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NBCE Part 2 Ab Exam
General diagnosis
45
Health Care
Professional
04/06/2013

Additional Health Care Flashcards

 


 

Cards

Term
often associated with recent alcohol abuse or a stone in the ampulla of Vater;
Definition
Acute pancreatitis
Term
presents with severe epigastric pain which radiates through to the back, Cullen and Grey Turner’s signs might be present; serum amylase and lipase are markedly elevated, CT scan will show the swollen __________.
Definition
Acute pancreatitis
Term
saccular or fusiform dilation below the renal arteries; caused by atherosclerosis;
Definition
Aneurysm of the abdominal aorta:
Term
often asymptomatic but may present with low back pain and a pulsatile midline mass in the abdomen above the umbilicus; abdominal x-ray may show curvilinear lines of calcification adjacent to the lumbar vertebrae, ultrasound will confirm the presence
Definition
Aneurysm of the abdominal aorta:
Term
might be caused by a fecalith obstructing the orifice of the appendix;
Definition
Appendicitis:
Term
presents with periumbilical pain following by nausea, vomiting and fever,
Definition
Appendicitis:
Term
the pain radiates into the right iliac fossa, Rovsing’s, psoas or the obturator signs might be present; CT scan will confirm the diagnosis.
Definition
Appendicitis:
Term
acute inflammation of the gallbladder, seen more commonly in fair, fat, fertile females in their 40s, associated with gallstones;
Definition
Cholecystitis
Term
presents with right upper quadrant pain which may radiate to the right infrascapular region, Murphy’s sign may be present, along with fever, nausea and vomiting;
Definition
Cholecystitis
Term
ultrasound will show the stones in the gallbladder more readily that plain x-ray of the abdomen.
Definition
Cholecystitis
Term
condition of the liver due to chronic damage by alcohol abuse or Hepatitis C infection;
Definition
Cirrhosis
Term
characterized by liver cell necrosis, fibrosis and regeneration nodules; presents with fatigue, jaundice, enlarged non-tender liver, ascites, gynecomastia and caput medusae;
Definition
Cirrhosis
Term
Liver Function Tests will show elevated liver enzymes [AST, ALT and Alkaline Phosphatase] and bilirubin, liver biopsy will confirm the diagnosis.
Definition
Cirrhosis
Term
chronic inflammatory bowel disease of unknown etiology; characterized by cobblestone appearance of the mucosa of the terminal ileum, skip lesions and non-caseous granulomas;
Definition
Crohn’s disease:
Term
presents with recurrent right lower quadrant pain with diarrhea and fatigue; there might be a macrocytic normochromic anemia, endoscopy and biopsy will confirm the diagnosis.
Definition
Crohn’s disease:
Term
acute inflammation in the large intestine, associated with lack of fiber in the diet;
Definition
Diverticulitis:
Term
presents with lower left-sided abdominal pain with blood in the stool; barium enema or colonoscopy will confirm the diagnosis.
Definition
Diverticulitis:
Term
most commonly seen in the fallopian tube; associated with previous gonorrhea or chlamydia infection;
Definition
Ectopic pregnancy:
Term
presents with 6-8 weeks of amenorrhea followed by lower abdominal pain and vaginal spotting, Kehr’s sign may be present; abdominal ultrasound will confirm the diagnosis.
Definition
Ectopic pregnancy:
Term
acute inflammation of the peritoneum caused by rupture of the bowel or a ruptured ectopic pregnancy;
Definition
Generalized peritonitis:
Term
presents with severe generalized abdominal pain, fever and absent bowel sounds, Blumberg’s sign will be positive; x-ray will show distended loops of bowel with multiple air-fluid levels.
Definition
Generalized peritonitis:
Term
acute or chronic inflammation of the liver often caused by viral infections; Hep A and E are spread by the orofecal route, Hep B and C are spread by contaminated blood or sex;
Definition
Hepatitis:
Term
presents with fever, nausea, vomiting, jaundice and a tender swollen liver; liver enzymes and bilirubin will be elevated; serology will confirm the type of virus.
