Colon, Liver, Kidney, Rectal Flashcards
(31 cards)
Diverticulosis
Common in elderly
Outpouching
Fiber
Colon cancer
Abrupt constipation
Follows polyps
Crohn’s
Skip lesions
String sign
Rectal bleeding
Ulcerative colitis
Stress
Bloody diarrhea
Megacolon
Stool transplant (microbiota)
Obstruction
Early: increased
Distal and late: decreased
Ascites
Fluid in abdomen with organ failure
Tests: fluid wave and puddle sign
Aborborygmi
Listen>5 minutes
No sounds
Liver
- location
- artery or veins?
Veins = portal hypertension
Should not percuss >1 inch below costal margin
Acute hepatitis
- tender or non tender?
- swollen or not swollen?
- boggy or hard?
- antibody?
- blood work shows…
Tender Swollen Boggy IgM Decrease WBC Increase lymph
How is hep A spread
Oral fecal
How is hep B spread
Blood
Chronic hepatitis
- tender or non tender?
- swollen or not swollen?
- boggy or hard?
- antibody?
- blood work shows…
Non-tender Swollen Boggy IgG Increase or normal WBC
Cirrhosis
- tender or non tender?
- swollen or not swollen?
- boggy or hard?
- antibody?
- blood work shows…
Non-tender
Varied swelling levels
Hard (smooth)
Increase GGT
Cancer of liver
- tender or non tender?
- swollen or not swollen?
- boggy or hard?
- antibody?
- blood work shows…
Non-tender
Swollen
Hard (nodular)
Increase biopsy?
Sick ____ says “Hep me, Hep me”
Kidney: hypertension, edema, proteinemia
Kidney spinal level
T12-L3
Right lower than left
Nephrosis
HEP
Chronic failure
Fat oval bodies
All casts
Cystitis
Ascending in females E.coli No casts No fever Nitrates
Kidney cancer
Painless bleeding!!!!!!!
Kidney stones
20 year old male
Sedentary lifestyle
Colicky
Toxemia of pregnancy
Pre-eclampsia (HEP)
Eclampsia (HEP + convulsions)
Nephritic
Fever
Strep
Sequela is carditis (SBE)
Casts: RBC (glomerulonephritis)
RBC cast
Glomerulonephritis
WBC and waxy casts
Pyelonephritis
