Pre-Test Flashcards by Kelsey Burkhart

Elderly woman
SOB
air in biliary tract

Gallstone ileus

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Elderly woman

pain down inner aspect of thigh

Obturator hernia (Howship-Romberg sign)

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Abdominal pain
hypotension
abdominal pulsatile mass

Ruptured abdominal aortic aneurysm (AAA)

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abdominal pain “out of proportion” to abdominal exam

mesenteric ischemia

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arm pain

syncope w/ arm movement

subclavian steal syndrome

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increasing creatinine on ACEi

renal artery stenosis

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child w/ midline neck mass

thyroglossal duct cyst

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child w/ lateral neck mass

branchial cleft cysts

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crush injury

dark urine

myoblobiuria

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emesis
chest pain radiating to back
mediastinal air

Boerhaave’s

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lower GI bleed

technetium pertechnetate scan

Meckel’s diverticulum

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flushing
diarrhea
right sided heart failure

carcinoid

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pneumaturia

LLQ pain

colovesicular fistula

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desmoid tumor
osteoma
colon cancer

Gardner’s syndrome

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epigastric pain radiating to the back

flank ecchymosis

hemorrhagic pancreatitis

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liver abscess w/ “anchovy paste”

amebic abscess

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RUQ pain
travel
exposure to sheep

hydatid cyst

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caput medusa

portal HTN

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45 y/o woman
RUQ pain x12 hrs
fever
leukocytosis

acute cholecystitis

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elderly man

large non-tender palpable gallbladder

pancreatic cancer (Courvoisier’s sign)

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female
on OPCs
liver mass

hepatic adenoma

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pancreatitis

palpable epigastric mass

pancreatic pseudocyst

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liver tumor w/ “central scar”

focal nodular hyperplasia

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pancreatic mass
gallstones
diabetes
diarrhea

somatostatinoma

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RUQ bruit | CHF in young adult

liver hemangioma

excruciating pain w/ bowel movements

anal fissure

abdominal pain diarhea anal fistulae

Crohn's disease

EKG w/ "peaked" T waves

hyperkalemia

buccal mucosa w/ hyperpigmentation

Peutz-Jeghers syndrome

LLQ pain | fever change in bowel habits

diverticulitis

elevated urine 5-HIAA

carcinoid

institutionalized abdominal pain vomiting distention w/ proximal colonic dilation

sigmoid volvulus

infant w/ projectile vomiting

pyloric stenosis

newborn w/ failure to pass meconium in first 24 hrs

Hirschsprung's

infant w/ bilious vomiting

malrotation

newborn abdominal defect umbilical cord on sac

omphalocele

teenager knee pain "onion skinning" on xray

Ewing's sarcoma

pulmonary capillary wedge pressure <18 CXR w/ bilateral pulmonary infiltrates PaO2:FiO2 ratio <300

Acute respiratory distress syndrome (ARDS)

increased peak airway pressure low urine output urinary bladder >25 mmHg

abdominal compartment syndrome

newborn | inability to "pass an NGT"

esophageal atresia

traumatic blinding in one eye followed by blindness in the contralateral eye 2 weeks later

sympathetic ophthalmia

miotic pupil ptosis anhydrosis

Horner's syndrome

traumatic head injury | conscious in ER followed by unconsciousness

epidural hematoma ("lucid interval")

"worst headache of my life"

subarachnoid hemorrhage

hematuria flank pain abdominal mass (palpable)

renal cell carcinoma

60 y/o white man | painless hematuria

bladder cancer

RUQ pain jaundice fever

cholangitis

epigastric pain radiating to back | described as a "tearing" pain

aortic dissection

epigastric pain radiating to back | N/V

pancreatitis

40 y/o man tachycardia hypertension confusion on postoperative day #2

alcohol withdrawal

marfanoid body habitus | mucosal neuromas

MEN II-b

psammoma bodies

papillary thyroid cancer

sulfur granules

Actinomyces infection

thyroid tumor w/ amyloid tissue

thyroid medullary cancer

palpable neck tumor | hypercalcemia

parathyroid cancer

HTN diaphoresis (episodic) palpitations

pheochromocytoma

jejunal ulcers

Zollinger-Ellison syndrome

pituitary tumor pancreatic tumor parathyroid tumor

MEN-1

necrotizing migratory erythema

glucagonoma

medullary thyroid cancer pheochromocytoma hyperparathyroidism

MEN-IIa

hypokalemia refractory to IV potassium supplemntation

hypomagnesemia

newborn | pneumatosis

necrotizing enterocolitis (NEC)

Child | abdominal mass that crosses midline

neuroblastoma

child <4 yrs of age | abdominal tumor that does not cross midline

Wilms' tumor

"currant jelly" stools | abdominal pain

intussusception

femur fracture respiratory failure petechiae mental status change

fat embolism

hearing loss tinnitus vertigo

Meniere's disease

adolescent boy nasal obstruction recurrent epistaxis

juvenile nasopharyngeal angiofibroma

child <5 years old sitting upright and drooling "hot-potato" voice

epiglottitis

angina syncope CHF

aortic stenosis

tobacco use asbestos exposure pleuritic chest pain

mesothelioma

supracondylar fracture | contracture of forearm flexors

Volkmann's contracture

tibia fracture "pain out of proportion" pain on passive foot movement palpable pulses

compartment syndrome

25 y/o man liver mass w/ fibrous septae no history of cirrhosis or hepatitis

fibrolamellar hepatocellular carcinoma

EKG w/ flattening of T waves and U wave

hypokalemia

central pontine myelinolysis

too-rapid correction of hyponatremia

polydipsia polyuria constipation

hypercalcemia

factor VIII deficiency

hemophilia A

``` abdominal pain fever hypotension hyperkalemia hyponatremia ```

adrenal insufficiency (addisonian crisis)

massive urine output | hypernatremia

diabetes insipidus

increased urine osmolality hyponatremia low serum osmolality

SIADH

IV antibiotics fever diarrhea

Clostridium difficile pseudomembranous colitis

bleeding gums | wound dehiscence

vitamin C deficiency

fever central line hyperglycemia

central line infection

appendectomy followed by fever, abdominal pain on postoperative day #7

peritoneal abscess

advancing crepitus fever blood blisters

necrotizing fasciitis

high intraoperative fever

malignant hyperthermia

confusion ataxia ophthalmoplegia

Wernicke's encephalopathy

tracheal deviation decreased breath sounds hyperresonance

tension pneumothorax

hypotension decreased heart sounds JVD

pericardial tamponade

four ribs broken in 2 places | pulmonary contusion

flail chest

otorrhea (clear) | battle's sign

basilar skull fracture

ulver | decreased pain w/ food

duodenal ulcer

vomiting retching epigastric pain

Mallory-Weiss tear

fever on postoperative day #1 "bronze" weeping tender wound

clostridial wound infection

hematochezia | tenesmus

rectal cancer

upper GI bleed jaundice RUQ pain

hemobilia

gallstones epigastric pain radiating to back nausea

gallstone pancreatitis

18 y/o woman | blood nipple discharge

ductal papilloma

``` irritability diaphoresis weakness tremulousness palpitations ```

insulinoma