Walden & Liek Flashcards
Sign of acute cholecystitis and gallbladder disease, elicited by palpating the subcostal region on the right upper abdomen
Murphy’s sign
Sign of appendicitis, the point over the right side of the abdomen that is one third of the distance (approximately 2 inches) from the anterior superior iliac spine to the umbilicus
McMurray’s sign
an acute abdomen, such as occurs in acute appendicitis.sign is right lower quadrant pain intensified by left lower quadrant abdominal pressure
Rovsing’s sign
acute appendicitis
Obturator sign
normal adult liver is
<12 cm, but 6 to 15 cm
An elevated TSH and low free T4, start the patient on levothyroxine (Synthroid) 25 mcg daily and recheck the TSH in 6 weeks. goal is to normalize the TSH (between 1.0 and 3.5
Hypothyroidism
Natural supplement composed of dried (desiccated) pork thyroid glands, used in alternative medicine
Armour thyroid (desiccated thyroid)
nocturnal hypoglycemia (2 a.m.-3 a.m.) stimulates the pancrease to secrete glucagon, which causes the liver to convert glycogen to glucose. also known as the “rebound effect.”
Somogyi phenomenon
Treatment goal is an A1C less than 7%. Patient is frail, ADA allows a goal of up to 8%, A1C level is >6.5 or higher DX type 2 diabetes
A1C level
- Fasting plasma glucose level
- Glycated hemoglobin level A1C
- Oral glucose tolerance testing
Type 2 diabetes mellitus screening tests
Also known as primary adrenal insufficiency. The most common cause of damage to the adrenal cortex (the outer layer of the gland) is autoimmune destruction.
Addison’s disease
An autoimmune disease can occur in teens and young women, but is more common in middle age.
Hashimoto’s disease
Elevated serum cortisol levels are seen in patients with Cushing’s syndrome.
Cushing’s syndrome
Elevated TSH >.5 T4, T3, low
Hypothyroid
Slightly elevated TSH >5.0, t4 t3 normal DO NOT TREAT,
RECHECK 6 MONTHS
Subclinical hypothyroid
