Dunphy. Primary Care Iib Exam 3 `& Verified Answers | Latest Update | Rated 100%

Chief complaint abd pain ANSWER: Careful history HPI (especially) Pain assessment Onset, timing Location Duration Characteristics/Associated factors Visceral pain is dull and poorly localized Parietal pain is sharp and localized Colicky pain comes and goes Burning pain is caused by irritation from gastric contents Aggravating factors, what makes it worse? Relieving factors, what makes it better? Treatment, what med./tx has been tried? Visceral pain is ANSWER: dull and poorly localized Burning pain is caused by ANSWER: irritation from gastric contents Parietal pain is ANSWER: sharp and localized Colicky pain ANSWER: comes and goes Aggravating factors, ANSWER: what makes it worse? Relieving factors, ANSWER: what makes it better? Physical Exam GI ANSWER: Heart and Lungs Abdominal exam—inspection, auscultation, percussion, palpation Digital rectal exam Vaginal exam Tests CBC Liver function tests (LFTs) Serum chemistries/CMP Urinalysis Stool for occult blood Pregnancy test what would you think about with sudden severe pain ANSWER: Appendicitis Intestinal perforation Mesenteric infarction Dissection or rupture of aortic aneurysm Ectopic pregnancy Burning pain- thoughts on what it would be? ANSWER: Gastroesophageal reflux disease (GERD) Gastritis Diverticulitis What would you think about with constant mild to severe pain ANSWER: Pancreatitis Cholecystitis-Cholelithiasis What would you think about with crampy or colicky pain? ANSWER: Intestinal obstruction Inflammatory bowel dz. Irritable bowel Salpingitis Urinary stones Cholelithiasis Constipation Appendicitis is? ANSWER: the inflammation of the variform appendix caused by an obstruction and/or infection Appendicitis is the most common cause of ________ ______ pain requiring surgical intervention? ANSWER: acute right lower quadrant abdominal How many appendectomies are done annually? ANSWER: 200,000 Appendicitis occurs at any age but is most common between ages ____ and _____ ANSWER: 10 and 30 Men are ______ as likely to be diagnosed with appendicitis between 10 and 30 years than women, but this equalizes over the life span. ANSWER: twice _________ will affect 10 in 100,000 people in the United States, with a lifetime risk for individuals projected at 7%-10%. ANSWER: Appendicitis Appendicitis is more common in ________countries. ANSWER: Western Appendicitis is more common in diets that are_____ ? ANSWER: low in fiber, high in fat, and high in refined sugars and other carbohydrates __________ of the appendix by a variety of pathological processes is the cause of the majority of appendicitis ANSWER: Obstruction Appendicitis is ______ of the appendix, followed by obstruction and subsequent bacterial infection ANSWER: Dilation In appendicitis ______, is obstructed by hardened feces (fecalith), inflammatory processes (including parasites, viruses, or bacteria), strictures, neoplasms, or foreign bodies (including vegetable or fruit seeds or barium