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Flashcards in Week 7 Deck (19)
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1

Diverticulosis symptoms

-typically asymptomatic
-may have left lower quadrant pain

2

Diverticulitis

-infection and inflammation of the microperforation of one of the diverticula

3

Appendicitis S/S

-pain preceding N/V and fever
-pain begins at umbilical region and localizes to RLQ
-worse with movement

4

Appendicitis pain is relieved by...

-bending over or lying down and drawing legs up to relieve abdominal muscle tension

5

Retrocecal appendicitis may refer to...

the (R) thigh or (R) testicle

6

McBurney's point

-palpated in supine
1/2 way between the ASIS and umbilicus on the (R) side

7

Most common cause of chronic pancreatitis

-alcohol abuse

8

S/S of acute pancreatitis

-mild abdominal pain to possible death
-pain radiates to back
-made worse by walking/lying supine
-relieved by sitting and leaning forward

9

Chron's disease (and other inflammatory GI conditions) sometimes presents with

arthritis or joint pain (25% of the time)
-arthralgia can also present after a recent GI infection

10

Which common drug classification is most commonly associated with diarrhea?

ANTIBIOTICS!

11

Left shoulder pain

-can occur as a result of free air following laparoscopic sx or blood in abdominal cavity from a ruptured spleen or retroperitoneal bleeding causing distention

12

Kehr's sign

-pain with pressure on the upper abdomen leads to pain in (L) shoulder (ruptured spleen)

13

S/S GI disorders

-abdominal pain
-dysphagia
-odynophagia (pain during swallowing)
-GI bleeding
-epigastric pain
-symptoms affected by food
-early satiety with weight loss
-constipation
-diarrhea
-fecal incontinence
-arthralgia
-referred shoulder pain
-psoas abscess
-tenderness over McBurney's point

14

How do you differentiate between esophagitis and coronary ischemia?

-Esophagitis is relieved by upright positioning
-Coronary ischemia is relieved by supine positioning or nitroglycerin
(both conditions require attention by MD)

15

S/S of colorectal CA

-asymptomatic at first
-slight changes in bowel patterns
-occasional rectal bleeding
-vague cramping pain
-increased evacuation frequency
-back pain readiating down the legs

16

Lower GI bleed vs. Upper GI bleed

-mahogany colored stools = lower BI
-melena = upper GI

17

Pancreatic pain is aggravated by?

-walking
-lying supine
-ETOH
-large meals

18

Pancreatic pain is relieved by?

-sitting
-leaning forward

19

Psoas abscess

-can cause lower abdominal pain
-staphyloccocus aureas is the most common cause
-S/S: fever, night sweats, lower abdominal, pelvic, or back pain, pain referred to the hip, medial thigh or groin or knee pain