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
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GI Bleed
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Hepatitis
HEP A: Spiking Fever Dx: IgM HAV Ab
Hep E: ^Mort in Preg, Dx: HEV IgM
HEP C Dx: HCV RNA
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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)
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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
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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
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