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NU 665 EXAM 1 STUDY GUIDE REGIS COLLEGE.
- Course
- Institution
-GI ( Hepatitis Focused) -Benign Gyn (Uterine Fibroids, endometriosis, ovarian cyst) -HEENT perimenopause, menopause and atrophic vaginitis:
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NU 665 EXAM 1 STUDY GUIDE REGISCOLLEGE.
Cholecystitis: Diagnostic approach
✔✔-RUQ pain, epigastric pain, fever, leukocytosis, positive Murphy's sign
-US: We need to also see: gallbladder wall thickening ( more than 4-5mm) &
sonographic murphys sign.
-HIDA scan and MRI if needed
Labs: lipase, amylase, electrolytes, AST, ALT, bilirubin, calcium, and albumin
conjuctivitis (bacterial)
✔✔-Mucopurulent discharge
-Eyelids stuck together, swollen, red
-Unilateral
-Cause: Staph, Haemophilus, pneumoccoal organisms
Conjunctivitis ( viral)
✔✔-watery discharge
-Impacts eyes bilaterally, unless HSV
-Abrupt onset
-Associated with adenovirus
Conjunctivitis ( allergic)
✔✔-watery and profuse discharge
-Bilateral
,-Assoc w/ asthma
-Itchy eyes & swollen eye lids
conjunctivitis:
✔✔-Normal pupil
-Mild pain
-Normal vision
-Mild: Feels like foreign body
-May follow an URI
iritis
✔✔-Moderate/severe pain
-Foreign body: mod/severe feeling
-Vision: Blurred w/ photophobia
-Pupil: Small and fixed in affected eye
-Ciliary flush: Redness from iritis to cornea
-URGENT referral to opthlmalogist.
Glaucoma
✔✔-Pain: SEVERE, w/ N&V
-Foreign body sensation: None
-Vision: Greatly reduced
-Pupils: Dilated
, FSH trends in Menopause
✔✔->25 IU/L particularly in the setting of hot flashes, is suggestive of the
late menopausal transition
-Postmenopausal woman: FSH would be considerably higher 70 - 100 IU/L
Endometriosis: Common Subjective complaints
✔✔-dysmenorrhea
-Menorrhagia
-chronic pelvic pain
-severe dyspareunia
-painful defecation during menses
-infertility or an ovarian mass
-Some are asymptomatic
Diagnosis of endometriosis
✔✔Gold standard to diagnose--Direct visualization: laparoscopy
-Can use US/CT/MRI to look for masses. But Laproscopy is the standard for
diagnosis.
endometriosis treatment
✔✔1. NSAIDs
2. Progesterone or OCP
3. Testosterone (Danocine, Danazol(acne, oily skin))
4. GnRH analogs (Lupron, Leuprolide (hot flashes, osteoporosis))
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