CMSRN Review Gastrointestinal System Questions and Answers

CMSRN Review Gastrointestinal System
Questions and Answers
Appendicitis S/S - ANSWER-Periumbilical RLQ pain
low grade fever
nausea
rebound tenderness at McBurney's point.

Appendicitis Treatment - ANSWER-Antibiotic therapy (third gen. cephalosporins),
Surgical removal of appendix

Cholecystitis Diagnositic - ANSWER-LABS: LFTs
Abdominal Ultrasound

Cholecystitis General Symptoms - ANSWER-Colicky Epigastric Pain
Jaundice
Nausea
Vomiting
Fever

Cholecystitis Risk Factors - ANSWER-Increased Age
Female
Obesity
Rapid Weight loss
Pregnancy

Cholecystitis Symptoms in Elderly and Children - ANSWER-Elderly
-Complaints of localized tenderness (may rapidly progress)
--Increased in comorbid diabetes
Children w/
-sickle cell
-congenital biliary defects
-chronic illness requiring TPN
ABDOMINAL PAIN and JAUNDICE

Cholecystitis Treatment - ANSWER-Uncomplicated
-Bowel Rest
-IV hydration
-administration of antibiotics
-pain control with meperidine or morphine
Complicated
-Laparoscopic Cholecystectomy

Cirrhosis Risk Factors - ANSWER-Chronic Hepatitis due to Hep C

, NAFLD
Diabetes
Obesity
Elevated Triglycerides
Sarcoidosis
Primary Biliary Cirrhosis
Right Heart Failure
Tricuspid Regurgitation
Autoimmune Hep
alpha 1 antrypsin Deficiency

Cirrhosis symptoms - ANSWER-ascites
abdominal pain
portal hypertension
hepatic encephalopathy
drowsiness
coma
hepatorenal disease
fever
anorexia
weight loss
spider angioma
jaundice
coagulopathy

Cirrhosis treatment - ANSWER-Treat according to cause:
Hep C- Antivirals
Cardiac Conditions-
-Diuretics
-Beta-Blockers
-Digoxin
Autoimmune:
-Immunosuppressants

Cirrhosis Treatment of Fibrotic Changes - ANSWER-Pruritis
Zinc Deficiency
Osteoporosis
Donor Transplant

Diagnostics for GI Trauma - ANSWER-Penetrating
-Identify Weapon
-Estimated Loss of Blood
Blunt
-Consider Domestic Violence
-Hx
-Labs