Surgical Tut #4 RIF Pain Flashcards Preview

Jason's MD2 Surgery Rotation > Surgical Tut #4 RIF Pain > Flashcards

Flashcards in Surgical Tut #4 RIF Pain Deck (13):
1

first presentation of RIF pain?

epigastric pain
nausea and vomiting

2

3 positions of appendix

retro-ilial
pelvic
retrocaecal

3

appendicitis classical symptoms

loss of appetite
fever
N+V
tachy

4

why microhaem and leukocytes in urine with appendicitis?

irritation of bladder due to surrounding inflammation

5

etiology of appendicitis obstruction?

fecaelith
lymphoid hyperplasia (kids, and young adults)
worms
cancer

6

anyone over age 50 with suspected appendicitis, do what?

CT abdo or CT KUB

7

UTI, in dipstick you want to see what?

nitrites

8

causes of terminal ileitis

yersinia
TB
crohn's

9

where do renal stones get lodged? when to worry

PUJ - pelvic ureteric junction
VUJ - vesico-ureteric junction

worry if larger than 5-6mm

10

mesenteric adenitis is what?

viral infection
causes lymphadenopathy, enlarges in mesentry

11

meckel's diverticulum is where? who? what kinds of mucosa?

terminal ilieum, within 2 feet, 2% of pop, 2 types of mucosa: gastric and pancreatic (enzymes)

12

Meckel's presentation?

GI bleeding, malaena in young person without previous GI ulcers or Ca

13

RIF ddx

crohn's - terminal iliitis
renal colic
testicular/ovarian torsion
mesenteric adenitis
ruptured cyst
ectopic preg
Meckel's
herpes zoster
diverticulitis -caecal, sigmoid
cancer
psoas abcess
PID

Decks in Jason's MD2 Surgery Rotation Class (62):