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20 Cards in this Set

  • Front
  • Back
The mortality rate of ruptured esophageal varices is ___%
over 30
66yof 1-week hx of lightheadedness, mild nausea, dark sticky stool pain lower abd. Which is most likely to cause pts condition
gastrointestinal bleeding
43 yom complaining of abd pain, experiencing nausea and has vomitted 2 times. What is the most appropriate follow up ?
What did the material you vomited look like
____ pain allows an examiner to pinpoint the area of irritation
somatic
68yof being treated for colon cancer. progressive weakness X3days, tenderness lower right quadrant, HR-106, BP-100/60, RR-12, 97%O2. Proper treatment might include
IV normal saline w/ a 250ml fluid challenge, repeated if necessary
The mortality rate of Upper GI bleeds in the US is
10%
24yom complaining of 1-week abd pain. Upper Right Quadrant, dull and reproductive, decreased appetite, weight loss and clay colored stool. What most likely caused his condition
Acute hepatitis
you are palpating the lower abd of 63 yom, complaining of back pain, you note a pulsating mass. You should:
stop palpating
19 yom 2-day hx of abd pain, diffuse and colicky located around his umbilical area. Loss of appetite and low-grade fever. Palpation reveals tenderness and guarding in the periumbilical area. Which is the most likely cause of his condition?
appendicitis
44yof hx of hiatal hernia, complaining of diffuse abd pain. Stated that she vomited numerous times and describes the presence of bile. Auscultation of abd reveals absent bowel sounds. Which is most likely cause of condition?
Bowel obstruction
52yom in moderate distress, 3-day hx of upper left quadrant pain sharp and radiating to his back. Denies any change in bowel habits and has hx of alcoholism. Which is most likely cause of his condition
Pancreatitis
McBurney's Point, a common site of pain secondary to appendicitis, is located
at the midway point of a line from 1-2 inches above the right illiac crest to the umbilicus
Bleeding in the GI tract proximal to the ligament of Treitz is considered to be in the
Upper GI Tract
44yof 3-day hx of localized and pain in her midepigastric region after eating. History of smoking and alcohol consumption. B/p-128/88 HR-84, RR-20. Course of action should consist of
High-flow O2 via Non-rebreather
Murphy's sign is
pain produced by pressing under the right costal margin on the presence of an inflammed gallbladder
All of the following are considered part of the lower GI tract EXCEPT
duodenum
GI emergencies account for ____% of ER visits annually
5%
This is the answer on p. 1307 and I got it wrong
Which 3 mechanisms can produce visceral pain
Distention, ischemia, inflammation
46yof alcoholic, hypotensive, severe distress, complaining of dysphagia, and vomiting bright red blood. What is the most likely cause of the pts condition
esophageal varices
Which of the following questions would help you determine if the pathology of a pts complaint has been progressing
On a scale of 1-10, with 10 being the worst pain possible, how would you have rated the pain when it started? How would you rate the pain now?