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CLINICAL SKILLS 5 > UPPER GIT > Flashcards

UPPER GIT Flashcards

(60 cards)

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1
Q

WHAT CAN OSTEOS TALK TO PATIENTS ABOUT REGARDING THE PT ROLE IN THE MANAGEMENT OF THEIR VISCERAL COMPLAINT

A

DIET
FLUID INTAKE
EATING BEHAVIOURS
EXERCISE
STRESS MANAGEMENT
MEDICATIONS AND SUPPLEMENTS

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2
Q

WHAT ARE THE SPECIFIC CONTRAINDICATIONS TO VISCERAL TREATMENT

A

NEW OR WORSENING SYMPTOMS
ACUTE ABDOMINAL PAIN
NEW SURGICAL SCARRING ON THE ABDOMEN
GASTRIC BANDS OR SLEEVES
ULCERS
ADVERSE RESPONSE TO TREATMENT
RECENT CONSUMPTION OF A LARGE MEAL

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3
Q

WHEN CAN A PAIN FREE ACUTE ABDOMEN OCCUR

A

OLDER PEOPLE, CHILDREN, IMMUNOCOMPROMISED, AND LAST TRIMESTER OF PREGNANCY

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4
Q

PTS WITH ACUTE ONSET ABDOMINAL PAIN WILL OFTEN ALSO PRESENT WITH

A

NAUSEA AND VOMITING

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5
Q

WHAT IS ACUTE ABDOMEN CAUSED BY

A

INFECTION, INFLAMMATION, OBSTRUCTION OR VASCULAR OCCLUSION

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6
Q

ACUTE PAIN OCCURING IN THE GROIN COULD BE

A

TESTICULAR TORSION
HERNIA

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7
Q

ACUTE PAIN OCCURING IN THE RIF COULD BE

A

APPENDICITIS
CROHN DISEASE
DIVERTICULITIS
RENAL OR URETERIC COLIC
MESENTERIC ADENITIS

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8
Q

ACUTE PAIN OCCURING IN THE CENTRAL ABDOMEN COULD BE

A

SMALL BOWEL OBSTRUCTION
GASTRO
EARLY APPENDICITIS
RUPTURED AAA
MESENTERIC ISCHAEMIA

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9
Q

ACUTE PAIN IN THE RIGHT HYPOCHONDRIUM COULD BE

A

BILARY COLIC
CHOLECYSTITIS
ASCENDING CHOLANGITIS
ACUTE HEPATITIS

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10
Q

ACUTE PAIN OCCURING IN THE EPIGASTRIC AREA COULD BE

A

GASTRITIS
PERFORATED ULCER
CHOLECYSTITIS
PANCREATITIS
MYOCARDIAL INFARCTION (REFERRED)
LOWER LOBE PNEUMONIA (REFERRED)

