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CMN 568 - Exam 4 Questions And Accurate Answers Latest Update
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CMN 568 - Exam 4 Questions And Accurate AnswersLatest Update
After age ____ hernias are repaired surgically and will not close on their own
4 years of age
If a pt comes in with foreceful projectile vomiting, what should you suspect?
Pyloric stenosis
What kind of ulcer is relieved with meals?
Duodenal
Non-healing ulcers are suspicious for what?
Malignancy
Murphy Sign
Pain with palpation of the RUQ with inspiration --> inflamed gallbladder
Rovsing Sign
RLQ pain upon palpation of LLQ --> indicative of appendicitis Obturator Sign Pain in the
RLQ with internal rotation of right thigh/hip --> indicative of appendicitis Iliopsoas Sign
Extension of the right hip produces abdominal pain secondary to appendicitis. What is
the most sensitive test for diagnosing acute abdominal pain? CT Symptoms of
appendicitis -Anorexia -Preumbilical pain that later migrates to RLQ -Nausea & vomiting
(usually after onset of pain)
pt prefers to remain still
Severe epigastric pain that may radiate to the back is indicative of what?
Pancreatitis
GERD
Heartburn that generally occurs 30-60 minutes after meals and with reclining.
Pain may be relieved antacids.
,2 major causes of PUD
H. pylori and NSAIDs
NSAP (nonspecific abdominal pain) is the most frequent cause in ___________ patients
Pediatric
T/F: Smoking lessens the symptoms in ulcerative colitis
True
Common causes of abdominal pain in the epigastric region:
- MI
- PUD
- Biliary disease
Pancretitis
Common cause of pain in the RUQ:
Hepatitis
gallbladder [biliary] disease
renal disease, pyelo or renal stone
Common causes of pain in LUQ:
Spleen
Renal disease
Common cause of pain in the periumbulical region:
Early appendicitis
Small bowel disease
Common causes of pain in LLQ:
Diverticulitis [can be diffuse]
Common causes of pain in RLQ:
Appendicitis
PID
Ovarian cyst
, Ectopic pregnancy
Common causes of diffuse abdominal pain:
- IBD
- IBS
- Gastroenteritis
- AAA
- Bowel obstruction
- Ischemic bowel
T/F: Voluntary guarding is usually symmetric
True
Voluntary guarding
- usually symmetric
- muscles more tense on inspiration
- usually does NOT hurt to rise form supine to sitting position
- lessens WITH distraction
Involuntary guarding
- asymmetrical
- rigidity present on inspiration and expiration
- Rising to sitting greatly increases pain
- Does NOT change with distraction
T/F: Amylase and lipase are decreased in pancreatitis
False
They are elevated!
T/F: Surgeons do not use imaging before surgery for appendicitis
True
Causes of gastroenterisi
<10% parasites
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