Term
| Alcoholic hepatitis may present with what kind of pain |
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Definition
| visceral pain in the right upper quadrant due to liver distension against its capsule |
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Term
| acute appendicitis is what kind of pain? Where is it located |
|
Definition
| visceral pain found in the right lower quadrant |
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|
Term
| where would duodenal pain refer to |
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Definition
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|
Term
| pancreatic pain can refer to where |
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Definition
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Term
| pain from ___ can refer to the right shoulder or right posterior chest |
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Definition
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Term
| pain from ___ and ___ can refer to epigastric area |
|
Definition
1. inferior wall MI
2. pleurisy |
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Term
| These neuropeptides are thought to contribute to sx of pain, bowel dysfunction and stress |
|
Definition
1. 5-hydroxytryptophan
2. substance P |
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Term
| Out of the many abdominal nonspecific pain complaints 15-30% need surgery for what three common medical problems |
|
Definition
1. appendicitis
2. instestinal obstruction
3. cholecystitis |
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Term
| a patient presents to the ED with cramping and "colicky" pain and cant stand..what do they most likely have |
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Definition
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Term
| A patient cries that they had "SUDDEN" Knifelike epigastric pain...what do you suspect |
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Definition
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Term
| If you suspect a patient may have an inferior MI or indigestion how can you rule the MI out |
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Definition
| AS if pain is worsened with exertion and relieved to a degree by rest. If so its indigestion |
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Term
| dyspepsia, defined as a 3 month history with sx of nonspecific upper abd discomfort or nausea from non structural issues can be from what three common things |
|
Definition
1. gastritis from H pylori
2. delayed gastric emptying
3. Peptic ulcer disease |
|
|
Term
|
Definition
1. reduced salivary flow
2. delayed gastric emptying
3. medications
4. Hiatal hernia |
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Term
| regurgitation sx occurs in what diseases |
|
Definition
1. GERD
2. Esophageal stricture
3. esophageal cancer |
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Term
| hematemesis may accompany what diseases |
|
Definition
1. esophageal varices
2. gastric varices
3. gastritis
4. peptic ulcer disease |
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Term
| Normally patient will not become symptomatic from hematemesis or any blood loss until EBL reaches what volume |
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Definition
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|
Term
| if a patient points here it indicates esophageal dysphageia |
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Definition
| below the sternoclavicular notch indicates esophageal dysphagia |
|
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Term
| is acute or chronic diarrhea due to infection |
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Definition
|
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Term
| what can contribute to chronic diarrhea |
|
Definition
1. chrohns disease
2. ulcerative colitis |
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Term
| diarrhea with mucus or pus is usually from what areas of the bowels and related to what |
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Definition
| mucus or pus in the stool related to rectal inflammatory conditions |
|
|
Term
| whats your thoughts if patient tells you they often have diarrhea at night time |
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Definition
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Term
| oily, or forthy, fatty stools are related to what |
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Definition
| floaters that are oil or fatty are rleated to malabsorption in celiac sprue, pancreatic insufficiency and small bowel bacterial overgrowth. |
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Term
| if a patinet has a pencil-like stool it is related to what |
|
Definition
| obstructing 'apple-cord' lesion of the signmoid colon |
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Term
| constipation is associated with what other chronic diseases |
|
Definition
1. diabetes
2. hypothyroidisms
3. hypercalcemia
4. MS
6. Parkinson's disease
7. systemic sclerosis |
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Term
|
Definition
| obstruction! Def: no passage of feces or gas |
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Term
| melena is associated with bleeding from where and how much bleeding necessary to start to see it |
|
Definition
| melena = upper GI bleeding associated with as little as 100 mL of blood loss |
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Term
| hematochezia is present from blood loss where in GI tract? How much blood loss associated with it |
|
Definition
| blood loss from lower GI bleeding and normally associated with 1L of blood!! |
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Term
| viral hepatitis can cause obstructive jaundice which will show up as what in the stool |
|
Definition
| grey stools since no bilirubin to turn it brown |
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|
Term
| stress incontinence is from |
|
Definition
| decreased intraurethral pressure. Since normally body maintains contineence by increasing that intrarethral pressure to overcome pressure from bladder and detrusor muscle contraction. |
|
|
Term
| painful urination is associated with what three things |
|
Definition
1. cystitis
2. urethritis
3. urinary tract infection |
|
|
Term
| painful urination without frequency or urgency in men suggests |
|
Definition
|
|
Term
| viral hepatitis can cause obstructive jaundice which will show up as what in the stool |
|
Definition
| grey stools since no bilirubin to turn it brown |
|
|
Term
