NR 511 Differential Diagnosis & Primary Care Practicum Midterm study guide

NR 511 Differential Diagnosis & Primary Care Practicum Midterm study guide N/B: Expand the boxes for a wide view Appendicitis -Most common between 10-30yrs; but can occur at any age; rare in infants and older adults -men more at risk - Diets low in fiber, high in fat, refined sugars, & other carbs at risk. - Obstruction of appendix is cause of majority of appendicitis - contributing factors: Intra-abdominal tumors, positive family hx - Recent roundworm infection or viral GI -May have HTNtachy proportional to painsymptom s -When lying flat, may flex R knee to relieve tension in abd muscle -Pain with palpation in abd, diffuse in stages. Localized to RLQ later -Positive for rebound pain; ask pt to cough to localize pain location -Sudden cessation of pain means perforation and is ER -Surgical; preoperative care, NPO, correction of fluidelectrolyte imbalances -Avoid narcotics -Atb with 3rd gen cephalosporin; Ex: ampicillin, gentamycin, -FU with surgeon -Ambulation after surgery -Adv diet when bowel sounds -Return to hosp with ss of infection -Avoid for at least 2 Celiac disease ** (autoimmun e disorder caused by an immunologi c response to gluten) Mostly diagnosed in adulthood. A family member with celiac disease or dermatitis herpetiformi s Type 1 diabetes Down syndrome or Turner syndrome Autoimmune thyroid disease Microsc opic colitis (lymph -Dx made clinically, based primarily on H&P exam - Classic presentation inc