSTRUCTION
GASTRO
EARLY APPENDICITIS
RUPTURED AAA
MESENTERIC ISCHAEMIA

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9
Q

ACUTE PAIN IN THE RIGHT HYPOCHONDRIUM COULD BE

A

BILARY COLIC
CHOLECYSTITIS
ASCENDING CHOLANGITIS
ACUTE HEPATITIS

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10
Q

ACUTE PAIN OCCURING IN THE EPIGASTRIC AREA COULD BE

A

GASTRITIS
PERFORATED ULCER
CHOLECYSTITIS
PANCREATITIS
MYOCARDIAL INFARCTION (REFERRED)
LOWER LOBE PNEUMONIA (REFERRED)

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11
Q

ACUTE PAIN IN THE LEFT HYPOCHONDRIUM COULD BE

A

KIDNEY COLIS
URINARY INFECTION
SPLENIC INFARCT/ RUPTURE

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12
Q

LOWER ABDOMINAL ACUTE PAIN COULD BE CAUSED BY

A

LARGE BOWEL OBSTRUCTION

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13
Q

LIF ACUTE PAIN COULD BE

A

DIVERTICULITIS OR URETERIC COLIC

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14
Q

SUPRAPUBIC ACUTE PAIN/ HYPOGASTRIC PAIN COULD BE

A

RUPTURES ECTOPIC OVARY
ACUTE PID
RUPTURED OVARIAN CYST
TORSION OF THE OVARY

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15
Q

COMMON ACUTE PAIN IN THE RUQ COULD BE

A

PYLEONEPHRITIS
CHOLECYSTITIS
URETERIC COLIC
HEPATITIS
PNEUMONIA

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16
Q

COMMON ACUTE PAIN IN THE EPIGASTRIC REGION COULD BE

A

PUD
CHOLECYSTITIS
PANCREATITIS
MYOCARDIAL INFARCTION

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17
Q

COMMON ACUTE PAIN IN THE LUQ COULD BE

A

GASTRIC ULCER
PYLEONEPHRITIS
URETERIC COLIC
PNEUMONUA

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18
Q

COMMON ACUTE PAIN IN THE RLQ COULD BE

A

APPENDICTIS
URETERIC COLIC
INGUINAL HERNIA
IBD
UTI
GYNAECOLOGICAL
TESTICULAR TORSION

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19
Q

COMMON ACUTE PAIN IN THE PERI UMBILICAL REGION COULD BE

A

SMALL OR LARGE BOWEL OBSTRUCTION
APPENDICITIS
AAA

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20
Q

COMMON ACUTE PAIN IN THE LLQ COULD BE

A

DIVERTICULITIS
URETERIC COLIC
INGUINAL HERNIA
IBD
UTI
GYNAECOLOGICAL TESTICULAR TORSION

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21
Q

WHAT PERCENTAGE OF EMERGENCY VISITIS DOES AAP ACCOUNT FOR

A

7-10%

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22
Q

WHAT ARE THE HISTORICAL RED FLAGS FOR ACUTE ABDOMINAL PAIN

A

OLDER THAN 65
IMMUNOCOMPROMISED
MULTIPLE COMORBIDITIES
PREVIOUS ABDOMINAL SURGERY
ALCOHOLISM
PREGNANCY

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23
Q

WHAT ARE THE PAIN AND PHYSICAL EXAMINATION RED FLAGS FOR ACUTE ABDOMINAL PAIN

A

SUDDEN AND SEVERE ONSET
CONSTANT PAIN
FEVER
TACHYCARDIA OR HYPOTENSION
SHOCK
INVOLUNTARY GUARDING OF ABDOMEN

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24
Q

T OR F ANY PT PRESENTING TO AN OSTEO WITH ACUTE ABDOMINAL PAIN MUST BE REFERRED FOR MEDICAL ASSESSMENT

A

TRUE

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25
Q

WHAT DOES THE URGENCY OF A REFERRAL FOR MEDICAL ASSESSMENT DEPEND ON

A

SEVERITY OF CLINICAL PRESENTATION
PRESSENCE OF RED PLAGE
TEH DIFFERENTIAL DIAGNOSIS

26
Q

WHAT MODALITY OF IMAGING IS INCREASING BEING USED AS TEH FORST LINE OF ABDOMINAL INVESTIGATION

A

US

27
Q

RECCOMENDED IMAGING FOR GENERALISED ABDO PAIN IS

A

CT

28
Q

RECCOMENDED IMAGING FOR EPIGASTRIC OR RUQ PAIN IS

A

US

29
Q

RECCOMENDED IMAGING FOR LIF PAIN IS

A

CT EsPECIALLY IF OVER 40

30
Q

RECCOMENDED IMAGING FOR RIF PAIN IS

A

LESS THAN 50 US IN WOMEN NOTHING IN MEN

MORE THAN 50 CT

31
Q

RECCOMENDED IMAGING FOR PREGNANCY IS

A

US

32
Q

WHICH BLOOD TESTS GENERALLY APPLY TO ALL ACUTE ABDOMEN PATIENTS

A

FBC
EUC
SERUM LIPASE AND AMYLASE
LFT
BSL

33
Q

WHAT IS THE EUC TEST FOR

A

ELECTROLYTES, UREA, CREATONE (FOR REMAL FUNCTION)

