Aaron Shared "Clin Med II exam1" - 6 Picmonics
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Clin Med II exam1
Acute Abd Px
- Hernias
- Small Bowel Obstruction
- Diverticulitis
- Peritonitis
- Appendicitis
- Abdominal Aortic Aneurysm (AAA) Assessment
- Pancreatitis
- Kidney stones
- Testicular torsion
GI Bleed
Hepatitis
- HEP A: Spiking Fever Dx: IgM HAV Ab
- Hep E: ^Mort in Preg, Dx: HEV IgM
- HEP C Dx: HCV RNA
PUD GERD GASTRITIS GASTROENTERITIS
- Dx: Endoscopy, Bx, Urea Breath Test
- Dx/Tx:Zollinger-Ellisons
- Tx: H. Pylori "CAP"
- Tx NSAID: PPI, H2, Misoprostol, Sucrulfate, Bisthmuth, Antacids
- GERD Sx & complications: Barrett's Esophagus
- Dx: Clinical, Endoscopy 1st, Esophageal Manometry, 24H Ambulatory pH Monitor(GS)
- Tx GERD: Wt Loss, Stop Smoking, Avoid Spicy/Fatty Foods, Raid Bed, PPI's
- Gastritis S/S:
- Duodenal Ulcer S/S: Px relieved with eating then comes back 2-5 hrs after
- Gastroenteritis MCC: Viral(Noro,Rota), E.Coli
- Gastroenteritis S/S: N/V/D, Abd Px, Dehydrated, Tachycardia, Fever
- Gastroenteritis Dx: Stool Sample, Blood(^Na,Cr)
Hypothyroidism Assessment
- Assessment
- Weight Gain - Edema
- Lethargy
- Cold Intolerance
- Bradycardia
- Hypertension
- Brittle Nails and Dry Skin
- Constipation
- Goiter
- Prolonged Menses
- Slowed Thinking
- Diagnostic Tests
- Decreased Free T4
- Increased TSH
2 mins
Secondary Hyperparathyroidism
- Hypocalcemia
- Usually due to Chronic Kidney Disease
- Increased Phosphorus
- Increase ALP
- Can result in renal osteodystrophy
- Cinacalcet calcimimetic, decreases PTH release
- Low active Vitamin D
