MEDSURG 2 EXAM 1
Where might you expect to feel epigastric pain if you have cholecystitis?
- The RUQ (right upper quadrant) with pain radiating to the shoulder
What is Turner's sign?
- Bilateral bruising on the flanks, a sign of pancreatitis
What is Cullen's sign?
- Superficial edema and bruising around the umbilicus, a sign of pancreatitis or abdominal
bleeding
What are the signs/symptoms of pancreatitis?
- Pain in LUQ radiating to back, Turner's or Cullen's sign, jaundice, hypotension, abdominal
distention, ascites,
What significant lab values would you expect to see in a patient with pancreatitis?
- Elevated:
- lipase and amylase
- glucose (pancreas not releasing insulin)
-WBC (over 10,000)
- PTT and aPTT (liver can't produce coagulation factors if it's inflamed)
- bilirubin
How does pancreatitis produce ARDS (acute respiratory distress syndrome)?
- Massive, body-wide inflammation and leaking blood vessels can cause the alveoli to fill with
fluid.
What's the difference between acute and chronic pancreatitis?
, - Acute occurs suddenly and usually clears up in a few days. It's most commonly caused by
gallstones blocking the pancreatic duct. Less commonly, risk factors include alcohol abuse,
genetics, smoking and obesity
- Chronic pancreatitis is irreversible damage that gets worse over time. It is usually caused by
long-term alcohol abuse or less commonly, cystic fibrosis and autoimmune disorders
What is the milder form of acute pancreatitis called? What is the more severe form called?
- Interstitial edematous pancreatitis
- Necrotizing pancreatitis
Biliary colic
- Acute abdominal pain caused by gallstones in the bile ducts
Cholangitis
- inflammation of the bile ducts
Cholecystits
- inflammation of the gallbladder
Cholelithiasis
- Formation of gallstones
Empyema
- Pus in the pleural cavity
Gallstone ileus
- A condition in which gallstones erode from the gallbladder, creating a fistula to the small
bowel that may cause a bowel obstruction
Where might you expect to feel epigastric pain if you have cholecystitis?
- The RUQ (right upper quadrant) with pain radiating to the shoulder
What is Turner's sign?
- Bilateral bruising on the flanks, a sign of pancreatitis
What is Cullen's sign?
- Superficial edema and bruising around the umbilicus, a sign of pancreatitis or abdominal
bleeding
What are the signs/symptoms of pancreatitis?
- Pain in LUQ radiating to back, Turner's or Cullen's sign, jaundice, hypotension, abdominal
distention, ascites,
What significant lab values would you expect to see in a patient with pancreatitis?
- Elevated:
- lipase and amylase
- glucose (pancreas not releasing insulin)
-WBC (over 10,000)
- PTT and aPTT (liver can't produce coagulation factors if it's inflamed)
- bilirubin
How does pancreatitis produce ARDS (acute respiratory distress syndrome)?
- Massive, body-wide inflammation and leaking blood vessels can cause the alveoli to fill with
fluid.
What's the difference between acute and chronic pancreatitis?
, - Acute occurs suddenly and usually clears up in a few days. It's most commonly caused by
gallstones blocking the pancreatic duct. Less commonly, risk factors include alcohol abuse,
genetics, smoking and obesity
- Chronic pancreatitis is irreversible damage that gets worse over time. It is usually caused by
long-term alcohol abuse or less commonly, cystic fibrosis and autoimmune disorders
What is the milder form of acute pancreatitis called? What is the more severe form called?
- Interstitial edematous pancreatitis
- Necrotizing pancreatitis
Biliary colic
- Acute abdominal pain caused by gallstones in the bile ducts
Cholangitis
- inflammation of the bile ducts
Cholecystits
- inflammation of the gallbladder
Cholelithiasis
- Formation of gallstones
Empyema
- Pus in the pleural cavity
Gallstone ileus
- A condition in which gallstones erode from the gallbladder, creating a fistula to the small
bowel that may cause a bowel obstruction
