Shared Flashcard Set

Details

Abdomen/Low Back
Patho Final
25
Pathology
Post-Graduate
10/28/2012

Additional Pathology Flashcards

 


 

Cards

Term
Gastritis
Definition
epigastric pain, nausea, abdominal distension
mid back/shoulder pain
pain is worse BEFORE and DURING meals
PE: tympany, nauseated with palpation
Term
Peptic ulcer disease
Definition
pain is worse AFTER meals
PE: TTP in epigastrium and mid back
Term
Gastric cancer (adenocarcinoma)
Definition
smoker, alcohol use, smoked fish, anorexia
PE: Virchow's node (L supraclavicular), acanthosis nigricans (oral mucosa)
5 year survival is not good
Term
Intestinal ischemia
Definition
BLOODY DIARRHEA, frequent cause of back pain in elderly
PE: TTP over affected area, rigidity in abdomen
Term
Infectious colitis
Definition
mental status changes, "bad food"
PE: skin tenting, DIFFUSE TTP (if focal then wrong diagnosis
Term
Diverticulitis
Definition
intense LLQ pain
PE: peritoneal signs - abdominal rebound pain, tenderness, guarding
TX: FIBER
Term
Appendicitis
Definition
RLQ pain, may report pain with anything that shakes the belly: laughing, coughing, bumpy car ride
PE: TTP at McBurney's point, rebound tenderness (pain on letting up), "heel strike" sign
Term
Inflammatory bowel disease
Definition
chronic episodic belly pain with diarrhea
SMOKING is a risk for CD but protective for UC
Term
Small bowel obstruction
Definition
billous vomiting, abdominal distension, previous blockages
Term
Ileus: colonic pseudo-obstruction
Definition
ABDOMINAL DISTENTION, Ogilvie's syndrome: clonic pseudo-obstruction after hip surgery
PE: absent bowel sounds
Term
Chronic liver disease
Definition
jaundice, RUQ pain, palmar rash, Ascites with palpable fluid wave, caput medusae, enlarged liver
Term
Cholelithiasis
Definition
stones form in the gallblader
risk factors: fat, forty, female, flatulent
Charcot's triad: fever, jaundice, RUQ pain
Term
Choledocolithiasis
Definition
lodging of stone in CBD
Term
Cholecystisis
Definition
inflammation of GB occurs after impaction of stones in the cystic duct
Term
Acute cholangitis
Definition
obstruction and stasis of bile leads to suppurative infection
Term
Gallbladder disease
Definition
RUQ pain, usually following a fatty meal, pain between scapulae or to R shoulder, dark urine
PE: RUQ pain, + Murphy's sign
Term
Murphy's sign
Definition
forced inspiration is stopped by pain, used to diagnose GB disease
Term
Acute pancreatitis
Definition
band-like pain around trunk, pain worse with meals/alcohol, no improvement with change in position
PE: TTP in epigastrium
Term
Chronic pancreatitis
Definition
chronic debilitating pain
destruction of tissue results in diarrhea, steatorrhea, and diabetes
most often (not always) associated with chronic alcohol abuse
Term
Pyelonephritis
Definition
colicy flank pain, decreased urination, frequency, dysuria
PE: Lloyds sign or "punch"
Term
Kidney cancer (renal cell carcinoma)
Definition
classic triad: flank pain, hematuria, palpable mass in abdomen
Term
Polycystic kidney disease
Definition
most asymptomatic, won't find them unless they are huge
Term
Renal/Ureteral calculi
Definition
asymptomatic until they cause obstruction, pain radiates to groin or thigh
Term
Lloyd's sign
Definition
pain in the groin with palpation of kidney
Term
Bladder cancer (transitional cell carcinoma)
Definition
risk factors: smoking, chemical exposure
PE: painless hematuria (especially in over 55 that doesn't spontaneously resolve)
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