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Exam (elaborations)

AGNP (AANP) GU/GI Systems Review

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Chronic and Acute Gastrointestinal and Genitourinary Complaints - answer-Quiz 2: 20 questions, 1/2 points each What is the obdurator sign? - answer- What is the psoas sign? - answer- Choices for laboratory medicine - answer-Rapid strep CBC Electrolytes or CMP UA Hcg Amylase, Lipase H...

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  • November 3, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
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  • AGNP GU/GI System
  • AGNP GU/GI System
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TOPDOCTOR
AGNP (AANP) GU/GI Systems Review
Chronic and Acute Gastrointestinal and Genitourinary Complaints - answer-Quiz 2: 20
questions, 1/2 points each

What is the obdurator sign? - answer-

What is the psoas sign? - answer-

Choices for laboratory medicine - answer-Rapid strep
CBC
Electrolytes or CMP
UA
Hcg
Amylase, Lipase
H. pylori breath or serum
ESR, CRP
Stool Studies
Stool culture (ctx), WBC, RBC, O&P, Fecal Fat
CT, GC, BV, Trich, Candida
Additional specialty tests

Know anatomy of abdomen to guide your ddx and diagnostics - answer-

Forms of Imaging - answer-XRAYs
U/S
CT
"Others"

Forms of XRAY testing - answer-Abdominal films
Chest films

Forms of U/S - answer-Abdominal
Pelvic
Kidneys
Transvaginal
Vaginal

Forms of CT - answer-Abdomen
Pelvis
KUB

,Other forms of imaging - answer-Endoscopy, Colonoscopy, Sigmoidoscopy
MRI
Cystoscopy
Intravenous Pyelogram (IVP)

DDx for Epigastric Pain - answer-Esophagitis
Cardiac Disease (MI, Ruptured Aortic Aneurysm)
PUD
H.pylori
Pancreatitis

DDx for RUQ Pain - answer-Cholecystitis/Cholelithiasis
RLL pneumonia
Subphrenic Abscess
Hepatitis
Pancreatitis

DDx for LUQ Pain - answer-Gastritis
Cardiac Disease (MI, Ruptured Aortic Aneurysm)
PUD
LLL pneumonia
Splenic enlargement
Acute pancreatitis

DDx for RLQ Pain - answer-Appendicitis
Diverticulitis
Ectopic Pregnancy
Ovarian cyst, Torsion
PID
Mittleshmerz
Endometriosis
Urolithiasis
UTI
Pyelonephritis

DDx for LLQ - answer-Diverticulitis
Ectopic Pregnancy
Ovarian cyst, Torsion
PID
Mittleschmerz
Endometriosis
Urolithiasis
UTI

, Pyelonephritis

DDx for Diffuse or Variable Pain - answer-GE
Peritonitis
Bowel Obstruction
Constipation

What is DIVERTICULITIS - answer-Infection and inflammation of the diverticula
(Diverticula are small "pouches" that form in the sigmoid colon)

What causes Diverticulitis? - answer-Occurs when there is microperforation and infection of a
local area

What are some clinical presentations of Diverticulitis? - answer-Acute onset of left lower
quadrant pain
Intermittent with varying intensity
Constipation
NVD
Other symptoms may include: fever, anorexia, hematochezia

Labs to order for suspected Diverticulitis - answer-CBC
CMP
UA
Stool Studies if suspicious of other etiology

Imaging to consider for Diverticulitis - answer-CT

How to manage (outpatient) for Diverticulitis - answer-Proper Hygiene
Antibiotic Therapy
Diet
Antibiotics or anti-parasitic
Diet: as tolerated, avoid high lactose, sugar, and fats, caffeine

Dietary management for Diverticulitis - answer-Clear liquid diet for 48-72 hours with slow
progression

ABX for Diverticulitis and "other" medications you would want to consider - answer-Quinolone
+ metronidazole
amoxicillin-clauvulanate
TMP-SMX + metronidazole
Others: Antipyretic

Give an example of ABX regiment for Diverticulitis - answer-Ciproflaxacin 500mg PO BID +
Metronidazole 500 mg PO QID

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