Abdomen
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| Liver Function | show 🗑
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| show | concentrates and stores bile
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| Pancreas | show 🗑
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| show | Filters blood
Produces lymphocytes and monocytes
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| Appendix | show 🗑
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| Kidneys | show 🗑
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| What happens to abdominal muscles in a pregnant woman? | show 🗑
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| show | GI transit time is prolonged.
Leads to constipation and increased absorption
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| What happens to the pyloric sphincter during pregnancy? | show 🗑
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| What risks are increased during pregnancy? | show 🗑
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| What is naegle Rule | show 🗑
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| show | 20-30 weeks
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| show | from the pubic symphysis to the superior fundus uterus
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| What is intestinal motility like in elderly? | show 🗑
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| What happens to the liver in the elderly? | show 🗑
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| What are special things to focus on in HPI? | show 🗑
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| What happens to the colon during pregnancy? | show 🗑
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| show | displaced up and laterally
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| What happens to blood flow during pregnancy and what does it lead to? | show 🗑
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| When must auscultation of the abdomen occur? | show 🗑
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| show | 5 minutes
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| What do you percuss? | show 🗑
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| What should patient do to relax tight abdominal muscles during palpation? | show 🗑
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| show | enlarged, tender gallbladder
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| show | enlarged, non-tender gall bladder
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| show | positive if pain and halts respiration.
indicates an inflamed gall bladder
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| show | enlarged spleen
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| What does splenomegaly indicate? | show 🗑
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| show | ebstein barr virus
primarily affects adolescents causing them to be tired and have a sore throat
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| Abdominal Aortic Aneurism | show 🗑
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| Ascites | show 🗑
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| show | Farther from the naval the patient points when asked where the pain is, the more likely the pain is organic
If the patient points to teh naval and is otehrwise well think non-organic
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| Rebound tenderness | show 🗑
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| Blumberg Sign | show 🗑
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| Iliopsoas Muscle Test | show 🗑
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| show | indicates ruptured appendix or pelvic abscess
Positive sign is pain in hypogastric region
Patient lies supine and you flex patient's hip and knee and rotate the leg laterally and medially
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| show | Tests for appendicitis
Pain or distress occurs in the area of the heart or stomach on palpation of McBurney's Point
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| show | Fixed dullness to percussion in left flank, and dullness in right flank that disappears on position change.
Tests for peritoneal Irritation
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| show | Pertitoneal Irritation and appendicitis
Rebound Tenderness
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| What is Cullen Sign | show 🗑
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| Dance sign | show 🗑
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| show | intestines get blocked and move over into another section of intestines
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| show | Tests for hemoperitoneum and pancreatitis
Ecchymosis of the flanks
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| Kehr's sign | show 🗑
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| Markel's Sign | show 🗑
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| McBurney Sign | show 🗑
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| show | midway between the ASIS and the umbilicus
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| show | Cholecystitis
Abrupt cessation of inspiration on palpation of the gallbladder
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| show | Right lower quadrant pain intensified by left lower quadrant palpation
Peritoneal irritation and appendicitis
Appendicities
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| Romberg-Howship Sign | show 🗑
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| Constipation pneumonic | show 🗑
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| show | hypertrophy of circular muscle that causes obstruction.
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| When does pyloric Stenosis present? | show 🗑
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| show | usually viral
Can be foodbore/waterborne
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| What diarrhea comes from camping? | show 🗑
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| show | undercooked poultry
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| Undercooked beef or unpasteurized milk? | show 🗑
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| Cruse ships and raw shellfish | show 🗑
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| show | Esophageal Reflux disease
Incompetence/Relaxation of lower esophagus
Burning chest pain or epigastric Pain
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| Crohn's Disease | show 🗑
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| ulcerative colitis | show 🗑
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| show | Pain initially periumbilical (localized to right lower quadrant)
McBurney point
Guarding, tenderness iliopsoas sign, obturator sign, skin hypersensitivity, N/V, Aaron sign, rovsing sign, and markle sign
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| colorectal cancer | show 🗑
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| What tests for colorectal cancer? | show 🗑
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| show | Characterized by hepatocellular necrosis
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| What causes hepatitis? | show 🗑
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| What does hepatitis cause? | show 🗑
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| Is there a vaccine for hepatitis? | show 🗑
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| Cholecystits | show 🗑
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| Intussusception | show 🗑
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| ABCDEF of intussusception | show 🗑
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