Visceral Evaluation
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 10 May 2023
⏱️ 15 minutes
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Summary
Kaida patient presents with severe epigastric pain that radiates to her back, accompanied by nausea and vomiting. She reports a history of heavy alcohol use and a recent episode of gallbladder stones. Upon examination, there is tenderness in the upper abdomen and elevated serum lipase levels. What is the MOST likely diagnosis? A. Pancreatitis B. Gastritis C. Peptic ulcer disease D. Gastroesophageal reflux disease (GERD)
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to change |
| 0:28.2 | lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:56.3 | For this week's clinical file, |
| 1:02.6 | we have Kada, and Kada presents with severe epigastric pain that radiates to her back, |
| 1:10.0 | accompanied by nausea and vomiting. She reports a history of heavy alcohol use and a recent episode of gallbladder stones. Upon examination, there is |
| 1:13.8 | tenderness in the upper abdomen and elevated serum lipase levels. What is the most likely diagnosis? |
| 1:21.8 | So we have A, pancreatitis, B, gastritis, C, peptic ulcer disease, and D is gastroesophageal reflux disease, also known as |
| 1:33.6 | GERD. All right, let's go up to the top of this question. I love eval questions. You get to |
| 1:39.2 | break it down. You get to look for the exact like examination findings that they give you and then figure out what's going on. |
| 1:46.5 | So for those of you who have lower scores and e-vow, definitely pay attention to this episode because you can easily get an other system's question where they're really giving you information and you have to figure out what's going on, all right? |
| 2:00.1 | So let's take a look at this one. |
| 2:02.1 | It says, Kada presents with severe epigastric pain that radiates to her back. Very important |
| 2:09.3 | detail, okay? Because not all visceral pathologies cause severe epigastric pain. So thinking about that, but also, wait, wait, it says, and radiates to her back. |
| 2:22.6 | And again, not all visceral pathologies have severe epigastric pain and radiate to the back. |
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