Tummy Ache Board Game

PLAYERS

Hepatic Heroes

Cool-ecystitis

START

FINISH

1

3

5

2

4

16

13

14

12

19

21

11

7

23

18

25

10

9

8

24

15

17

20

22

6

Choose a token, roll the dice and try to reach the goal before anyone else. Good luck!

answer questions to save the penguin

Tummy acheBOARD GAME

List 3 potential complications from a cholecystectomy. Bonus: what types of cancer are people at an increased risk for as a result of loss of the gallbladder?

recall

What problem does this clinical scenario best represent? What is your differential?

Practice problem

What is the most likely diagnosis? What would you prescribe the patient for their pain?

practice

In suspected calculous cholecystitis, why do you not give CCK when performing a HIDA scan?

question

What labs support acute pancreatitis from gall stones?

question

Talk through top 2-3 differentials and discuss why one is more likely than the other

differential diagnosis?

A. Hepatocellular carcinomaB. Gallbladder perforationC. Gallbladder adenocarcinoma

Which of the following is most likely?

what does this show?

What is responsible for the majority of causes of acute pancreatitis?

Recall

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Given just these lab values, what is the most likely problem this patient has? Can you localize it?

Practice question

After reading the presenting situation, what are your differential diagnoses? Can you tell where the problem is located?

practice

What TWO things do you want to immediately do in the treatment of acute cholangitis?

What do you do?

What lab value would indicate a poorer prognosis? (amboss q)

what is the diagnosis?

What complications can arise from cholecystitis? What cancer are people at an increased risk for from cholecystitis?

recall

What is on your differential? How would these show up on labs? What do each set of lab values best represent?

practice

What is the classic "Charcot triad" presentation?

Among the more common unwanted effects of X use is constipation because it stimulates mu-opioid receptors on the myenteric plexus inhibiting gastric emptying and reducing peristalsis. This drug also has affinity for delta and kappa receptors.

NAme the drug(s)

List at least 2 potential complications

Risks of ERCP?

How does a history of gallstones contribute to acute cholangitis?

Question

Drug A inhibits penicillin binding proteins (PBPs) which prevent the synthesis of peptidoglycan for the pathogen cell wall. Drug B inhibits beta lactamases preventing the inactivation of Drug A.

Name the Drug(S)

Recall with the group how pigment stones (brown and black) are formed and what they are associated with.

Pathogenesis

This drug binds mu receptors but also exerts effects at the medulla level leading to respiratory depression and cough suppression.

Name the drug

Typical Microbes in cholangitis?

Do your best to explain the key differences and indications for the two.

Compare and contrast

Review with the group how cholesterol stones are formed and what factors contribute to their formation

Pathogenesis

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