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Associated diseases in the Epigastric region?
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Associated diseases in the RUQ region?
- Cholecystitis
- Cholelithiasis
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Associated diseases in the LUQ region?
pancreatitis
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Associated diseases in the periumbilical region?
SBO
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Associated diseases in the RLQ region?
appendicitis
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Associated diseases in the LLQ region?
diverticulitis
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Associated diseases in the suprapubic region?
- Overian torsion
- Ovarian cyst
- UTI
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Associated diseases in the flanks region?
- pyelonephritis
- renal calculi
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What is appy + CC?
- Appendicitis
- CC = RLQ pain, gradual onset, constant, worsened with movement
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Which sites are tender during physical exam of appy?
- McBurney’s point tenderness
- RLQ tenderness
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How is appy diagnosed?
CT A/P with PO contrast
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What is SBO?
- Small Bowel Obstruction: physical blockage of the small intestine
- CC = abdominal pain, vomiting constipating
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How is SBO diagnosed?
- CT A/P with PO contrast
- Acute Abdominal series (AAS) - fecal matter is dense so it shows up white on the X-ray
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What are other terms for gallstones?
- Cholelithiasis/Cholecystitis: RUQ abdominal pain after eating fatty foods
- CC = RUQ pain, sharp, worsened with eating, deep breaths, palpation
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Which sites are tender during physical exam of gallstones?
- RUQ tenderness
- Murphy’s sign
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How are gallstones diagnosed?
Abdominal Ultrasound RUQ
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What is a GI Bleed + CC?
- Gastrointestinal Bleed: hemorrhage in the upper or lower gastrointestinal tract can lead to anemia
- CC: hematemesis (bright red blood), melena (black stool)
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How is a GI bleed diagnosed?
heme positive stool (guaiac positive) during a rectal exam
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Scribe Alert for GI bleed?
possible blood transfusion needed due to significant blood loss
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What is diverticulitis + CC?
- acute inflammation and infection of abnormal pockets of the large intestine
- CC = LLQ pain
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How is diverticulitis diagnosed?
CT A/P with PO contrast
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What is pancreatitis + CC?
- inflammation of the pancreas
- CC = LUQ, epigastric pain
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How is pancreatitis diagnosed?
elevated lipase lab test
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What is GERD?
- Gastroesophageal Reflux Disease = stomach acid regurgitating into the esophagus
- CC = epigastric pain, burning
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How is GERD diagnosed?
endoscopy
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Scribe alert for GERD?
bc of how close stomach is to the heart, pt with cardiac risk factors and epigastric pain will always get a cardiac workup
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What is C. Diff Colitis?
opportunistic bacteria that causes persiistent diarrhea
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What is gastroenteritis?
- vomiting and diarrhea
- “GI Bug”
- often viral or bacterial
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What is Crohn’s Disease
Immune disorder causing diarrhea and abdominal pain
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What is Irritable Bowel Syndrome
chronically sensitive bowels prone to diarrhea
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What is gastritis?
- irritated stomach with vomiting
- stomach ache
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