CRAM SAEM Test 2 Questions And Answers

what is the obturator sign? what diagnosis is it associated with? - Answer- a/w appendicitis obturator sign = pain upon flexion and internal rotation of the hip#$/images/upload-flashcards//_ what is Rovsing's sign? what diagnosis is it associated with? - Answer- a/w appendicitis Rovsing's sign= pain in the RLQ upon palpation of the LLQ#$/images/upload-flashcards//_ Early in the course of acute appendicitis, are vital signs usually abnormal? - Answer- no - early in its course, vital signs including temperature may be normal. Once perforation has occurred, the rate of low-grade fever (38 C) increases to about 40%. what is the psoas sign? what diagnosis is it associated with? - Answer- a/w appendicitis psoas sign = pain upon extension of the hip.#$/images/upload-flashcards//_ explain what rebound in the setting of acute appendicitis means - Answer- Rebound is usually elicited only after the appendix has ruptured or infarcted. In establishing a differential diagnosis of abdominal pain, the onset of PAIN prior to the occurrence of N/V is more often suggestive of - Answer- surgical etiology of the pain, such as small bowel obstruction what bug should you think of in patients with sickle cell anemia who present with abdominal pain and diarrhea? - Answer- salmonella (not shigellosis) Radiation of pain to the scapula is suggestive of - Answer- acute choleycystitis (NOT hepatitis) Diverticulitis pain is generally located - Answer- in the LLQ Describe the pain patterns a/w with peptic ulcer disease (PUD) - Answer- pain that is worse preceding a meal non-radiating, burning epigastric pain pain that awakens a patient in the middle of the night relief of abdominal pain with antacids