Term
A patient presents with sudden onset of severe, diffuse abdominal pain.
Exam reveals peritoneal signs.
AXR reveals free air under the diaphragm.
Management? |
|
Definition
| Emergent laparotomy to repair a perforated viscus. |
|
|
Term
| The most likely cause of acute lower GI bleed in patients >40 years old. |
|
Definition
|
|
Term
| Diagnostic modality used when US is equivocal for cholecystitis. |
|
Definition
|
|
Term
| Risk factors for cholelithiasis |
|
Definition
| Fat, female, fertile, forty, flatulent |
|
|
Term
| Inspiratory arrest during palpation of the RUQ |
|
Definition
| Murphy's sign--seen in acute cholecystitis |
|
|
Term
| The MCC of SBO in patients with no history of abdominal surgery |
|
Definition
|
|
Term
| THe MCC of SBO in patients with a hx of abdominal surgery |
|
Definition
|
|
Term
Identify key organisms causing diarrhea:
1. MC organism
2. Recent ABx use
3. Camping
4. Traveler's diarrhea
5. Church picnic/mayonaise
6. Uncooked hamburgers |
|
Definition
1. Campylobacter
2. Clostridium difficile
3. Giardia
4. ETEC
5. S. aureus
6. E coli O157:H7 |
|
|
Term
Identify key organisms causing diarrhea:
1. Fried rice
2. Poultry/eggs
3. Raw seafood
4. AIDS
5. Pseudoappendicitis |
|
Definition
1. Bacillus cereus
2. Salmonella
3. Vibrio, HAV
4. Isospora, Cryptosporidium, M. avium complex
5. Yersinia |
|
|
Term
| A 25yo Jewish man presents with pain and watery diarrhea after meals. Exam shows fistulas between the bowel and skin and nodular lesions on his tibias. |
|
Definition
|
|
Term
| Inflammatory disease of the colon with an increased risk of colon cancer. |
|
Definition
| Ulcerative colitis (greater risk than Crohn's) |
|
|
Term
| Extraintestinal manifestations of IBD. |
|
Definition
Uveitis
Ankylosing spondylitis
Pyoderma gangrenosum
Erythema nodosum
Primary sclerosing cholangitis |
|
|
Term
| Medical treatment for IBD |
|
Definition
5-ASA Agents
Steroids during acute exacerbations |
|
|
Term
| Difference between Mallory-Weiss and Boerhaave Tears |
|
Definition
Mallory-Weiss: Superficial tear in esophageal mucosa.
Boorhaave: Full thickness esophageal rupture. |
|
|
Term
|
Definition
For Ascending Cholangitis
-RUQ Pain
-Fever/Chills
-Jaundice |
|
|
Term
|
Definition
Charcot's Triad +
-AMS
-Shock |
|
|
Term
| Medical Treatment for Hepatic Encephalopathy |
|
Definition
-Low protein intake
-Lactulose
-Rifaximin |
|
|
Term
| 1st steps in the management fo a patient with an acute GI bleed |
|
Definition
|
|
Term
A 4yo child presents with oliguria, petechiae and jaundice following an illness with bloody diarrhea.
Most likely diagnosis and cause? |
|
Definition
| HUS due to E. coli O157:H7 |
|
|
Term
| Post-HBV exposure treatment |
|
Definition
|
|
Term
| Classic causes of drug-induced hepatitis |
|
Definition
Tb Meds: Rifampin, INH, Pyrazinamide
Acetaminophen
Tetracycline |
|
|
Term
| A 40yo obese woman with elevated ALKP, elevated Bilirubin, pruritis, dark urine and clay colored stool |
|
Definition
| Biliary tract obstruction |
|
|
Term
| Hernia with highest risk of incarceration--indirect, direct or femoral? |
|
Definition
|
|
Term
| A 50yo man with a history of alcohol abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. Management? |
|
Definition
Confirm the Dx of Acute Pancreatitis with:
-Elevated Amylase/Lipase
NPO
IVF
O2
Analgesia
Tincture of time |
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