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11
Q

ACUTE PAIN IN THE LEFT HYPOCHONDRIUM COULD BE

A

KIDNEY COLIS
URINARY INFECTION
SPLENIC INFARCT/ RUPTURE

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12
Q

LOWER ABDOMINAL ACUTE PAIN COULD BE CAUSED BY

A

LARGE BOWEL OBSTRUCTION

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13
Q

LIF ACUTE PAIN COULD BE

A

DIVERTICULITIS OR URETERIC COLIC

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14
Q

SUPRAPUBIC ACUTE PAIN/ HYPOGASTRIC PAIN COULD BE

A

RUPTURES ECTOPIC OVARY
ACUTE PID
RUPTURED OVARIAN CYST
TORSION OF THE OVARY

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15
Q

COMMON ACUTE PAIN IN THE RUQ COULD BE

A

PYLEONEPHRITIS
CHOLECYSTITIS
URETERIC COLIC
HEPATITIS
PNEUMONIA

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16
Q

COMMON ACUTE PAIN IN THE EPIGASTRIC REGION COULD BE

A

PUD
CHOLECYSTITIS
PANCREATITIS
MYOCARDIAL INFARCTION

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17
Q

COMMON ACUTE PAIN IN THE LUQ COULD BE

A

GASTRIC ULCER
PYLEONEPHRITIS
URETERIC COLIC
PNEUMONUA

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18
Q

COMMON ACUTE PAIN IN THE RLQ COULD BE

A

APPENDICTIS
URETERIC COLIC
INGUINAL HERNIA
IBD
UTI
GYNAECOLOGICAL
TESTICULAR TORSION

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19
Q

COMMON ACUTE PAIN IN THE PERI UMBILICAL REGION COULD BE

A

SMALL OR LARGE BOWEL OBSTRUCTION
APPENDICITIS
AAA

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20
Q

COMMON ACUTE PAIN IN THE LLQ COULD BE

A

DIVERTICULITIS
URETERIC COLIC
INGUINAL HERNIA
IBD
UTI
GYNAECOLOGICAL TESTICULAR TORSION

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21
Q

WHAT PERCENTAGE OF EMERGENCY VISITIS DOES AAP ACCOUNT FOR

A

7-10%

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22
Q

WHAT ARE THE HISTORICAL RED FLAGS FOR ACUTE ABDOMINAL PAIN

A

OLDER THAN 65
IMMUNOCOMPROMISED
MULTIPLE COMORBIDITIES
PREVIOUS ABDOMINAL SURGERY
ALCOHOLISM
PREGNANCY

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23
Q

WHAT ARE THE PAIN AND PHYSICAL EXAMINATION RED FLAGS FOR ACUTE ABDOMINAL PAIN

A

SUDDEN AND SEVERE ONSET
CONSTANT PAIN
FEVER
TACHYCARDIA OR HYPOTENSION
SHOCK
INVOLUNTARY GUARDING OF ABDOMEN

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24
Q

T OR F ANY PT PRESENTING TO AN OSTEO WITH ACUTE ABDOMINAL PAIN MUST BE REFERRED FOR MEDICAL ASSESSMENT

A

TRUE

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25
WHAT DOES THE URGENCY OF A REFERRAL FOR MEDICAL ASSESSMENT DEPEND ON
SEVERITY OF CLINICAL PRESENTATION PRESSENCE OF RED PLAGE TEH DIFFERENTIAL DIAGNOSIS
26
WHAT MODALITY OF IMAGING IS INCREASING BEING USED AS TEH FORST LINE OF ABDOMINAL INVESTIGATION
US
27
RECCOMENDED IMAGING FOR GENERALISED ABDO PAIN IS
CT
28
RECCOMENDED IMAGING FOR EPIGASTRIC OR RUQ PAIN IS
US
29
RECCOMENDED IMAGING FOR LIF PAIN IS
