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308 test 3
Terms in this set (34)
frothy green/yellow/gray discharge w/ foul smell, itching, soreness, swelling
wet mount is used to dx
used to dx trich & BV
causes for BV
change in environment, douching, multi sex partners, abx
TX for trich
single dose of Flagyl (metronidazole) or Tindamax for BOTH partners
tx for BV
oral flagyl or clindamycin cream
SS for Chlamydia
usually asymptomatic; uterine bleeding, purulent discharge, urethritis, endometritis, pelvic pain
-co-infects w/ gonorrhea
tx for chlam
abx- rocephin, doxycycline
gonorrhea increases the risk for what?
PID, infertility, ectopic pregnancy, HIV
abnormal discharge, dysuria, cervicitis, bleeding, bartholin's abscess, PID, sore throat
which type of ulcer can produce pain at night?
which type of ulcer pain relieves when eating?
which type of ulcer worsens when you eat?
what are the SS of perforation or penetration of gastritis?
severe upper abd pain that may be referred to the shoulder, vomiting, collapse, tender board-like abd, shock
when should you take PPIs?
30 min before meal
over 40, fair skin, fluffy (wt), and fertile are Risk factors for what?
Pain felt in RLQ is SS of what?
Cholelithiasis- radiates in R shoulder
Clay colored stools, fat vitamin deficient, fatty stools (steatorrhea), dry itchy skin, tachycardia, HTN, and jaundice are S/S of
cholelithiasis (calculi in gallbladder)
What labs findings are a/w Cholelithiasis?
Elevated: WBC, ALT, AST, Bili, neutrophils (shift to left), cholesterol, amylase and lipase
first choice for dx cholelithiasis?
Ultrasound and then ERCP (scope through mouth to small intestine/duodenum-NPO & spray throat).
Meds for cholelithiasis? what type of pts should you be careful with?
Bile acid drugs: ursodeoxycholic acid, chencodeoxycholic acid & pain meds
-be careful w/ liver pts
What is a nonsurgical method for gallstones?
lithoscopy- shock waves used to break up stones and pass it naturally
what is a cx of gallstone/bladder removal?
How many weeks should you avoid lifting after open cholelithiasis sx?
teachings about t-tube
leave in 7-10 days; clamp 1 hr before and after meals
how long should stools have to turn back to normal color post op?
NI post cholelithiasis sx
soft diet-low fat
gradual increase in activity
turn cough and breathe & splint
ecchymosis of the flank (upper stomach)
Turner's sign (+ SS for pancreatitis)
ecchymosis of the umbilicus
Cullen's sign (+ SS for pancreatitis)
describe type of pain with pancreatitis
LUQ or midepigastrium that's knife-like and unrelenting that can also be felt in the back; worse w/ eating; may be relieved in fetal position
CM for pancreatitis
jaundice, warm clammy skin, fruity breath (hyperglycemia), tetany, + trousseaus sign & Chvostek's sign, elevated amylase and lipase
Chvostek's sign is positive for what?
-the twitching of the facial muscles in response to tapping over the area of the facial nerve.
trousseau's sign is positive for what?
- carpopedal spasm caused by inflating the blood-pressure cuff to a level above systolic pressure for 3 minutes
How would the serum amylase and lipase present in a pt with pancreatitis
amylase- goes up quickly & stays elevated for 4 days
lipase- goes up slower and stays elevated for 2 wks
-2-3x normal value
What tx reroutes pancreas draining into jejunum?
-risks/cx: 3rd spacing, atelectasis of L lung, pneumonia, hypoxia, hypervolemia, DM 1
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