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Cards In This Set
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Perforated duodenal ulcer presents as pain where?
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RUQ
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Gallbladder and duct obstructions present as pain where?
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RUQ or epigastric
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PUD usually caused by (2)
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NSAIDs
H. pylorii
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Stomach pain occurs
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LUQ
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Pancreatitis
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LUQ
Epigastric
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Diverticulitis manifests as pain where?
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LLQ
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Best way to test for ascites?
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Shifting dullness--percussion
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What is shifting dullness?
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Percussion goes from tempanic (ascites) to dullness after shifting position.
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Pt has periumbilical abdominal pain that goes then to the RLQ. Anorexia, N/V. Low fever.
What to do next?
Dx?
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McBurney's point (PE)
Check for rebound / guarding
Psoas sign
Appendicitis
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Diverticulitis is caused by
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Stagnate fecal material in diverticulum --> pressure necrosis of mucosa / inflammation
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Pt comes in with fever, leukocytosis. Colicky or steady pain, LLQ abdominal pain.
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Diverticulitis
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Colicky pain with progression to constant pain in RUQ radiating to R scapula.
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Cholycystitis
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Labs for cholecystitis
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LFTs -- bilirubin, alk phos
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Plain films for cholecystitis
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Biliary air hepatomegaly
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Epigastric abdominal pain. Hyperactive, high-pitched bowel sounds. Abdominal distention. Empty rectum.
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Small Bowel Obstruction
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