| A | B |
|---|
| Rebound tenderness | Positive in peritoneal irriation, pancreatitis, appendicitis |
| Clay colored bowel | No bile going through |
| Foamy bowel | Undigested; malabsorption; fat |
| GI bruising and bleeding | Hepatic failure, calcium or vit K deficient |
| Hepatitc Toxins | Alcohol, Tylenol, ASA, Arsenic, Dilantin, Amantia |
| Adhesions | From surgery; A cause of obstuction, fibrous growth |
| Abdomen waves on palpation | Liver dysfunction, severe CHF, ascites |
| Absent bowel sounds | No bowel sounds for 5 minutes |
| Pre-op GI diagnostics | Laxatives, enemas, NPO, clear liquid diet |
| Post-op GI diagnostics | Fluid balance, waste barium, laxatives |
| ERCP complications | Panceratitis, infection, bleeding, perforation |
| Endoscopic retrograde cholangiopancreatography | Visualize stones, occlusions, leaks, cancer in bile ducts |
| ERCP Post procedure | LOC, gag reflex, monitor for complications |
| HIDA Scan-Cholescintigraphy | Pts w/ symptoms of gallbladder disease w/o evidence of stones |
| HIDA Prep | NPO 4 hours prior |
| HIDA Exam | Lie still under nuclear medicine camera; 2 hours |
| Upper Endoscopy Complications | Sedation, quit breathing, perforation, peritonitis |
| Upper Endoscopy Pre-exm | Surgery care, NPO, consent, pre-exam meds |
| Upper Endoscopy Post-exam | Gag reflex, LOC, bleeding, distension, ridgid abdomin |
| Lower Endoscopy Pre-exam | Enemas, consent, NPO, Go-lytely |
| Lower Endoscopy Post-exam | Tenesmus, bleeding, distension, rigid abdomen, fever, pain |
| Gastric Analysis | NG collects gastric contents q15 min for 1hr |
| Zollinger-Ellison | Tumor of pancreas increase gastrin production |
| Fecal Exam | 15cc, nonsterile cup |
| Occult blood, guaiac | Checks for blood in the stool |
| Blue | Positive for hemoglobin/blood |
| False positive Guaiac | Iodine solution, meats, leafy green, iron supplements |
| Diagnostics - Rotovirus | Keep on ice |
| Diagnostics - Parasites | Preservative, keep warm, no sterile cup needed |
| Diagnostics - Fecal Fat | > 15cc, +=>9g/100g, malabsorption |
| Diagnostics - Liver biopsy POST | Lie on Right side flat |
| Bilirubin | Product of hemoglobin metabolism |
| Elevated bilirubin | Blockage of bile or inability of liver to conjugate |
| Bilirubin - Unconjugated | Liver overwhelmed, liver dysfunction |
| Elevated PT | Liver dysfunction and Vitamin K deficiency |
| Serum Amylase, Lipase | Diagnose pancreatitis |
| Check for liver cellular damage | SGPT/ALT, SGOT/AST, LDH, bilirubin |
| Air in abdomen | Bad = perforation |
| Air in intestines | Good = gas |
