Term
| fat, forty, female, fertile w/ RUQ pain |
|
Definition
| cholelithiasis or cholecystitis |
|
|
Term
| fever, RUQ pain, radiation to back |
|
Definition
|
|
Term
| elevated alk phose, urinary bilirubin |
|
Definition
|
|
Term
| fever, RUQ pain, jaundice, gallstones, and dilated common bile duct on US |
|
Definition
| ascending colangitis (Charcot's triad) |
|
|
Term
| Hx IBD, progressive RUQ pain, wt loss, fever, jaundice and pruritis. elevated bilirubin and alk phose. ERCP with dile duct stenosis, dilation |
|
Definition
| primary sclerosing colangitis (diffuse intra and extrahepatic duct sclerosing and dilitation) |
|
|
Term
| elevated AST, ALT, indirect bilirubin |
|
Definition
|
|
Term
| isolated elevated indirect bilirubin |
|
Definition
|
|
Term
| elevated indirect bilirubin with defective glucuronyl |
|
Definition
|
|
Term
| photosensitivity, abdominal pain with neurologic dysfunction, erythema or skin fragility |
|
Definition
|
|
Term
|
Definition
| triple therapy (2 abx + PPI) |
|
|
Term
| chronic cough, bitter taste in mouth or throat, dyspepsia |
|
Definition
|
|
Term
| multiple or constant GI ulcer pain despite medications |
|
Definition
| Zollinger-Ellison syndrome |
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|
Term
| N/V, epigastric abdominal pain, worse supine, caused by alcohol ingestion, or following fatty meals |
|
Definition
|
|
Term
| peri-umbilical or flank ecchymosis |
|
Definition
| acute pancreatitis (cullen and gray turner signs) |
|
|
Term
| abdominal distention, bloating, intermittent, colicky pain, high pitched rushes and tinkles |
|
Definition
|
|
Term
| air fluid levels on upright abdominal plain film |
|
Definition
|
|
Term
| air under diaphragm, right board-like abdomen |
|
Definition
| perforated viscus, perforated ulcer |
|
|
Term
|
Definition
diverticulitis
tx = IV abx, fluids, NPO |
|
|
Term
| elderly, hx atherosclerosis, dull crampy periumbilical pain post prandial |
|
Definition
|
|
Term
| neonate w/ projective vomiting. olive sized mass |
|
Definition
|
|
Term
| choking, cyanosis, respiratory distress, increased secretions in 1st hour of life |
|
Definition
| tracheoesophageal fistula |
|
|
Term
| painless rectal bleeding in pediatrics |
|
Definition
|
|
Term
| alcoholic wiht massive hemoptysis |
|
Definition
esophageal varices
tx = octreotide |
|
|
Term
| female with recurrent abdominal pain, alternating diarrhea, constipation. pain relieved with defecation |
|
Definition
|
|
Term
|
Definition
|
|
Term
| supraclavicular LAD (L>R) |
|
Definition
| Virchow's node - metastatic abdominal cancer |
|
|
Term
| hard periumbilical nodule |
|
Definition
| Sister Mary Joseph nodule = indicates metastatic gastric and pancreatic cancers |
|
|
Term
| PUD, pernicious anemia (Type A Gastritis), H. Pylori |
|
Definition
| risk factors for gastric cancer |
|
|
Term
|
Definition
|
|
Term
| elderly with positive hemoccult |
|
Definition
| think colon cancer - get colonoscopy |
|
|
Term
|
Definition
|
|
Term
| family hx of young age colon cancer, multiple polyps found on colonoscopy |
|
Definition
| familial adenomatous polyposis (Gardner's syndrome) |
|
|
Term
|
Definition
| hepatocellular carcinoma, testicular seminoma (germ cell tumor) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| chemotherapy induced N/V, tx? |
|
Definition
| ondansetron (zofran = 5-HT3 blockers) |
|
|
Term
|
Definition
cause = E. Coli
tx = hydration and cipro |
|
|
Term
| greasy, foul smelling, floating stools. pear-shaped flagellated protozoan w/ 2 "eyes". water, travel, camping hx |
|
Definition
|
|
Term
| afebrile, watery or loose stool. No blood or mucous |
|
Definition
|
|
Term
| abdominal pain, diarrhea after picnic/party. Ate ham, cream, custards, and mayonnaise |
|
Definition
| staph aureus infectious diarrhea |
|
|
Term
| acute bacterial diarrhea w/ prodrome of HA, fever, then crampy abd. pain and diarrhea |
|
Definition
| campylobacter jejuni - MCC of acute bacterial diarrhea |
|
|
Term
| painless rectal bleeding. Bulging perianal mass with straining |
|
Definition
|
|
Term
| pediatric wiht perianal pruritis esp at PM. positive cellophane tape test |
|
Definition
prurutis ani - pinworms (enterobiasis)
tx = mebendazole |
|
|
Term
| weight loss, recurrent greasy stools (steatorrhea) mixed with diarrhea after certain foods |
|
Definition
|
|
Term
| anti-endomysial antibodies |
|
Definition
|
|
Term
|
Definition
| thiamine deficiency, common in alcoholics |
|
|
Term
|
Definition
|
|
Term
| 4 D's of niacin deficiency |
|
Definition
| dermatitis, diarrhea, dementia, death |
|
|
Term
|
Definition
vitamin C deficiency
