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40 Cards in this Set

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Origin of Angiodysplasia bleeding?
Venous

Commonly occurs in CECUM*
Most common cause of Large Bowel Obstruction
Malignancy, Not Adhesions
Type of volvulus associated with institutionalized setting
Sigmoid
Origin of Blood from Diverticular Disease (not diverticulosis).

Diverticular bleeding originates from (R/L) colon?
Arterial

RIGHT COLON*
-diverticulosis is most common in L
Flat objects that appear as a circle in the coronal plane are lodged in the:
esophagus
Flat objects best visualized in sagittal plane are lodged in the
trachea - get a lateral projection
Packers vs. Stuffers
Packers Plan

Stuffers shove because they've been caught - greater risk
Threatened Abortion
Bleeding through a CLOSED cervical os in first half of pregnancy.

fetal loss MAY NOT necessarily occur
Inevitable Abortion
Increased bleeding - cervix is dilated

may be able to visualize gestational tissue through os
Complete Abortion
BEFORE 12 weeks gestation: ENTIRE contents of uterus expelled.

Uterus is SMALL and well contracted

CLOSED cervix
Incomplete Abortion:
AFTER 12 weeks - membranes rupture and abortion with retained products of conception (POC)

Cervical os is OPEN
Missed Abortion
In utero death prior to 20th week

Cervix usually CLOSED
Septic Abortion
DILATED Cervix

Fever Chills malaiase, pain
Post menopausal vaginal bleeding =
Uterine Cancer unless proven otherwise!
____ pain is relieved by eating.

____ pain is exacerbated by eating.
Ulcer pain relieved by eating

Biliary Colic is worse with eating
Anorexia is a common symptom of:
Appendicitis
Steppage Gait
Neuro condition results in LOSS OF ABILITY TO DORSIFLEX.

Pt flexes hip and knee so toe can clear the ground
Most common cause of hip pain in children:
Transient Synovitis of the Hip

pain is worse in the morning - inflammatory
Antalgic (painful) gait in child 4-10 yo suspect
Transient synovitis of the hip
LCPD
Antalgic gait in 11+ yo
SCFE - probably obese
External hip rotation with hip flexion is most likely
SCFE - if 11+

Loss of Internal Rotation also occurs in LCPD
LCPD pain is worse at
end of the day - activity worsens
SCFE Fracture =
Salter-Harris Type I

Results in a posterior slip of femoral head
Transient Synovitis
most common cause of nantraumatic acute limping in kids (3-10)

Sterile effusion of the joint that resolves without therapy or sequela - etiology is unknown

Dx of exclusion
Septic arthritis is typically due to:

If less than 3 months:
Staph

Strep
Risk w/o therapy
X
Risk w/ therapy
Y
Absolute Risk Reduction
X - Y
Relative Risk
X/Y

if < 1, then tx is beneficial
Relative Risk Reduction
ARR/X x 100
Number Needed to Treat
1/X-Y

Reciprocal of Absolute Risk Reduction
Chronic Pancreatitis due to
EtOH
Gallstone Pancrease is suggested by:
ALT greater than 150
Severe necrotizing pancreatitis
HCT greater than 47%
CRP value > 150 indicates:
severe pancreatitis
Foremost importance for treatment of pancreatitis
vigorous hydration because they 3rd space alot of fluid
VACTERL
Defects associated with esophageal atresia
Vertebral anomalies
anal atresia
cardiac anomalies
TE fistula
Renal anomalies
Limb anomalies
Metabolic issue seen in pyloric stenosis
HypOchloremic metabolic alkalosis

due to vomiting
Common type of intussusception in young people and clinical presentation
idiopathic at the ileocecal valve

Lethargy and Currant Jelly Stools
Most common and least common food causes of anaphylaxis in peds:
most: peanuts

least: grains