CT EsPECIALLY IF OVER 40
30
RECCOMENDED IMAGING FOR RIF PAIN IS
LESS THAN 50 US IN WOMEN NOTHING IN MEN MORE THAN 50 CT
31
RECCOMENDED IMAGING FOR PREGNANCY IS
US
32
WHICH BLOOD TESTS GENERALLY APPLY TO ALL ACUTE ABDOMEN PATIENTS
FBC EUC SERUM LIPASE AND AMYLASE LFT BSL
33
WHAT IS THE EUC TEST FOR
ELECTROLYTES, UREA, CREATONE (FOR REMAL FUNCTION)
34
WHAT ARE SERUM LIPASE AND AMYLASE TESTS FOR
PANCREAS FUNCTION
35
WHAT ARE LFTS FOR
LIVER FUNCTION TESTS
36
BETA hCG is a marker used to test for
pregnancy human chorionic gonadotrophin
37
WHY WOULD URINALYSIS BE TESTED
IF CALCULI OR UTIS ARE SUSPECTED
38
WHY WOULD AN ECG BE USED IN ACUTE ABDOMINAL INVESTIGATION
EPIGASTRIC OR RUQ PAIN, SUSPICION OF AMI, PT OVER 50
39
WHAT ARE THE RISK FACTORS FOR DEVELOPING AAA
SMOKING, MALE, OVER 65, CAUCASIAN, HX ATHEROCLEROSIS, HX HTN, FHX AAA
40
WHAT KIND OF PAIN COULD AN AAA PRESENT AS
ABDOMINAL, FLANK OR BACK PAIN
41
WHAT IS THE CLASSIC TRIAD THAT APPEARS IN 50% OF RUPTURED AAA PATIENTS
SEVRE ACUTE PAIN, PULSATILE ABDOMINAL MASS, HYPOTENSION
42
WHEN SHOULD AAA ALWAYS BE CONSIDERED
IN A PT AGES OVER 60 WITH ABDOMINAL, FLANK OR BACK PAIN
43
AN AAA MUST BE CONSIDERED IN CASES OF ACUTE LUMBAR SPINE PAIN?
YES
44
WHAT PAY THE SYMPTOMS OF A RUPTURED AAA MIMIC
RENAL COLIC DIVERTICULITIS GI HARMORRHAGE OTHER INTRAABDOMINAL CONDITIONS
45
WHAT IS ROSVINGS SIGN
PRESSURE OVER THE PTS LEFT LLQ CAUSES PAIN IN THE RLQ
46
WHAT ARE THE DIFFERENTIALS THAT NEED TO BE CONSIDERED FOR APPENDICITIS
TESTICULAR TORSION ECTOPIC PREGNANCY PID CAECAL DIVERTICULITIS GROIN HERNIAS
47
80-85% OF ADULTS WITH APPENDICITIS WILL HAVE AN INCREASED?
WBC COUNT IMMATURE NEUTROPHILS
48
CHOLECYSTITIS COMMONLY PRESENTS AS
RUQ PAIN, FEVER, LEUCOCYTOSIS
49
IS CHOLECYSTITIS MORE COMMON IN WOMEN OR MEN
WOMEN
50
WHAT ARE TEH RISK FACTORS FOR PANCREATITIS
COMMON -GALL STONES ETHANOL OTHER - ENDOSCOPIC PROCEDURE, TRAUMA, INFECTION, AUTOIMMUNE DISEASE, METABOLIC, VASCULAR, GENETIC
51
CAN PANCREATITIS BE IDIOPATHIC
YES
52
WHAT IS CULLENS SIGN
BRUISING AROUNF ULBILICUS DUE TO PANCREATITIS
53
WHAT IS GREY-TERNERS SIGN
BRUISING OF THE FLANK DUE TO PANCREATITIS
54
DOES SERUM AMYLASE OR LIPASE STAY ELEVATED FOR LONGER IN RELATION TO PANCREATITIS
LIPASE
55
IS ELEVATED LIPASE OR AMYLASE MORE SPECIFIC FOR PANCREATITIS
LIPASE- AS IT STAYS ELEVATED FOR LONGER
56
WHAT IS DIVERTICULITIS
INFLAMMATION OF ABNORMAL POUCHES IN THE BOWEL WALL
57
DIVERTICULTIS IS SEEN IN WHAT PERCENT OF PEOPLE OVER 70
50
58
HISTORAL FACTORS FOR DIVERTICULITIS INCLUDE
SHARP ABDOMINAL PAIN OFTEN IN THE LIF FEVER ABDOMINAL DISTENSION, BLOATING, FLATULENCE CHANGE IN BOWEL HABITS (CONSTIPATION OR DIARRHEA) NAUSEA/ VOMITING
59
WHAT ARE THE INDICATIONS FOR VISCERAL OSTEOPATHY
BLOATING INDIGESTION REFLEX BELCHING LUQ DISCOMFORT
60

CLINICAL SKILLS 5 (15 decks)

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