Exam (elaborations)
CMN 568 - Unit 4: Questions With Solutions (100%)
- Course
- Institution
CMN 568 - Unit 4: Questions With Solutions (100%)
[Show more]
Content preview
CMN 568 - Unit 4: Questions With Solutions (100%)Acute onset of severe pain and vomiting suggests what? Right Ans - +
Peritoneal irritation
+ Acute gastric or intestinal obstruction
+ Pancreaticobiliary disease
(McPhee p 588)
Persistent vomiting suggests what? Right Ans - + Pregnancy
+ Gastric outlet obstruction
+ Gastroparesis
+ Intestinal dysmotility
+ Psychogenic disorders
+ CNS or systemic disorders
(McPhee p 589)
Vomiting in the morning suggests what? Right Ans - + Pregnancy
+ Uremia
+ ETOH intake
+ ↑ ICP
Vomiting after meals suggests what? Right Ans - + Bulimia
+ Peptic ulcer disease
+ Other psychogenic causes
(McPhee p 589, Shimp p 373)
Vomiting of undigested food 1-2 hours after a meal suggests what? Right
Ans - + Gastroparesis
+ Small bowel obstruction
+ Gastric outlet obstruction
NOTE: Sucussion splash often heard on auscultation
(McPhee p 589, Shimp p 373)
,4 causes of nausea and vomiting Right Ans - 1) Visceral afferent
stimulation (seratonin receptors)
2) Vestibular disorders (fibers ↑ in histamine and muscarinic receptors)
3) CNS disorders
4) Irritation of chemoreceptor trigger zone
(McPhee Table 15.1)
Ways to stimulate the chemoreceptor trigger zone and cause vomiting
Right Ans - 1) Chemo
2) Medications and drugs
3) Radiation therapy
4) Systemic disorders
CNS disorders that can cause vomiting Right Ans - 1) Migraine
2) ↑ ICP
3) Infections (e.g. meningitis, encephalitis)
4) Psychogenic
Vestibular disorders that can cause vomiting Right Ans - Labyrinthitis,
Meniere syndrome, motion sickness
Define RETCHING Right Ans - Strong, spasmodic, involuntary effort to
vomit without bringing up emesis.
(McPhee and Shimp)
Define REGURGITATION Right Ans - Effortless return of gas or small
amounts of food from stomach (McPhee and Shimp)
Common causes of vomiting in infants Right Ans - 1) Any acute illness (esp
gastroenteritis)
2) Hypertrophic pyloric stenosis (2 - 8 weeks of life, may feel an "olive" in
epigastric area after feeding)
3) Intussisception (6 - 18 months of life, sausage-shaped mass and "currant
jelly" stools)
4) Regurgitation ("spitting up") -- usually normal and usually resolves by 6 -
12 months.
, (Shimp)
Medications associated with N/V Right Ans - + Antidepressants
--SSRIs
--venlafaxine
+ Cardiac meds
--antiarrhythmics
--anti-HTN meds (diuretics, beta blockers, CCBs)
-- ↓ CHO meds (statins, gemfibrozil, niacin)
-- Digoxin
+ Chemotherapy agents
+ GI meds
--sulfasalazine (for tx of UC)
--azathioprine (tx of Crohns or UC)
+ Meds to treat infectious diseases
-- Acyclovir
-- Anti-fungals
-- ABX
-- UTI meds
-- TB meds
+ Pain meds
-- Anti-gout meds
-- Aspirin
-- NSAIDs
-- Opioids
+ Others
-- Lithium
-- Metformin
-- BC pills
-- Quinidine
(Shimp Table 46-2)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now