NSG 6001 ANP Midterm Study Guide _ 2020 – South University Savannah | NSG6001 ANP Midterm Study Guide _ 2020

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NSG 6001 ANP Midterm Study Guide _ 2020 – South University Savannah 1. What is Healthy People 2010/2020 and why is it important 2. Adolescent care     3. Acute abdomen differential ... diagnosis   PAIN LOCATION POSSIBLE DIAGNOSES Right upper quadrant Biliary: cholecystitis, cholelithiasis, cholangitis   Colonic: colitis, diverticulitis   Hepatic: abscess, hepatitis, mass   Pulmonary: pneumonia, embolus   Renal: nephrolithiasis, pyelonephritis Epigastric Biliary: cholecystitis, cholelithiasis, cholangitis   Cardiac: myocardial infarction, pericarditis   Gastric: esophagitis, gastritis, peptic ulcer   Pancreatic: mass, pancreatitis   Vascular: aortic dissection, mesenteric ischemia Left upper quadrant Cardiac: angina, myocardial infarction, pericarditis   Gastric: esophagitis, gastritis, peptic ulcer   Pancreatic: mass, pancreatitis   Renal: nephrolithiasis, pyelonephritis   Vascular: aortic dissection, mesenteric ischemia Periumbilical Colonic: early appendicitis   Gastric: esophagitis, gastritis, peptic ulcer, small-bowel mass or obstruction   Vascular: aortic dissection, mesenteric ischemia Right lower quadrant Colonic: appendicitis, colitis, diverticulitis, IBD, IBS   Gynecologic: ectopic pregnancy, fibroids, ovarian mass, torsion, PID   Renal: nephrolithiasis, pyelonephritis Suprapubic Colonic: appendicitis, colitis, diverticulitis, IBD, IBS   Gynecologic: ectopic pregnancy, fibroids, ovarian mass, torsion, PID   Renal: cystitis, nephrolithiasis, pyelonephritis Left lower quadrant Colonic: colitis, diverticulitis, IBD, IBS   Gynecologic: ectopic pregnancy, fibroids, ovarian mass, torsion, PID   Renal: nephrolithiasis, pyelonephritis Any location Abdominal wall: herpes zoster, muscle strain, hernia   Other: bowel obstruction, mesenteric ischemia, peritonitis, narcotic withdrawal, sickle cell crisis, porphyria, IBD, heavy metal poisoning IBD = inflammatory bowel disease; IBS = irritable bowel syndrome; PID = pelvic inflammatory disease. - - - - - - - - - - - - - - - - - - - - o H.Pylori eradication ▪ Triple therapy, 1 day quadruple therapy, 2 weeks therapy, 10 day sequential therapy-superior • Referral to GI   8. S/S appendicitis/cholecystitis/diverticulitis/obturator/psoas/mcburney   Appendicitis • Presentation o Sequence of symptoms is most reliable o Pain starts in epigastric or periumbilical area o Migrates to RLQ (at McBurneys point), with rigidity, pain is usually shorter and more acute o Anorexia, nausea& vomiting, constipation, with low grade fever +/- rarely diarrhea  • H & P  o Careful history detailing sequence of symptoms and physical ( listen to abdomen before palpation) [Show More]

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