| stress incontinence is from |
|
Definition
| decreased intraurethral pressure. Since normally body maintains contineence by increasing that intrarethral pressure to overcome pressure from bladder and detrusor muscle contraction. |
|
|
Term
| painful urination is associated with what three things |
|
Definition
1. cystitis
2. urethritis
3. urinary tract infection |
|
|
Term
| painful urination without frequency or urgency in men suggests |
|
Definition
|
|
Term
| what is the name for hte type of incontinence that is a result of increased abdominal pressure forcing hte bladder pressure up and overcoming the intraurethral sphincter tone |
|
Definition
|
|
Term
| what kind of incontinence is from feeling of urgency followeed by involuntary leakage due to detrusor muscle contraction |
|
Definition
|
|
Term
| what type of incontinence is from impaired cognition, musculoskeletal problems or immboiility |
|
Definition
|
|
Term
| what are the two types of hematuria |
|
Definition
| gross heamaturia is visiable blood in urine while microscopic hematuria is blood that is only detectable in urine by microscope |
|
|
Term
| what is the name for hte type of incontinence that is a result of increased abdominal pressure forcing hte bladder pressure up and overcoming the intraurethral sphincter tone |
|
Definition
|
|
Term
| what kind of incontinence is from feeling of urgency followeed by involuntary leakage due to detrusor muscle contraction |
|
Definition
|
|
Term
| what type of incontinence is from impaired cognition, musculoskeletal problems or immboiility |
|
Definition
|
|
Term
| what are the two types of hematuria |
|
Definition
| gross heamaturia is visiable blood in urine while microscopic hematuria is blood that is only detectable in urine by microscope |
|
|
Term
| name sx of acute pyelonephritis |
|
Definition
1. kidney pain
2. fever
3. chills |
|
|
Term
| kidney pain is visceral or parietal pain |
|
Definition
|
|
Term
| classical findings of alcohol abuse |
|
Definition
1. spider angiomas
2. palmar erythema
3. peripheral edema |
|
|
Term
| if you inspect and see pink-purple stiae on the abdomen it indicates what disease |
|
Definition
|
|
Term
| dilated veins on the abdomen can indicated what diseases |
|
Definition
1. hepatic cirrhosis
2. inferior vena cava obstruction |
|
|
Term
| ecchymosis of hte abdominal wall is seen in what diseases |
|
Definition
| 1. intrperitoneal or retroperitoneal hemmorhage |
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|
Term
| a bruit over the abdominal space indicates |
|
Definition
| vascular occlusive disease |
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|
Term
| a bruit related to atherosclerotic arterial disesase will be heard on systole only or systole and idastole |
|
Definition
|
|
Term
| if you go to palpate the abdomen and patient has involuntary rigidity the patinet likely has |
|
Definition
|
|
Term
| how accurately can you palpate the size of the liver |
|
Definition
| relatively accurately within 60-70% accuracy |
|
|
Term
| COPD doees what to liver location on palpitation |
|
Definition
|
|
Term
| air in stomach does what to liver position in abdomen |
|
Definition
| pushes it up into the ribs |
|
|
Term
| what can mask the actual size of the liver? |
|
Definition
| dullness associated with pleural effusion or consolidated lung tissue can sound just like liver when percussing |
|
|
Term
| if you feel a oval mass below the edge of the liver as you palpate it.. this indicates |
|
Definition
| an obstructed, distended gallbladder |
|
|
Term
| causes of kidney enlargement |
|
Definition
1. hydronephrosis
2. cysts
3. tumors |
|
|
Term
|
Definition
1. portal hypertension
2. hematologic malignancies
3. HIV Infections
4. splenic infarct
5. Splenic hematoma |
|
|
Term
| Risk factors for enlarged abdominal aorta |
|
Definition
1. age >65
2. hx of smoking
3. male
4. first degree relative |
|
|
Term
| A palpable AA of __ or more means its enlarged |
|
Definition
|
|
Term
| A aortia abdominal aneursym is 15 times more likley in AAA > ___ cm |
|
Definition
|
|
Term
| ascites occurs in what disease processes |
|
Definition
1. hydrostatic pressure from cirrhosis, HF, constrictive pericarditis
2. inferior vena cava obstruction
3. hepatic vein obstruction
4. decrease osmotic pressure from nephrotic syndrome
5. malnutrition cuases decrease osmotic pressures
6. ovarian cancer |
|
|
Term
| in ascites dullness will shift in what direction |
|
Definition
| shift towards direction of dependency with tympanny on top. |
|
|
Term
| a sharp increase in tenderness with a sudden stop in inspiratory effort while palpating under the right costal margin constitutes a positive ___ Sign |
|
Definition
| Murphy's sign for acute cholecystitis |
|
|
Term
| right hypogastric pain when pt flexing right thigh at the hip with knee bent and rotating leg internally = what sign for what |
|
Definition
| obturator sign for appendicitis |
|
|
Term
| increased abdominal pain while pt attempts to raise right thigh against your hand on their knee = what kind of sign? For what? |
|
Definition
| Positive Psoas sign for appendicitis |
|
|
Term
| A positive Rovsing's sign is? |
|
Definition
| Pressure LLQ causes RLQ pain when you release pressure. |
|
|
Term
| warning of colon cancer would be a change in stool that is now |
|
Definition
|
|
Term
| mucous in the stool may accompany this disease |
|
Definition
|
|
Term
| itching of the anus and anorectal area in children may indciate what |
|
Definition
|
|
Term
| genital warts may occur from |
|
Definition
|
|
Term
| if your male patient describes "heaviness" in the area of the base of the penis it is suggestive of? |
|
Definition
|
|
Term
| what cancer is the leading cancer diagnosis in U.S. MEN |
|
Definition
|
|
Term
|
Definition
1. tender
2. purulent
3. reddened mass
4. Fever / chills |
|
|
Term
| cord lesions to ____ may produce laxative anal sphincter tone |
|
Definition
| Cord injuries to S2-S4 may decrease or eliminate anal sphincter tone |
|
|
Term
| If inside the anal canal and rectum you feel indurated areas this indicates |
|
Definition
1. inflammation
2. malignancy
3. scarring |
|
|
Term
| does a single occult blood test indicate colon cacner |
|
Definition
|
|
Term
| External hemorrhoids come from what |
|
Definition
| are dilated hemorrhoidal veins the originate below the pectinate line and are covered in skin |
|
|
Term
| when and why would a external hemorrhoid hurt |
|
Definition
| They become symptomatic when thrombosis of the vein occurs and produces acute local pain during defecation and sitting. |
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