34
Q

WHAT ARE SERUM LIPASE AND AMYLASE TESTS FOR

A

PANCREAS FUNCTION

35
Q

WHAT ARE LFTS FOR

A

LIVER FUNCTION TESTS

36
Q

BETA hCG is a marker used to test for

A

pregnancy
human chorionic gonadotrophin

37
Q

WHY WOULD URINALYSIS BE TESTED

A

IF CALCULI OR UTIS ARE SUSPECTED

38
Q

WHY WOULD AN ECG BE USED IN ACUTE ABDOMINAL INVESTIGATION

A

EPIGASTRIC OR RUQ PAIN, SUSPICION OF AMI, PT OVER 50

39
Q

WHAT ARE THE RISK FACTORS FOR DEVELOPING AAA

A

SMOKING, MALE, OVER 65, CAUCASIAN, HX ATHEROCLEROSIS, HX HTN, FHX AAA

40
Q

WHAT KIND OF PAIN COULD AN AAA PRESENT AS

A

ABDOMINAL, FLANK OR BACK PAIN

41
Q

WHAT IS THE CLASSIC TRIAD THAT APPEARS IN 50% OF RUPTURED AAA PATIENTS

A

SEVRE ACUTE PAIN, PULSATILE ABDOMINAL MASS, HYPOTENSION

42
Q

WHEN SHOULD AAA ALWAYS BE CONSIDERED

A

IN A PT AGES OVER 60 WITH ABDOMINAL, FLANK OR BACK PAIN

43
Q

AN AAA MUST BE CONSIDERED IN CASES OF ACUTE LUMBAR SPINE PAIN?

A

YES

44
Q

WHAT PAY THE SYMPTOMS OF A RUPTURED AAA MIMIC

A

RENAL COLIC
DIVERTICULITIS
GI HARMORRHAGE
OTHER INTRAABDOMINAL CONDITIONS

45
Q

WHAT IS ROSVINGS SIGN

A

PRESSURE OVER THE PTS LEFT LLQ CAUSES PAIN IN THE RLQ

46
Q

WHAT ARE THE DIFFERENTIALS THAT NEED TO BE CONSIDERED FOR APPENDICITIS

A

TESTICULAR TORSION
ECTOPIC PREGNANCY
PID
CAECAL DIVERTICULITIS
GROIN HERNIAS

47
Q

80-85% OF ADULTS WITH APPENDICITIS WILL HAVE AN INCREASED?

A

WBC COUNT
IMMATURE NEUTROPHILS

48
Q

CHOLECYSTITIS COMMONLY PRESENTS AS

A

RUQ PAIN, FEVER, LEUCOCYTOSIS

49
Q

IS CHOLECYSTITIS MORE COMMON IN WOMEN OR MEN

A

WOMEN

50
Q

WHAT ARE TEH RISK FACTORS FOR PANCREATITIS

A

COMMON -GALL STONES
ETHANOL

OTHER - ENDOSCOPIC PROCEDURE, TRAUMA, INFECTION, AUTOIMMUNE DISEASE, METABOLIC, VASCULAR, GENETIC

51
Q

CAN PANCREATITIS BE IDIOPATHIC

A

YES

52
Q

WHAT IS CULLENS SIGN

A

BRUISING AROUNF ULBILICUS DUE TO PANCREATITIS

53
Q

WHAT IS GREY-TERNERS SIGN

A

BRUISING OF THE FLANK DUE TO PANCREATITIS

54
Q

DOES SERUM AMYLASE OR LIPASE STAY ELEVATED FOR LONGER IN RELATION TO PANCREATITIS

A

LIPASE

55
Q

IS ELEVATED LIPASE OR AMYLASE MORE SPECIFIC FOR PANCREATITIS

A

LIPASE- AS IT STAYS ELEVATED FOR LONGER

56
Q

WHAT IS DIVERTICULITIS

A

INFLAMMATION OF ABNORMAL POUCHES IN THE BOWEL WALL

57
Q

DIVERTICULTIS IS SEEN IN WHAT PERCENT OF PEOPLE OVER 70

A

50

58
Q

HISTORAL FACTORS FOR DIVERTICULITIS INCLUDE

A

SHARP ABDOMINAL PAIN OFTEN IN THE LIF
FEVER
ABDOMINAL DISTENSION, BLOATING, FLATULENCE
CHANGE IN BOWEL HABITS (CONSTIPATION OR DIARRHEA)
NAUSEA/ VOMITING

59
Q

WHAT ARE THE INDICATIONS FOR VISCERAL OSTEOPATHY

A

BLOATING
INDIGESTION
REFLEX
BELCHING
LUQ DISCOMFORT

60
Q
A

CLINICAL SKILLS 5 (15 decks)

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