Bio Med Day 2b Flashcards Preview

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Flashcards in Bio Med Day 2b Deck (34)
1

Out pouching of mucosa and submucosa that herniate through the colonic muscle layers in areas of high intraluminal pressure; most commonly in the sigmoid colon

Diverticulosis

2

Diverticulosis is the most common cause of ________GI bleeding

Lower

3

What is the dividing point of the GI track; The suspensory muscle of duodenum is a thin muscle connecting the junction between the duodenum, jejunum, and duodenojejunal flexure to connective tissue surrounding the superior mesenteric artery and coeliac artery

Ligament of treitz

4

What are the major causes of Diverticulosis

High fat, low fiber diet

5

Guide line for colon cancer screening

start from 50yrs old every 10 years

6

Diverticulosis Signs and Symptoms

Generally asymptomatic; painless, sudden onset of bleeding; anemia s/s

7

Diverticulosis is most commonly found in which area

Sigmoid colon

8

Most common cause of acute lower GI bleeding in patients >40 yrs old

Diverticulosis

9

What are the signs and symptoms of Diverticulitis

Lower Left Quadrant pain; nausea; vomiting; white blood cell count goes up (Leukocytosis); fever; constipation; inflammation of Diverticulosis

10

Serious complication of Diverticulitis

perforation - causes serious complication (Peritonitis & Shock)

11

Diagnostic tests for Diverticulosis

Colonoscopy; abdominal x-ray; Contrast CT

12

Diagnostic tests for Diverticulitis

Colonoscopy (although must be avoided in px with early diverticulitis due to risk of perforation); abdominal x-ray; Contrast CT

13

Treatment Options for Diverticulitis

NPO - nothing by mouth/Rest the Bowel; IV fluids; IV Antibiotics

14

Cranial Nerve VII lower motor neuron lesion causes peripheral ipsilateral facial paralysis (same side)

Bell's Palsy

15

In what conditions will you see Bell's Palsy as a complication

AIDS; Lyme's Disease; Sarcoidosis; Tumors; Diabetes

16

33 yr old female in her 3rd trimester of pregnancy develops sudden onset of hemi-facial weakness, diminished taste, difficulty closing the eye. Taste is diminished in the

Anterior 2/3 of the tongue

17

Parkinson's Disease is an idiopathic hypokinetic disorder that usually begins after age 50-60 and is attributed depletion of what chemical in the brain

Dopamine

18

Treatment of Parkinson's Disease

Levodopa and Carbidopa

19

Key characteristics of Parkinson's Disease

Postural Instability; Rigidity (Cog wheeling); Tremor "Pill Rolling"; Slow movement

20

Enlargement of the Prostate and a normal part of aging; seen in >80% of men at age >50

Benign Prostatic Hyperplasia = BPH

21

BPH can result in what type of symptoms

Urinary retention; Recurring UTIs; Bladder and renal calculi; hydronephrosis; kidney damage over time

22

History of a patient with BPH

Hesitancy and weakness of urine stream; incomplete emptying of bladder; urinary retention; bladder fullness; Nocturia; Day time frequency; urge incontinence; opening hematuria

23

When a DRE (Digital Rectal Exam) is performed, what will the Prostate feel like if BPH is present

Uniformly enlarged; rubbery texture; ***If the texture is hard and has irregular lesions, cancer should be suspected

24

How to diagnose BPH

DRE; Measure PSA (prostate specific antigen); check UA for hematuria or infection; Trans-rectal Ultrasound

25

Herb that treats BPH

Saw Palmetto

26

Treatment option for BPH

TURP = Transurethral resection of the prostate ; Terazosin; Finasteride

27

Most common cancer in Men; Second leading cause of mortality

Prostate Cancer

28

History of a Px with Prostate Cancer

Typically Asymptomatic but can have lower back pain, with urinary retention; lymphedema due to

29

What type of metastasis can result from Prostate Cancer

Can metastasize to the Bone

30

Definitive diagnosis of Prostate Cancer is

Biopsy

31

Often but not always elevated in patients with Prostate Cancer

PSA

32

______are affected by UTIs more often than _____ because of the length of Urethra

Female; Male

33

Most common cause of UTI

e coli

34

Patients at higher risk of UTI

Pregnancy; Diabetes Mellitus; Immunosuppression