Internal Anatomy
What diagnosis occurs with heart failure, portal hypertension, cirrhosis, hepatitis, pancreatitis, and cancer?
Acistes
What diagnosis is the most common cause of acute abdominal pain?
Appendicitis
What is LDH?
An enzyme elevated when cellular damage of liver, kidney, skeletal muscle and heart are damaged.
What are PPI's?
Proton pump inhibitors such as Nexium and Protonix.
What spleen enlarges with what diseases?
Mononucleosis, trauma, leukemia, lymphomas
What disease is a common cause of Helicobacter
Pylori and NSAID's?
Peptic Ulcer Disease
When is bilirubin elevated?
It is elevated with biliary obstruction and hemolytic anemia.
What medication would be used for contagious diarrhea or C Difficile?
Po Vancomycin
What is pain upon release of pressure?
Rebound tenderness
What is the cause of heartburn?
Gastroesophageal reflux disease
What is ALT?
It primarily diagnoses liver disease but detects biliary dysfunction.
What medication can be used for nausea in Chemotherapeutic patients?
Ondansetron (Zofran)
What is the second leading cause of Cancer death in the US?
Colon rectal Cancer
What does biliary tract disease and alcoholism account for in this disease?
Pancreatitis
What is Alkaline Phosphatase?
It is used as a tumor marker a nd a san index of liver and bone disease or metastasis.
What medication is usually used for Crohns?
Mesalamine
What are the bean shaped organs reperiontoneal or posterior to the abdominal contents?
Kidneys
What is a common cause of mechanical obstruction in the abdomen?
Inflammatory bowel disease crohns, colitis
What is a Murphy's sign?
Acute colicky pain, RUQ pain, N&V, low grade fever,
What labs are amylase and lipase used to distinguish?
Amylase is used to distinguish pancreatitis/ inflammation. Lipase stays in the blood longer and can distinguish elevation in biliary, hepatic, diabetes, and gastric malignancy.
What is important to take a good history with patients?
OTC meds, alcohol and drugs can cause many symptoms and GI disturbances.