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Flashcards in GI Deck (166)
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1

diagnostic spot for pain in appendicitis

mcburney's point

2

pain w/ straightening leg in appendicitis

psoas sign

3

xray findings in appendicitis

sentinel loop and absence of air in the RLQ OR nothing

4

functional dyspepsia diagnosis

recurrent pain in upper abdomen or periumbilical pain that does not change with stooling and no organic cause (must be present at least once per week for at least 2 months to make diagnosis)

5

functional dyspepsia treatment

smaller more frequent meals, H2 blocker or PPI, and avoid things that exacerbate symptoms (NSAIDs, spicy food, soda, caffeine) - sometimes antidepressant

6

IBS diagnosis

abdominal pain that improves with stooling or change in stool frequency/consistency
(symptoms once per week for at least 2 months)

7

IBS treatment

decrease sorbitol, fructose and gassy foods, TCA's

8

childhood functional abdominal pain definition

episodic or continuous pain w/ loss of daily activities and headache, limb pain or sleep disruption (symptoms must be at least once a week for at least 2 months)

9

acute, incapacitating periumbilical abdominal pain that lasts >1 hour with pallor, anorexia, nausea, vomiting, headache or photophobia with weeks of no symptoms between

abdominal migraine

10

abdominal migraine treatment

remove triggers (caffeine, nitrate foods) and decreasing stress

11

watery diarrhea comes from

small intestine

12

suspicions with watery diarrhea

cholera or C. diff

13

diarrhea with blood, mucous and WBCs

inflammatory diarrhea

14

oral rehydration solution for moderate to severe dehydration with diarrhea

2% glucose with 90 men NaCl

15

what test do you use to find WBCs in diarrhea

methylene blue

16

diarrhea with neutrophils

infectious

17

leading cause of diarrhea in infants worldwide

rotavirus (2nd is adenovirus)

18

viral diarrhea diagnostic

PCR antigen testing of stool

19

watery, non-bloody diarrhea with fever and vomiting in children under 2 w/ poor sanitation

enteropathogenic E. coli (EPEC)

20

severe watery non bloody diarrhea and cramping while travelin

enterotoxigenic E. coli (ETEC)

21

watery diarrhea that becomes bloody after a few days with severe pain/cramping but no fever

shiva toxin producing E. coli (STEC) - O157:H7

22

antibiotics in STEC

can cause increased release of shiga toxin and increased risk of HUS

23

blood and mucous tinged diarrhea with tenesmus but no fever

enteroinvasive e. coli (EIEC)

24

most common cause of parasitic diarrhea worldwide

giardia intestinalis

25

acute watery non bloody foul smelling diarrhea with abdominal pain and flatulence

giardia intestinalis

26

giardiasis diagnosis

enzyme immunoassay (EIA) and direct fluorescence antibody (DFA) assays in stool

27

treatment for giardiasis

self- limited but if needs treatment - tinidazole, metronidazole or nitazoxanide

28

clinitest

tests for reducing substances (all dietary sugars except sucrose) - presence = sugar malabsorption

29

hydrogen breath test

positive = sugar malabsorption (gut ferments sugar causing hydrogen production which is absorbed in the blood and excerpted in lungs)

30

length of test for fecal fat measurement

must be 3 days