Exam 6: GI (Liver, Gallbladder, Pancreas, Hernia, Hemorrhoids)
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How does cirrhosis differ from hepatitis? | show 🗑
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With Hepatitis/Cirrosis what 3 types of Rx do you want to avoid (Hepatoxic) besides ETOH? | show 🗑
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Abnormal Labs in Liver Dysfunction include elevated ammonia and prolonged PT/INR. Why? | show 🗑
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Meds for pain of Pancreatitis? Avoid what because they cause sphincter spasm? | show 🗑
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show | Goes from pancreas and gall bladder to duodenum to deliver bile & pancreatic juice.
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Nutrition for Pancreatitis | show 🗑
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To relieve tight stretch of peritoneum in pancreatitis, the Pt can (3)? | show 🗑
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show | Dark urine (billirubin) Chalky/clay stool (No billirubin)
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show | Hepatic encephalopathy, hepatorenal syndrome (kidney fails)
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show | Hepatomegaly, Splenomegaly, Esophageal-gastric-rectal varices.
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How does Ascites lead to increased hydrostatic pressure and lymph formation? | show 🗑
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show | Ascites
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show | Cirrhosis
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Cirrhosis obstructs flow of what? (3) | show 🗑
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show | Toxins (ETOH), Infections, R sided HF
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Laennec;s Cirrhosis caused by | show 🗑
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show | Biliary (Obstruction, bile stasis, inflammation
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3 early signs of cirrhosis | show 🗑
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Esophageal varices, spider angiomas, changes in mental status are late signs of what? | show 🗑
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Jaundice, anemia, gynecomastia, edema occur with what? | show 🗑
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show | Drugs (INH, OD, dilantin, halothan, aldomet), Toxins (ETOH, Mushrooms, carbon tetrachloride), hepatobiliary disease.
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show | Hep A (Fecal-oral), B (Blood/body), C (BID-Body), D (with B), E (Like A), G (Like C)
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show | Hepatitis A & E
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Hepatitis D usually is with which for of Hepatitis? | show 🗑
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Early symptoms of hepatitis | show 🗑
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Late symptoms of hepatitis | show 🗑
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What causes hepatic encphalopathy (altered conscious from liver problems) | show 🗑
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Rx Tx for hepatic encephalopathy | show 🗑
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3 types of intestinal obstruction (partial/complete blockage) | show 🗑
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show | No- Could collect above obstruction and cause perforation
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show | Volvulus
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Telescoping of one part of the intestine into an adjacent part | show 🗑
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show | Adhesions
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A blockage interferes with the normal progression of intestinal contents through the intestinal tract | show 🗑
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show | Hernia
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show | Reducible Hernia
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One in which the intestine cannot be replaced in the ABD cavity b/c of edema of the protruding segment and constriction of the muscle opening thru which it has emerged | show 🗑
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show | Inguinal Hernia
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show | Herniorrhaphy
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show | Hernioplasty
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Dilated veins outside or inside the anal sphincter | show 🗑
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AN infection with a collection of pus in an area between the internal and external sphincters | show 🗑
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show | Anal Fissure
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A tract that forms in the anal canal | show 🗑
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show | Fistulotomy
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Surgical procedure in which a fiatulous tract is excised | show 🗑
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show | Hiatal Hernia
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show | Asterixis
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show | Cullen's Sign
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Gray-blue discoloration of the flanks, sometimes seen in acute hemorragic pancreatitis | show 🗑
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Spasm in facial muscles elicited by tapping the facial nerve; seen in tetany/hypocalcemia | show 🗑
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show | Trousseau's Sign
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