Definition
Hepatitis:
Term
blockage of the small or large bowel due to a mass inside the bowel or adhesions from previous surgery obstructing the bowel from outside;
Definition
Intestinal obstruction:
Term
presents with cramping abdominal pain, abdominal distension with hyperactive bowel sounds; x-ray of the abdomen will show distended loops of bowel with multiple air-fluid levels.
Definition
Intestinal obstruction:
Term
presents with severe abdominal out of proportion to the abdominal findings-mild tenderness in the early stages, blood in the stool and shock may be a late manifestation; angiography is confirmatory.
Definition
Mesenteric Vascular Occlusion:
Term
chronic functional gut disorder of unknown etiology; presents with bouts of abdominal pain relieved by defecation along with diarrhea or constipation; there is no confirmatory test.
Definition
Irritable Bowel Syndrome:
Term
chronic disease of the kidney affecting more commonly the basement membrane, associated with diabetes mellitus and SLE;
Definition
Nephrotic Syndrome:
Term
presents with fatigue, bilateral ankle swelling, ascites Muehrcke’s lines [curved transverse lines on the nails]; urinalysis will show massive proteinuria >3.5 g/day, Hypoproteinemia and hypercholesterolemia, renal biopsy will confirm the diagnosis.
Definition
Nephrotic Syndrome:
Term
inflammatory disease of the uterus, fallopian tubes and surrounding pelvic connective tissue;
Definition
Pelvic Inflammatory Disease:
Term
often caused by gonorrhea or chlamydia; presents with fever, lower abdominal pain, cervical motion tenderness and a mucopurulent cervical discharge.
Definition
Pelvic Inflammatory Disease:
Term
ulceration of either the stomach or the duodenum, associated with Helicobacter pylori infection, use of NSAIDs, smoking or alcohol;
Definition
Peptic Ulcer Disease:
Term
presents with epigastric pain which is made worse with food [gastric ulcer] or better with food [duodenal ulcer], there might be melena if the ulcer bleeds; gastroscopy and biopsy will confirm the diagnosis.
Definition
Peptic Ulcer Disease:
Term
complication of cirrhosis in which the flow of blood from the portal vein to the liver is obstructed due to the increased fibrosis seen in cirrhosis;
Definition
Portal hypertension:
Term
presents with caput medusae, esophageal and rectal varicose veins and ascites.
Definition
Portal hypertension:
Term
often associated with E. coli or chlamydia infection;
Definition
Prostatitis:
Term
presents with suprapubic or perineal discomfort, dysuria, frequency of urination and a tender swollen boggy prostate.
Definition
Prostatitis:
Term
acute or chronic inflammation of the pelvis of the kidney and the ureter; caused by ascending infection from the bladder with E. coli being most common;
Definition
Pyelonephritis
Term
present with chills, fever, nausea, vomiting and flank pain with costovertebral angle tenderness, Murphy’s punch will be positive; urinalysis will show numerous white blood cells, white blood cell casts and bacteria.
Definition
Pyelonephritis
Term
most common is a seminoma;
Definition
Testicular cancer:
Term
presents with a dull ache in the scrotum with an enlarged irregular testis; ultrasound will confirm the echodensity of the mass and biopsy will be confirmatory.
Definition
Testicular cancer:
Term
chronic inflammatory bowel disorder of unknown etiology; characterized by superficial ulcerations of the descending and sigmoid colon;
Definition
Ulcerative colitis:
Term
presents with left-sided abdominal pain, fatigue, anemia, recurrent blood diarrhea; there will be a microcytic hypochromic anemia due to the blood loss, colonoscopy and biopsy will confirm the diagnosis.
Definition
Ulcerative colitis:
Term
acute twisting of the sigmoid colon;
Definition
Volvulus
Term
presents with severe abdominal pain and distension with hyperactive bowel sounds; x-ray of the abdomen will show the classic coffee-bean sign.
Definition
Volvulus
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