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Everything in CMSRN Questions And Accurate Answers A+ Graded
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Everything in CMSRN Questions And AccurateAnswers A+ Graded
What does Emergency care of Peritonitis Entail? - ANSWER Aggressive IV Antibiotics,
treat the infection and control the inflammation first
What are some Signs and Symptoms of Peritonitis - ANSWER Abdominal pain,
nausea/vomiting, diarrhea, fever, chills, altered peristalsis, abd distention, possible
encephalopathy, rigid abdomen
Ways to diagnose Peritonitis - ANSWER Blood cultures, Labs- CBC/BMP, US, CT, Xray of
abdomen, Paracentesis
True or False: A Perforated Appendix requires emergency surgery - ANSWER True:
because the patient has a risk of becoming septic and developing peritonitis
What do you need to rule out when you suspect appendicitis? - ANSWER Entopic
pregnancies, their s/s are similar
What is the treatment for appendicitis? - ANSWER Antibiotic therapy and possibly
appendectomy
s/s of Appendicitis - ANSWER RLQ pain, fever, vomiting, anorexia, elevated WBC, pain at
McBurney's point
What is the cause of appendicitis? - ANS Backflow of mucus or fecal material into the
appendix which subsequently becomes infected and then inflamed (fecaliths, bacteria,
parasites)
, Where does upper GI bleed occur? - ANS Duodenum and Jejunum
Where does lower GI Bleeding occur - ANS Large and small intestines
Hematochezia vs Melena - ANSWER Melena is the passage of black, tarry stools.
Hematochezia is the passage of fresh blood per anus, usually in or with stools.
What are some causes of GI Bleeds - ANSWER NSAID use, Age, alcoholism, steroid use,
GERD
Diagnosis of GI Bleed - ANSWER Labs- CBC & Coags, Endoscopy, Physical examination
Treatments to GI Bleed - ANSWER Antibiotic treatments and PPI
s/s GI Bleed - ANSWER black, tarry or dark-colored stools, abdominal pain, nausea,
hematemesis, hematochezia, abdominal distention, dehydration, fever
orthostatic hypotension - ANSWER Decrease in blood pressure related to positional or
postural changes from lying to sitting or standing positions
Cholecystitis diagnostics - ANSWER Liver Function Tests & US of abdomen
Cirrhosis - ANSWER fibrotic tissue that eventually accumulate as scar tissue that
replaces functioning liver cells,
Abnormal retention of lipids in the cells that worsens as the fibrosis continues
S/S of cirrhotic liver disease - ANSWER jaundice
anorexia
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