NR11 Differential Diagnosis and Primary Care Midterm exam guide
NR511 Midterm exam guide Appendicitis - correct answer -Risk: 10-30yo, men, low fiber, high fat/sugar/carb diet -S: Mild to severe colicky epigastric or periumbilical pain, but in 24 hours, moves to RLQ and exacerbated by walking or coughing.May radiate to testicles. maybe vomiting, sensation of constipation, but diarrhea present. low grade temp. chills & sudden cessation of pain=perforation -O: HTN/Tachy, flex R knee up to relieve pain when recumbent, guarding, rebound tenderness. -Dx: + Rovsing, Psoas, Obturator, McBurney's sign -Tx: Appendectomy -Edu: avoid lifting for 2 weeks. Celiac Disease - correct answer -Risk:family hx, downs syndrome, HLA-DQ2(or 8), turners syndrome, type 2 DM or thyroiditis -S:asymptomatic OR diarrhea, wt loss, dyspepsia, flatulence, fatigue, joint pain, depressed mood, amenorrhea, difficulty getting pregnant, early menopause -O: may be normal, OR muscle wasting, pallow, reduced sub q fat, ataxia, peripheral neuropathy -Dx: Serologic testing for anti-tTG IgA antibodies, Total IgA, Upper GI scope (look at damage). or no Dx- just try diet changes -Tx: gluten free diet
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- NR11 Differential Diagnosis and Primary Care
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- February 23, 2024
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nr11 differential diagnosis and primary care
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