03.09 Abdominal Pain in Adults Flashcards Preview

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Flashcards in 03.09 Abdominal Pain in Adults Deck (27)
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1

Types of pain

Somatic
Visceral
Referred

2

Site of disturbance located at the gallbladder, stomach or first or second portion of the duodenum

Epigastric pain

3

Pain in the appendix or cecal area

Periumbilical

4

Pain in the left side of the colon

Hypogastric

5

Symptoms associated with abdominal pain

Fever
Inability to keep food down for more than 2 days
Any signs of dehydration
Inability to pass stool especially if you are vomiting
Painful or unusually frequent urination
Abdomen is tender to touch
Result of an injury to the abdomen
Lasts for more than a few hours

6

General causes of acute abdominal pain

Inflammatory
Mechanical
Neoplastic
Vascular
Congenital
Traumatic

7

Inflammatory causes of acute abdominal pain

Bacterial
Chemical

8

Mechanical causes of acute abdominal pain

Incarcerated hernia (inguinal, diaphragmatic, umbilical)
Postoperative adhesions
Carcinoma

9

Traumatic causes of acute abdominal pain

Penetrating abdominal injuries
Blunt abdominal injuries

10

Conditions that require immediate medical care

Bloody vomitus
Bloody or black tarry tools
Difficulty in breathing
Pain occurring during pregnancy

11

Most confirmed cause of abdominal pain <50 y/o

Nonspecific abdominal pain
Appendicitis

12

Most confirmed cause of abdominal pain >50 y/o

Cholecystitis

13

Type of onset

Gradual
Sudden

14

Quality

Dull
Sharp
Tearing

15

Intensity

Mild
Moderate
Severe

16

Temporal features

Colicky
Pulsatile
Continuous

17

Laboratory tests

CBC
Urinalysis
Pregnancy Test

18

Likely to deceive as to inform
Often normal in patients with appendicitis
Often elevated in patients with AGE/nonspecific abdominal pain, menstruation

CBC (white blood cell count)

19

Fairly sensitive to UTI in adults: WBC > 10/hpf

Urinalysis

20

20-30% in urinalysis positive in ___

Appendicitis

21

30-87% hematuria in urinalysis in _____

Ruptured aortic aneurysm

22

Negative pregnancy test rules out

Ectopic pregnancy

23

Air on the px's right diaphragm
Air in the bowel

Pneumoperitoneum

24

Air on the left side indicates ____

Gastric bubble (Magenblase)

25

Potentially immediately life-threatening

Cardiac myocardial infarction
Intraabdominal (splenic rupture or hemorrhagic pancreatitis)
Pelvic (ectopic pregnancy)
Vascular (pulsatile masses)
Intraabdominal (splenic rupture, hemorrhagic pancreatitis)

26

Potentially life-threatening within hours

Intraabdominal inflammatory conditions (acute appendicitis, acute cholecystitis, pancreatitis, AGE)
Allergic reactions or toxic conditions
Obstructive (malignancy, post-op adhesions)
Renal (uremic syndrome)
Cardio (congestion)
Hematologic (splenomegaly)
Infectious (AGE)
Metabolic or Toxic (electrolyte problems or poisoning)

27

Assessment and management

Primary survey
Oxygenate
Vital signs
History and PE
ECG
Analgesics
NPO
Refer