case 4 pearls Flashcards
(9 cards)
1
Q
renal colic/
sx and sign
A
Flank pain
Radiation to groin (ck: followr the ureter)
PE: CVA=Costovertebral angle tenderness
UA:Hematuria
2
Q
renal colic/
important tests
A
Urinalysis
Renal CT
3
Q
diverticulitis/ sx and sign
A
Fever/Diarrhea =inflammation=> a lot of fluid=> can’t absorb=> diarrhea
LLQ pain (usually)
4
Q
diverticulitis/ important tests
A
CT scan
5
Q
Orthostatic hypotension/
important?
A
always important!!!
6
Q
ruptured AAA/
feel a mass in the PE?
A
A palpable mass is UNusual
7
Q
nephrolithiasis/
sx: abdominal pain, common sx?
A
Abdominal tenderness is UNusual =>consider other Dx
8
Q
0 hematuria rules out nephrolithiasis?
A
NO!!!
9
Q
New+ persistent changes in BM (either diarrhea or constipation)/ IBS still in the diff?
A
NO!!!
Consider colon cancer, IBD, or other process