easy bruising, heair and tooth loss, joint pain and swelling) |
|
|
Term
|
Definition
| vitamin D deficiency (osteomalacia) |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Riboflavin (B2)deficiency |
|
|
Term
| s/p gastric bypass surgery or gastric surgery. N, abd cramping, dizziness after eating. no masses, bleeding |
|
Definition
|
|
Term
| diabetic with anorexia, anemia, wt loss, pallor |
|
Definition
|
|
Term
| gastroparesis, impotence, recurrent infecions, stocking-glove paresthesia |
|
Definition
diabetic neuropathy
tx = TCA (amitriptyline) |
|
|
Term
| hypoglycemia despite glucose administration, increased c-peptide |
|
Definition
|
|
Term
| tx of hypoglycemia in alcoholics |
|
Definition
| give thiamine before glucose to prevent Wernicke's encephalopathy |
|
|
Term
| decreased radioactive iodine uptake, decreased free T4, increased TSH |
|
Definition
|
|
Term
| female, weight loss, palpitations, atrial fibrillation |
|
Definition
| hyperthyroid (work it up with TSH, T4) |
|
|
Term
| exopthalmos, palpitations, wt loss, elevated radioactive iodine uptake |
|
Definition
hyperthyroid, Graves dz
tx = radioactive iodine |
|
|
Term
| post thyroidectomy, most likely injury |
|
Definition
| recurrently laryngeal nerve = hoarseness |
|
|
Term
| post thyroidectomy - what to watch for |
|
Definition
|
|
Term
| infant with wound face, large protruding tongue, dry skin, umbilical hernia, constipation, enlarged abdomen, poor feeding, delayed developmental milestones |
|
Definition
| congenital hypothyroidism |
|
|
Term
| recurrent HA, HTN not responding to meds, sweating, attacks of severe HA, HTH, glucosuria, urinary catecholamines, urinary metanephrines |
|
Definition
pheochromocytoma
tx pre-op = alpha blocker |
|
|
Term
| HTN not responsive to meds |
|
Definition
| renal artery stenosis (infrarenal artery) |
|
|
Term
| HTN w/ hypernatremia, hypokalemia |
|
Definition
|
|
Term
| weight gain, edema, coarse dry skin/hair, menorrhagia, cold intolerance, hx of transphenoidal surgery, radiation |
|
Definition
|
|
Term
| tetany, hypocalcemia, cataracts |
|
Definition
|
|
Term
| exogenous corticosteroid use leads to |
|
Definition
|
|
Term
| test used to dx Cushing Syndrome |
|
Definition
| dexamethasone suppression test |
|
|
Term
| central obesity, abdominal stria, hyperglycemia, moon facies, buffalo hump, easy bruising |
|
Definition
|
|
Term
| acute steroid withdrawal can cause |
|
Definition
|
|
Term
| hyperpigmentation, hypoglycemia, orthostatic hypotension, hypotension not responsive to fluids, hypotension following an illness, trauma or surgery |
|
Definition
|
|
Term
| worsening fatigue, wt loss, weakness, recurrent abdominal pain, hair loss, hyperpigmentation, hyponatremia, hyperkalemia |
|
Definition
|
|
Term
| hyponatremia, hyperkalemia |
|
Definition
| acute adrenal insufficiency (Addisonian Crisis) |
|
|
Term
| polyuria, polydipsia, dilute urine, hypernatremia |
|
Definition
|
|
Term
| concentrated urine, hyponatremia |
|
Definition
|
|
Term
45, X
low hair line, low set ears, webbed neck, short stature, shielf chest, wide set nipples, infertility, lack of secondary sex characteristics |
|
Definition
| Turners gonadal dysgenesis |
|
|
Term
|
Definition
| normal (may be present after febrile illness, or strenuous exercise) |
|
|
Term
| increased BUN/Cr, low FeNA |
|
Definition
| prerenal failure (azotemia) |
|
|
Term
| irritative voiding sxs, fever, chills, CVA tenderness |
|
Definition
|
|
Term
| crush injury, alcoholic on ground, elevated CPK, ARF |
|
Definition
|
|
Term
| painless hematuria, flank pain or mass |
|
Definition
|
|
Term
| oliguria, hematuria, proteinuria following streptococcal infection |
|
Definition
|
|
Term
| hematuria, purpuric rash following streptococcal infection |
|
Definition
|
|
Term
| hematuria, RBC casts, proteinuria |
|
Definition
|
|
Term
| kidney and lung bleeding (hematuria, hemoptysis) |
|
Definition
|
|
Term
| fibrous band on lateral penis |
|
Definition
|
|
Term
|
Definition
|
|
Term
| inflammation of glans penis |
|
Definition
|
|
Term
| <40 yo male with fever, perineal pain, dysuria |
|
Definition
acute prostatitis casued by chlamydia or gonorrhea.
> 40 yo think e. coli. tx = FQ |
|
|
Term
| >50 yo obstructive voidind sx, nocturia. Firm smooth enlarged prostate. normal PSA |
|
Definition
|
|
Term
| firm, irregular, nodular non tender prostate. elevated PSA |
|
Definition
|
|
Term
| incontinence with straining |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| recurrent kidney stones, elevated calcium, decreased phosphorus |
|
Definition
|
|
Term
| hearing loss or tinnitus with metabolic acidosis |
|
Definition
|
|
