18 Gastrointestinal and Urologic Emergencies

Question 1

Localization of pain for Appendicitis

Answer 1

direct: RLQ
referred: around naval
additional: rebound TTP

Question 2

Localization of pain for Cholecystitis

Answer 2

direct: RUQ
referred: right shoulder

Question 3

Localization of pain for Ulcer

Answer 3

epigastric and umbilical

Question 4

Localization of pain for Diverticulitis

Answer 4

LLQ

Question 5

Localization of pain for AAA

Answer 5

across lower quadrants and low back

Question 6

Localization of pain for Cystitis

Answer 6

suprapubic and umbilical

Question 7

Localization of pain for Kidney infection

Answer 7

costovertebral angle

Question 8

Localization of pain for Kidney stone

Answer 8

bilateral flanks radiating to genitalia

Question 9

Localization of pain for Pancreatitis

Answer 9

RUQ, LUQ, back

Question 10

Localization of pain for Pneumonia

Answer 10

referred: epigastric

Question 11

Localization of pain for Hernia

Answer 11

anywhere in abdomen

Question 12

Localization of pain for Peritonitis

Answer 12

anywhere in abdomen

Question 13

cystitis

Answer 13

inflammation of bladder

Question 14

GERD

Answer 14

gastroesophageal reflux disease, where sphincter between esophagus and stomach opens allowing stomach acid to move up into esophagus

Question 15

ileus

Answer 15

paralysis of bowel

Question 16

melena

Answer 16

black, foul smelling, tarry stool containing digested blood

Question 17

uremia

Answer 17

severe kidney failure resulting in buildup of waste products within the blood