Wise MD Flashcards

1
Q

Why is respiratory included on the ROS in suspected appendicitis?

A

Rule out mesenteric adenines

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2
Q

What is Rovsing’s sign?

A

Pushing on LLQ elicits pain in the RLQ

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3
Q

What exam maneuvers can you perform when appendicitis is suspected?

A

Rovsing sign, obturator sign, psoas sign

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4
Q

What is Chvostek’s sign? When is it seen?

A

Abnormal reaction of the facial nerve to stimulation; seen in hypocalcemia

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5
Q

What is Carnett’s sign? When is it seen?

A

Abdominal wall pain decreases when the abdominal wall musculature is tensed; typically indicating that the source of the pain is the abdominal wall, as opposed to the abdominal cavity.; seen in Rectus sheath hematoma
abdominal wall trauma

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6
Q

What is Murphy’s sign? When is it seen?

A

Pain and tenderness to palpation of the RUQ during inspiration and resulting in cessation of inspiration; can be associated with physical examination or ultrasonography; Seen in Acute cholecystitis and Liver pathology

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7
Q

What is Psoa’s sign?

A

Right lower quadrant pain with passive (or active) extension of the right lower extremity. This typically indicates a process that is irritating the right psoas muscle. (Note: the patient is on their side during this examination); seen in Appendicitis (typically retrocecal)
Psoas muscle abscess or hematoma

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8
Q

Which laboratory results would be most typical for mesenteric adenitis?

A

Elevated lymphocyte count

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9
Q

What imaging modality is essential in diagnosing appendicitis?

A

CT with oral and IV contrast

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10
Q

What is the best imaging modality for an intra-abdominal abscess?

A

CT scan

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