Block 32 Week 1 Flashcards
(72 cards)
1
Q
differentials for retrosternal chest pain?
A
- reflux: spicy food, lying down better w milk and sitting up
- caffine, smoking, very overweight
- pregnancy raises the diagphramtic pressure causing sphincter weakening
- diaphragmatic hernia: stomach comes through hiatus
2
Q
dysphasia?
A
can’t speak
3
Q
dysphagia?
A
can’t swallow (stricture, malignancy etc)
4
Q
Tx for h pylori?
A
- amoxicillin and metrozidonale
5
Q
ulcer pain?
A
6
Q
types of ulcers
A
7
Q
gastric vs duodenal ulcer pain?
A
8
Q
5 Fs of gallstones
A
9
Q
gallstone pain?
A
- biliary colic
- severe and cramping right upper quadrant pain which may radiate to the back in the interscapular region
- may also be felt in epigastrium, LUQ, and occassionally praecordially
10
Q
how long does gallstone pain last?
A
- may last mins to hours - not more than 6 hrs
11
Q
when does gallstone pain often come on?
A
- often post-prandially(belching, bloating, dyspepsia and flatulence)
12
Q
acute cholecystitis pain?
A
- right upper quadrant pain which may radiate to the right shoulder
- may be preceded by attacks of biliary colic
- pain lasts for more than 12 hours
13
Q
what exacerbates AC pain?
A
- worse on movemen and inspiration
14
Q
Other symptoms of AC?
A
- nausea, vomiting
- fever
15
Q
signs of AC?
A
- tenderness, guarding in the right upper quadrant and occasionally a palpable, tender mass
- Murphys sign may be positive
16
Q
Test for BC?
A
FIT
17
Q
Test for IBD?
A
- fecal calprotectin for IBD (borderline most likely IBS - can be caused by NSAIDs)
18
Q
Tests for pancreatic cancer?
A
- amylase in blood for PC
- fecal elastase - low in PC
19
Q
test for inflammation?
A
- CRP for inflammarion
20
Q
which type of anemia is caused by bleeding?
A
- hypochromic microcyctic anemia for iron deficiency anemia from bleeding
21
Q
B12 and B9?
A
- B12 and B9 for macrocytic anemia (think malabs)
- can see this in celiac disease
22
Q
Acute pancreatitis pain?
A
- central pain radiates to back
- very severe pain, low BP, tachycardia
23
Q
AP causes?
A
24
Q
appendicitis pain?
A
- starts central, moves down and right
- rebound tenderness
- younger ppl
25
sign of pertonitis?
* rebound tenderness
* guarding
26
diverticulitis?
* diverticulitis (pockets inflamed, diverticular disease = pockets form)
* more common w age
* left sided abd pain, diarrhoea, bleeding
* can be from low fibre/constipation
* can perforate
27
kidney stones - renal colic
* extreme pain
* colicky pain
28
Pyelonephritis?
* temperature
* tender kidney
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