Term
| A patient presents with nausea, diffuse pain over the right lower quadrant and fails to display propertoneal fat on her right on X-ray. This is most likey caused by: |
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Definition
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Term
| A patient presents with splenomegaly, gastric varices and internal hemorrhoids. You also notice caput medusae and esophageal varices. These findings are consistant with: |
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Definition
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Term
| A patient exhibits rebound tenerness and board-like rigidity. The patient is generally in a large amount of pain. This is consistant with: |
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Definition
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Term
| A pregnant woman experiences pain in her groin and labium majus. She also experiences some slight, diffuse pain in her right lower quadrant. You suspect that this could be caused by: |
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Definition
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Term
| A young 1 y.o. girl persents with a "bump" at the sight of her umbilicus. An ultrasound reveals that the bump is generally translucent and that the sac is continuous with the umbilical cord. This is most likely: |
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Definition
| Congenital umbilical hernia |
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Term
| During a routine ultrasound for a pregnant mother, you see that the fetus presents with some abdominal viscera protruding from the abdomen. This is worrysome because the fetus is in its 14th week. You suspect: |
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Definition
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Term
| In an underdeveloped area, a young child with ascites (due to Kwashiorkor) presents with a herniated sac covered by subcutaneous tissue and skin superficial to his already enlarged abdomen. This is most likely and example of a: |
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Definition
| Acquired infantile umbilical hernia |
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Term
| A middle-aged, overweight woman complains of discomfort in her umbilical region. On palpation and on visualization, you notice an uncharacteristic lump in the region. This is most likely: |
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Definition
| Acquired adult umbilical hernia |
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Term
| A 24y.o. pregnant woman complains of pain in her abdomen above her umbilical region. The woman is obese. On palpation and visualization you notice a lump between her xiphoid process and umbilicus. This is most likely: |
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Definition
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Term
| A 53 y.o. man presents with symptoms consistant with a bowel obstruction. A contrast-guided CT reveals a small loop of intestine protruding through the abdominal wall at around the linea semilunaris. This is most likely a: |
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Definition
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Term
| A patient presents with pain on the left side of the middle of his back. on palpation you notice a lump below his 12th rib on his back, lateral to the quadratus lumborium and medial to the internal oblique. You remember from your first year anatomy class that this is the triangle of Grnyfeltt-Lasshaft. This is most likely: |
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Definition
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Term
| A patient presents with pain in her left lateral lower back over her iliac crest. On palpation you notice a slight bump above her iliac crest, lateral to the latissimus dorsi. You remember from your first year anatomy class that this is the triangle of Petit. This is most likely: |
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Definition
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Term
| A young male patient presents with an un-descended testicle. This is clincally referred to as: |
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Definition
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Term
| A young man presents with an acute onsite of diffuse testicular pain and tenderness. a cremasteric reflex is negative on his left testicle. Additionally, the scrotum appears normal. A dopplar ultrasound scan reveals: |
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Definition
| Testicular (spermatic chord) torsion |
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Term
| A middle aged male presents with sudden scrotal pain. The patients history indicates a recent recovery from an infection by Chlamydia trachomatis. His cremaster reflex appears normal and he has a positive Prehn's sign. This is most likely: |
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Definition
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Term
| A young male patient presents with a painless enlargement in the scrotum on his left side. On palpation, you note that the mass is smooth, soft and fluidity; like a small fluid-filled balloon. It is also translucent. This is most likely: |
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Definition
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Term
A young male patient presents with a painless enlargement in the scrotum on his left side. On palpation, you note that the mass hard and rough. It is also not translucent. This is most likely:
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Definition
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Term
| When in surgery to repair a hernia, you notice that the hernia sac begins lateral to the inferior epigastric artery and vein. This indicated that it started at the top of the inguinal canal. This was a: |
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Definition
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Term
When in surgery to repair a hernia, you notice that the hernia sac begins medial to the inferior epigastric artery and vein. It most likely perforated through the medial inguinal fossa. This was a:
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Definition
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Term
| A female patient presents with a groin lump or bludge which you estimate as inferior to the inguinal ligament. The woman complains of only slight discomfort. Although it is hard to discern preoperatively, you expect that this is a: |
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Definition
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Term
| A patient comlains of aching pain within his scrotum. He does not have any abdominal pain, nauses or vomiting. On palpation you notice that the veins of his left testicle feel akin to a bag of worms. You that this is: |
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Definition
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Term
| A thin, young male presents with hematuria, left flank pain and left testicular pain. On palpation, you notice that the left testicular veins feel like a bag of worms. These symptoms are most likely caused by: |
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Definition
| Nutcracker syndrome of the superior mesenteric artery |
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Term
| A young patient presents with a painless, cystic mass towards the top of his testicle. Transillumination of the region appears cloudy. The area feels soft on palpation. This is most likely: |
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Definition
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Term
| After a recent hernia repair, a patient comes into the emergency room presenting with peritonitis. The patient reports that pain from a different area of his bowel, away from where his hernia was repaired, hurt for several days prior. This was most likely due to: |
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Definition
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Term
