Term
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Definition
epigastric pain, nausea, abdominal distension
mid back/shoulder pain
pain is worse BEFORE and DURING meals
PE: tympany, nauseated with palpation |
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Term
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Definition
pain is worse AFTER meals
PE: TTP in epigastrium and mid back |
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Term
| Gastric cancer (adenocarcinoma) |
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Definition
smoker, alcohol use, smoked fish, anorexia
PE: Virchow's node (L supraclavicular), acanthosis nigricans (oral mucosa)
5 year survival is not good |
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Term
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Definition
BLOODY DIARRHEA, frequent cause of back pain in elderly
PE: TTP over affected area, rigidity in abdomen |
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Term
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Definition
mental status changes, "bad food"
PE: skin tenting, DIFFUSE TTP (if focal then wrong diagnosis |
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Term
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Definition
intense LLQ pain
PE: peritoneal signs - abdominal rebound pain, tenderness, guarding
TX: FIBER |
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Term
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Definition
RLQ pain, may report pain with anything that shakes the belly: laughing, coughing, bumpy car ride
PE: TTP at McBurney's point, rebound tenderness (pain on letting up), "heel strike" sign |
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Term
| Inflammatory bowel disease |
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Definition
chronic episodic belly pain with diarrhea
SMOKING is a risk for CD but protective for UC |
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Term
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Definition
| billous vomiting, abdominal distension, previous blockages |
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Term
| Ileus: colonic pseudo-obstruction |
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Definition
ABDOMINAL DISTENTION, Ogilvie's syndrome: clonic pseudo-obstruction after hip surgery
PE: absent bowel sounds |
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Term
|
Definition
| jaundice, RUQ pain, palmar rash, Ascites with palpable fluid wave, caput medusae, enlarged liver |
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Term
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Definition
stones form in the gallblader
risk factors: fat, forty, female, flatulent
Charcot's triad: fever, jaundice, RUQ pain |
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Term
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Definition
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Term
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Definition
| inflammation of GB occurs after impaction of stones in the cystic duct |
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Term
|
Definition
| obstruction and stasis of bile leads to suppurative infection |
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Term
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Definition
RUQ pain, usually following a fatty meal, pain between scapulae or to R shoulder, dark urine
PE: RUQ pain, + Murphy's sign |
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Term
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Definition
| forced inspiration is stopped by pain, used to diagnose GB disease |
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Term
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Definition
band-like pain around trunk, pain worse with meals/alcohol, no improvement with change in position
PE: TTP in epigastrium |
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Term
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Definition
chronic debilitating pain
destruction of tissue results in diarrhea, steatorrhea, and diabetes
most often (not always) associated with chronic alcohol abuse |
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Term
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Definition
colicy flank pain, decreased urination, frequency, dysuria
PE: Lloyds sign or "punch" |
|
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Term
| Kidney cancer (renal cell carcinoma) |
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Definition
| classic triad: flank pain, hematuria, palpable mass in abdomen |
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Term
| Polycystic kidney disease |
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Definition
| most asymptomatic, won't find them unless they are huge |
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Term
|
Definition
| asymptomatic until they cause obstruction, pain radiates to groin or thigh |
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Term
|
Definition
| pain in the groin with palpation of kidney |
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Term
| Bladder cancer (transitional cell carcinoma) |
|
Definition
risk factors: smoking, chemical exposure
PE: painless hematuria (especially in over 55 that doesn't spontaneously resolve) |
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