Luther College
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GI/Nutritional (50%) 
1) Abdominal Pain 
RUQ Epigastric LUQ Periumbilical RLQ Suprapubic LLQ 
Colonic Colitis, 
Diverticulitis 
Early 
appendicitis 
Appendicitis, 
colitis, 
diverticulitis, 
IBD, IBS 
Appendicitis, 
colitis, 
diverticulitis, 
IBD, IBS 
Colitis, 
diverticulitis, 
IBD, IBS 
Biliary Cholecystitis, 
cholelithiasis, 
cholangitis 
Cholecystitis, 
cholelithiasis, 
cholangitis 
Hepatic Abscess, 
hepatitis, mass 
Pulm PNA, embolus 
Cardiac MI, 
pericarditis 
Angina, MI, 
pericarditis 
Va...
GTPAL 
o Gravida 
o Term 
o Preterm 
o Abortion 
o Living 
Normal Physiology 
 Phase 1 – Follicular phase [proliferative phase] Days 1-14 
o ESTROGEN predominates 
 Endometrium thickens = proliferation 
 GnRH FSH & LH 
o Ovaries 
 FSH = follicle stimulating hormone follicle & egg maturation 
 LH = stimulates follicle to produce estrogen 
o ESTROGEN Causes NEGATIVE FEEDBACK to HPO system Stops new follicles from maturing 
 OVULATION Days 12-14 
...
1) Bipolar I Disorder 
a. RF: FHx/1st-degree relative is strongest RF, men = women 
b. 1% of population, avg age of onset is 20s-30s, new onset is rare after 50 yrs 
c. The earlier the onset, the greater likelihood of psychotic features & the poorer the prognosis 
d. Diagnostic Criteria: 
i. At least 1 manic or mixed episode (only requirement) – manic episodes often cycle 
with occasional depressive episodes but major depressive episodes are not required 
for the dx 
ii. Mania = abnormal & per...