| A patent presents with rectal bleeding, extreme pain in the upper abdomen and stomach bloating. He was recently treated for constipation without any real relief. A colonoscopy revealed a Meckel's diverticula in his ilium causing a slight protrusion into his peritoneum. This is a: |
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Definition
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Term
| A woman who has recently lost a lot of weight presents with a bowel obstruction. The patient has a positive Howship-Romberg sign. This is most likely: |
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Definition
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Term
| An infant born to a low income family is brought into the emergency room with a smegma infection. Investigation of the child's penis shows a urethra that opens abnormally low on the ventral surface of the penis, causing urine to pool behind the foreskin. This is a: |
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Definition
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Term
| A child with a perineal hypospadias has a penis bent in a downward position. This is called a: |
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Definition
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Term
| An uncircumsized patient complains of pain in his penis has inflammation of his glans. This is: |
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Definition
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Term
An uncircumsized patient complains of pain in his penis has inflammation preputial skin fold. This is:
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Definition
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Term
An uncircumsized patient complains of pain in his penis, has inflammation of his glans and inflammation of his preutial skin fold. This is:
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Definition
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Term
| A child displays the inability to retract his prepuse at age 5. This is called: |
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Definition
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Term
| A patient complains of pain and a strange constriction over his balanopenile junction resulting in mild glandular ischemia. This is called: |
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Definition
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Term
What is indicated by A in this figure:
[image] |
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Definition
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Term
What is indicated by B in this figure:
[image] |
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Definition
| Foramen of Winslow hernia |
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Term
What is indicated by C in this figure:
[image] |
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Definition
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Term
What is indicated by D in this figure:
[image] |
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Definition
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Term
What is indicated by E in this figure:
[image] |
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Definition
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Term
What is indicated by F in this figure:
[image] |
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Definition
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Term
| A young woman with a history of bulimia presents with excruciating retrosternal chest and upper abdominal pain. an X ray shows free peritoneal air and a widened mediastinum. This is most likely: |
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Definition
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Term
| A patient presents with hematemesis (vomiting up blood) after violent vomiting and melena (old blood in stool). An endoscopy reveals an esophageal tear below the diaphragm. This is: |
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Definition
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Term
| A routine ultrasonogram reveals on an asymptomatic patient a benign smooth muscle neoplasm in the patient's esophagus known as a: |
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Definition
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Term
| A patient presents with "crushing" chest pain after eating at a restaurant with family. A barium swallow test shows a bolus held above the gastro-esophageal junction by a constricture. This is: |
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Definition
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Term
| A young child presents with dysphagia and vomiting of undigested food. A barium swallow reveals a bird's beak sign. This is most likely: |
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Definition
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Term
| A patient comes to the ER with sudden, severe chest pain, nausea, retching and vomiting. A CT shows that part of the stomach has squeezed up into the patient's chest beside the esophagus. This is a: |
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Definition
| Paraesophageal hiatal hernia |
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Term
| A 52 year old patient comes into the ER with chest pain that he thought was being caused by a heart attack. He also complains of GERD. After the heart attack was ruled out, a barium swallow test shows that the stomach has slid up into the chest. This is: |
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Definition
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Term
| An endoscopy of a patient complaining of GERD reveals intestinal-like epithelium within the esophagus. This is: |
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Definition
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Term
| A patient presents with diarrhea to his primary physician. On referral to a gastroenterologist for an endoscopy, multiple stomach and duodenal ulcers are found. Also, his stomach pH is extremely low, even on fasting. This is most likely: |
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Definition
| Zollinger-Ellison syndrome |
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Term
| A week old infant has been experiencing progressively worsening vomiting. An ultrasound reveals a thickened pylorus via a bulls eye sign. This is: |
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Definition
| Congenital hypertrophic pyloric stenosis |
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Term
| A newborn infant presents with low birth weight and intolerance to feeding. Before birth, the mother presented with polyhydramnios (excess amniotic fluid). An MRI reveals a ring of pancreatic tissue surrounding the duodenum of the infant. This is a: |
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Definition
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Term
| A patient presents with a Gray-Turner sign and a Cullen sign. Based on this, and assuming that the patients kidneys are intact, it is likely that this patient is suffering from: |
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Definition
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Term
| A patient presents with pain above his umbilicus on his right side. He also notes some minor right shoulder pain. The patient also displays a Sonographic Murphy's sign. This is most likely caused by: |
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Definition
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Term
| A young infant constantly cries and brings her legs up to her chest. A positive Dance's sign is observed. An ultrasound reveals: |
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Definition
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Term
| A patient presents with abdominal pain, hypotension, tachycardia and a positive Kehr's sign. This is most likely: |
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Definition
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Term
| A newborn infant presents with cyanosis, fast respiration and increased heart rate. The abdomen of the infant also appears to be concave. A chest X-ray reveals portions of the stomach and bowel in the infant's thoracic cavity. This is: |
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Definition
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