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...
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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