Enter Title

PUD

100

This bacteria causes more than 80% of peptic ulcer disease

H. pylori

200

These are three of the classic hallmarks of the presence of a duodenal ulceration

gnawing or burning pigastric pain, pain 2-3 hours after meals, relief with antiacids

300

This laboratory test is the least invasive yet accurate test for the presence of H. pylori.

Urea breath test

400

According to the ACG (American College of Gastroenterology) this medication regimen is the "treatment of choice" for persons with confirmed H. pylori infection living in Western regions and no drug allergies.

Triple therapy with clarithromycin, amoxicillin and a PPI of choice

500

This medication is Dr. Shindells "favorite" PPI

Pantoprazole

Gastroenteritis

100

This organism is responsible for most cases of bacterial "travelers diarrhea"

E. coli

200

These three symptoms are the hallmark signs of acute gastroenteritis

Nausea, vomiting, diarrhea are hallmarks but cramping, fever, and urgency are also common

300

This medication is recommended for suspected bacterial traveler's diarrhea lasting more than 2-3 days

Azithromycin

400

This oral medication can be used to prevent or treat motion sickness

promethazine, phenergan, hydroxazine, and/or dimenhydrinate

500

This is the initial rate of oral fluid replacement suggested by Dr. Shindell

1 TBSP every few minutes then progress as tolerated.  Aim for 50+ ml/kg over 3-4 hours if tolerated

Appendicitis

100

This change in location of abdominal pain is indicative of appendicitis

Periumbilical to the right lower quadrant

200

In this physical exam, the practitioner palpates approximately half way between the right anterior iliac crest and the umbilicus.  A positive finding is indicative of appendiceal irritation.

Mc Burney's exam

300

This clinical decision making tool discussed in class uses the presence of specific physical exam and laboratory findings to assess for the likelihood of appendicitis

Alvarado score

400

Although several different tests can be used to assess for appendiceal inflammation/infection,  this test is preferred because it is low cost and does not require any exposure to radiation

Ultrasound

500

This is the age range when appendicitis is most likely

10-30

Gall Bladder

100

This substance forms the majority of gall stones (cholelithiasis)

cholesterol

200

This physical assessment technique used to assess for cholecystitis that is positive when there is splinting during inspiration or during palpation of the RUQ.

Murphy's sign

300

These three signs are ominous indicators of a cholecystitis that has perforated. 

High fever, shaking chills, rebound tenderness

400

A referral to this type of provider is warranted when a patient is suspected of having acute cholelcystitis

General surgeon (or emergency department)

500

These three blood chemistry values increase during acute cholecystitis

Serum transaminases (ALT, AST), alkaline phosphatase, bilirubin

UTI/Kidney

100

These three symptoms are the hallmark signs of a lower urinary tract infection

Urgency, frequency and dysuria

200

These two positive results on a urine dipstick are indicative of the presence of cystitis (lower UTI)

Nitrites and leukocyte esterase

300

This antibiotic is no longer the treatment of choice for uncomplicated cystitis (lower UTI) because of increasing E. coli resistance.

Bactrim DS

400

This physical exam is done by percussing the kidney and is used to detect the presence of kidney irritation.  

CVA tenderness

500

This medication regimen is suggested for the treatment of uncomplicated pyelonephritis

1 gm ceftriaxone followed by either cefalexin, augmentin or cefdinir