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Exam 13 > McGuffin > Flashcards

Flashcards in McGuffin Deck (27):
1

Inflammation/infection of bile system

Cholangitis

2

RUQ pain, fever, jaundice, altered mental status, hypotension (shock)

Cholangitis (inflammation/infection of bile system)

3

Elevated alkaline phosphatase and direct bilirubin. Ultrasound will show stone in common bile duct. E. Coli, enterococcus, klebsiella

Cholangitis

4

Inflammation of gallbladder

Cholecystitis

5

Fat, female, forties, fever

Cholecystitis

6

Female with several kids. RUQ > 6 hrs. Pain worsens with intake of fatty food. Patient stops in mid-exhalation with examiner pushing down on RUQ. Ultrasound shows thickened gallbladder wall and pericholecystic fluid with gallstones

Cholecystitis

7

Presence of at least one gall stone in common bile duct

Choledocholithiasis

8

Severe abdominal pain, Pruritus (from elevated liver enzymes), jaundice, dark urine, and pale, clay colored stools

Choledocholithiasis

9

Presence of gallstones in gall bladder

Cholelithiasis

10

RUQ pain for a few hrs, N/V. Associated with fatty meals. RUQ ultrasound shows gallstones that are not obstructing

Cholelithiasis

11

Jaundice, Ascites, edema, hepatomegaly, palmar erythema, encephalopathy, gynecomastia, hypogonadism. Hx of alcoholism and hepatitis. Prolonged PT and hypoalbuminemia

Cirrhosis

12

Microcytic anemia. Pencil - thin stools with blood

Colorectal cancer

13

Inflammation/infection caused by diverticula getting obstructed

Diverticulitis

14

LLQ pain, fever. Leukocytosis

Diverticulitis

15

Inflammation of gallbladder w/o evidence of gallstones or cystic duct obstruction. Seen in critically ill (burn/trauma patient).

Acalculous cholecystitis

16

Painless rectal bleeding. Pts > 60 yrs. Hx of low fiber diet. Risk of colon cancer and contraindication to colonoscopy

Diverticulosis

17

Choking, coughing, and dysphasia while eating. Regurgitating food eaten a while back. Halitosis

Esophageal diverticula

18

False diverticulum of posterior pharyngeal constrictor muscles, arising from between inferior pharyngeal constrictor and cricopharyngeus muscle

Zenker

19

Hx of recent esophageal procedure, vomiting, or retching. Hematemesis and Hx of alcoholism. Crepitus on neck and mediastinum

Esophageal rupture, BoerHaave syndrome

20

Chest pain when drinking cold liquids. Corkscrew appearance during episodes. Treat with ca channel blockers and nitrates

Esophageal spasm

21

Due to dilated submucosal veins

Esophageal varices

22

Chest pain, dysphasia, odynophagia. Associated with GERD, chemical exposure. Sign of AIDS

Esophagitis

23

Nodular filling defects on barium swallow

Candida

24

Linear ulcers

CMV

25

Punched out ulcers

HSV

26

Intranuclear lesion

CMV

27

Hx smoked foods, chronic gastritis, achlorhydria, h. Pylori. Lymphadenopathy in left supraclavicular area and umbilical area. Acanthosis nigricans

Gastric cancer