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Exam 13 > McGuffin > Flashcards

Flashcards in McGuffin Deck (27)
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1
Q

Inflammation/infection of bile system

A

Cholangitis

2
Q

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

A

Cholangitis (inflammation/infection of bile system)

3
Q

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

A

Cholangitis

4
Q

Inflammation of gallbladder

A

Cholecystitis

5
Q

Fat, female, forties, fever

A

Cholecystitis

6
Q

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

A

Cholecystitis

7
Q

Presence of at least one gall stone in common bile duct

A

Choledocholithiasis

8
Q

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

A

Choledocholithiasis

9
Q

Presence of gallstones in gall bladder

A

Cholelithiasis

10
Q

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

A

Cholelithiasis

11
Q

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

A

Cirrhosis

12
Q

Microcytic anemia. Pencil - thin stools with blood

A

Colorectal cancer

13
Q

Inflammation/infection caused by diverticula getting obstructed

A

Diverticulitis

14
Q

LLQ pain, fever. Leukocytosis

A

Diverticulitis

15
Q

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

A

Acalculous cholecystitis

16
Q

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

A

Diverticulosis

17
Q

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

A

Esophageal diverticula

18
Q

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

A

Zenker

19
Q

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

A

Esophageal rupture, BoerHaave syndrome

20
Q

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

A

Esophageal spasm

21
Q

Due to dilated submucosal veins

A

Esophageal varices

22
Q

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

A

Esophagitis

23
Q

Nodular filling defects on barium swallow

A

Candida

24
Q

Linear ulcers

A

CMV

25
Q

Punched out ulcers

A

HSV

26
Q

Intranuclear lesion

A

CMV

27
Q

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

A

Gastric cancer