Colon, Liver, Kidney, Rectal Flashcards

1
Q

Diverticulosis

A

Common in elderly
Outpouching
Fiber

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2
Q

Colon cancer

A

Abrupt constipation

Follows polyps

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3
Q

Crohn’s

A

Skip lesions
String sign
Rectal bleeding

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4
Q

Ulcerative colitis

A

Stress
Bloody diarrhea
Megacolon
Stool transplant (microbiota)

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5
Q

Obstruction

A

Early: increased

Distal and late: decreased

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6
Q

Ascites

A

Fluid in abdomen with organ failure

Tests: fluid wave and puddle sign

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7
Q

Aborborygmi

A

Listen>5 minutes

No sounds

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8
Q

Liver

  • location
  • artery or veins?
A

Veins = portal hypertension

Should not percuss >1 inch below costal margin

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9
Q

Acute hepatitis

  • tender or non tender?
  • swollen or not swollen?
  • boggy or hard?
  • antibody?
  • blood work shows…
A
Tender
Swollen
Boggy
IgM
Decrease WBC
Increase lymph
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10
Q

How is hep A spread

A

Oral fecal

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11
Q

How is hep B spread

A

Blood

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12
Q

Chronic hepatitis

  • tender or non tender?
  • swollen or not swollen?
  • boggy or hard?
  • antibody?
  • blood work shows…
A
Non-tender
Swollen
Boggy
IgG
Increase or normal WBC
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13
Q

Cirrhosis

  • tender or non tender?
  • swollen or not swollen?
  • boggy or hard?
  • antibody?
  • blood work shows…
A

Non-tender
Varied swelling levels
Hard (smooth)
Increase GGT

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14
Q

Cancer of liver

  • tender or non tender?
  • swollen or not swollen?
  • boggy or hard?
  • antibody?
  • blood work shows…
A

Non-tender
Swollen
Hard (nodular)
Increase biopsy?

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15
Q

Sick ____ says “Hep me, Hep me”

A

Kidney: hypertension, edema, proteinemia

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16
Q

Kidney spinal level

A

T12-L3

Right lower than left

17
Q

Nephrosis

A

HEP
Chronic failure
Fat oval bodies
All casts

18
Q

Cystitis

A
Ascending in females 
E.coli
No casts
No fever
Nitrates
19
Q

Kidney cancer

A

Painless bleeding!!!!!!!

20
Q

Kidney stones

A

20 year old male
Sedentary lifestyle
Colicky

21
Q

Toxemia of pregnancy

A

Pre-eclampsia (HEP)

Eclampsia (HEP + convulsions)

22
Q

Nephritic

A

Fever
Strep
Sequela is carditis (SBE)
Casts: RBC (glomerulonephritis)

23
Q

RBC cast

A

Glomerulonephritis

24
Q

WBC and waxy casts

A

Pyelonephritis

25
Q

All casts

A

Nephrosis (kidneys are dying)

26
Q

Hyaline casts

A

Normal

27
Q

External hemorrhoids (thrombosed)

A

Often symptom free unless defecating (portal hypertension)

28
Q

Internal hemorrhoids (prolapsed)

A

Bloody defecation

Often painful

29
Q

Rectal prolapse

A

Strain produces donut shaped anus

30
Q

Rectal fissure

A

Linear tear

Bloody defecation

31
Q

Rectal polyps

A

Firm, palpable growth