What's your Sign?
When an examiner places their fingers in the Right mid clavicular line, below the hepatic margin, my host can not take a deep breath.
Murphy's Sign (Cholecystitis)
My signs and symptoms include; Heartburn, Dyspepsia (burning, bloating, gassy), Epigastric pain, Nausea, regurgitation, hypersalivation and Dry cough (worse at night)
GERD
My signs and symptoms include; Jaundice, Fatigue, Hepatomegaly, Skin lesions (spider angiomas), Hematologic problems (Thrombocytopenia, leucopenia, anemia, coagulation disorders), Endocrine problems, Peripheral neuropathy.
Liver Cirrhosis
Pantoprazole (Protonix), Omeprazole (Prilosec), Esomeprazole are all part of what class of drugs?
PPI or proton pump inhibitors
Avoid irritating foods such as, coffee, chocolate, peppermint, Caffeine, and Carbonated beverages to help with these TWO diseases
PUD and GERD
I am located in the lower right quadrant and when you press on me I give my host rebound tenderness?
McBurney's Sign (Appendicitis)
Signs and symptoms include;
-Cramping pain in LLQ, n/v, mass, s/s of infection
-Abdomen may be distended and tympanic, decreased bowel sounds, localized tenderness
Diverticulitis
I am the procedure used to redirect portal blood flow
TIPS
These drugs work on a chemical level, involve neutralization and include, Magnesium Salts, Calcium Carbonate, or Sodium Bicarbonate
Antacids
Eat small low fat foods, avoid fried foods, and foods that form gas when diagnosed with me
Cholecystitis or gallbladder disease
When my host is lying down and the examiner presses firmly in my LLQ I refer pain to the RLQ, what sign am I?
Rovsing Sign (Appendicitis)
A few of my signs and symptoms include; Colicky pain that comes in waves, and absent or high pitched bowel sounds.
Intestinal obstruction or SBO
Signs and symptoms of me include Altered LOC, and Asterixis (hand Flapping)
Hepatic Encephalopathy
This medication is used to protect the stomach lining by inhibiting gastric acid secretion and increasing bicarbonate and mucus production in the stomach, typically it's used for patients with high risk for gastric ulcer
Misoprostol (cytotec)
When in the acute stage of this disease eat high protein and low fat, but if I'm chronic eat low fat, low protein and high carbs.
Pancreatitis
I am a bluish discoloration around the umbilicus associated with intra-abdominal bleeding from severe pancreatitis, what sign am I?
Cullens Sign
While there might be 4 levels associated with my disease process I am the level that is associated with inflammation of the gallbladder
Cholecystitis
Once I'm in liver failure my labs come back with,
Decreased Glucose, Protein, and Platelets
Increased PTT/PT, Ammonia, and an increase in this lab value
Bilirubin
This class of drugs block the release of hydrochloric acid, decrease gastrin release, can have CNS Effects, and should not be used with antacids, they include, Ranitidine, Famotidine, and Cimetidine
H-2 Blockers
Avoid flair ups by providing me with a low fiber, bland, high calorie, high protein and high vitamin diet.
IBD (Chrons, UC, IBS)
I am a discoloration or bruising of the flank indicative of hemorrhagic Pancreatitis, What sign am I?
Grey- Turner Sign
I occur specifically in the colon, some of my signs and symptoms involve; Bloody Stools (worse = up to 20x a day), abdominal cramps- severe and constant, Fever (during attacks) and Fatigue
Ulcerative Colitis
I am a progressive, familial, terminal neurological disease accompanied by; Chronic liver disease leading to cirrhosis associated with increased storage of copper
Wilson's Disease
This drug is specifically used for portal vein HTN to help flush out the ammonia in your intestine tract
Lactulose
While most GI diets require increased hydration, I require fluid restriction along with low sodium, high protein, and small frequent meals
Cirrhosis