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acute pancreatitis
diabetic ketoacidosis
These conditions can present as diffuse gastroenteritis
abdominal pain or epigastric pain peritonitis (any cause)
sickle cell crisis
typhoid fever
presents as diffuse abdominal pain or
epigastric pain or right or left upper quad-
Acute Pancreatitis rant pain
typically occurs after a patient consumes
alcohol
typically effects women
typically effects African Americans and
Sickle Cell Hispanics
can have a crisis that presents with dif-
fuse abdominal pain or epigastric pain
can present as diffuse abdominal pain or
Diabetic Ketoacidosis
epigastric pain with a fruity breath
can present as diffuse abdominal pain or
Gastroenteritis
epigastric pain with bloating after eating
can present as diffuse abdominal pain or
epigastric pain
Peritonitis
can have a melon type sound of the ab-
domen on auscultation
cholecystitis and biliary colic
These conditions can present as right hepatitis
upper quadrant pain perforate duodenal ulcer
retrocecal appendicitis (rare)
These conditions can present as right or
acute pancreatitis
left upper quadrant pain
Patient indicates that they are having
pain in the right upper quadrant of their
cholecystitis
abdomen. They state that this pain oc-
biliary colic
curred after consuming a high fat meal.
What conditions could this patient have?
,These conditions can present as left up- gastritis
per quadrant pain splenic disorders
appendicitis
These conditions can present as right cecal diverticulitis
lower quadrant pain Meckel's diverticulitis
Crohn's
These conditions can present as left low- sigmoid diverticulitis
er quadrant pain ulcerative colitis
abdominal or psoas abscess
cystitis
endometriosis
These conditions can present as right or IBD
left lower quadrant pain pelvic inflammatory disease (PID)
renal calculi
ruptured abdominal aortic aneurysm
rupture ectopic pregnancy
Underweight body mass index below 18%
Healthy body mass index 18.5-24%
Overweight body mass index 25-30%
Obese body mass index 31% and up
Amylase digests starches
Lipase digests lipids (fats)
Protease digests proteins
Ribonuclease digests nucleic acids
Esomeprazole (Nexium)
Antacids Lansoprazole (Prevacid)
Pantoprazole sodium (Protonix)
Anthelmintic Mebendazole (Vermox)
Amoxicillin (Amoxil)
Antibiotics Ciprofloxacin (Cipro)
Levofloxacin (Levaquin)
Metformin (Glucaphage)
Antidiabetic
Glipizide (Glucotrol)
, Antidiarrheal Bismuth subsalicylate (Pepto-Bismol)
Patients taking bismuth subsalicylate
(pepto-bismol) can present with what black tongue (coating/fur)
sign?
right hypochondriac
epigastric
left hypochondriac
right lumbar
9 sections of abdomen umbilical
left lumbar
right iliac
hypogastric
left iliac
Small Intestine absorbs nutrients primarily
Large Intestine reabsorption of water and electrolytes
Liver absorbs Vitamin A & D, Vitamin B12, Iron
absorbs some trace minerals and elec-
Mouth
trolytes
Lactase digests milk sugars
Glucoamylase digests malt sugars
Nucleotides & Phosphatases digests nucleotides
Pepsin digests proteins
Pancreatic Amylase maltose, maltotriose, alpha dextrins
Trypsin peptides
Lysozyme kill bacteria
pH of 6.5-7.5
Saliva
moistens and lubricates
pH of 7.5-8.8
Bile
digestion of lipids
Ren Shen (contraindicated) antidiabetic
Milk Thistle (contraindicated) antidiabetic
Da Huang (contraindicated) antidiarrheal