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28 Cards in this Set
- Front
- Back
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Which type of ulcer has relief of pain after eating
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duodenal
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Which type of ulcer worsens w/ eating?
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gastric
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S&S of ulcer perforation
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Severe epigastric pain, "Board-like " abdomen, quiet bowel sounds, rigidity
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What is H pylori eradication therapy?
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2 ATB and a PPI x at least 7 days
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Causes of GERD
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incompetent lower esophageal spincter
delayed gastric emptying |
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Viral types of hepatitis
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A,B,C,D,E,G
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hepatitis transmitted via oral/fecal route
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Hepatitis A
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hepatitis transmitted via blood or other body fluids
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Hepatits B
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Heapatitis traditionally associated w/ blood transfusions and IV drug use
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Hepatitis C
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Serology of hepatitis A
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Anti-HAV, IgM (immediate)
Anti-HAV, IgG (gone) There is no Chronic Hep A only acute |
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Serology of Hepatitis B
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HBsAg, Anti-HBc,IgM-(Active)
HBsAg,Anti-HBc,Anti-HBe,IgM,IgG (Chronic) Anti HBc,AntiHBsAg (Recovered) |
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What is used to differentiate prior exposure of Hep C from current viremia
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PCR- Polymerase Chain Reaction
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Serology of Hepatitis C
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(acute) Anti-HCV, HCV RNA
(Chronic) Anti HCV, HCV RNA Unable to tell difference just by antibodies |
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Where is the pain associated w/ diverticulitis
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LLQ
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Deep pain on inspiration while fingers are placed under the right rib cage
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Murphy's Sign
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Where is the pain associated w/ cholecystitis?
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RUQ
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What is the gold standard test for cholecystitis?
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Ultra sound
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Where is the bowel obstruction if vomiting occurs within minutes of the pain
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Proximal
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Where is the bowel obstruction if vomiting occured hours after the pain started
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Distal
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What type of bowel sounds are heard in bowel obstructions
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high pitched, tinkling
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What is the hallmark sign of Ulcerative Colitis?
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Bloody diarrhea
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How quickly can gangrene and perforation occur in an untreated appendicitis?
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Within 36 hrs
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What type of pain is associated w/ appendiicitis?
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Colicky umbilical pain
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Where is the pain associated w/ appendicitis?
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RLQ
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Pain w/ right thigh extension
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Psoa's sign in appendicitis
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Pain w/ internal rotation of the flexed right hip
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Obturator Sign in appendicitis
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RLQ pain when pressure is applied to the LLQ
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Positive Rosvsings sign
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What would a high fever in appendicitis suggest?
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Perforation or perhaps another diagnosis
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