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Flashcards in 8 - abdo pain Deck (17)
1

2 main factors modifying diagnosis of abdo pain

gender and age

2

8 life threatening causes of abdo pain

1. ischemic bowel
2. AAA
3. hepatic or splenic injury
4. perf
5. acute pancreatitis
6. obstruction
7. ectopic preg
8. MI

3

2 general locations of abdo pain

1. intra-abdo
2. extra-abdo

4

3 intra-abdo causes

1. peritoneal inflammation
- aseptic or bacterail
2. obstruction of hollow viscus
- intestine or biliary tree
3. vascular disorders
- bowel
- AAA

5

5 extra-abdo causes

1. abdo wall
- usually trauma
2. pelvic
- ectopic
- salpingitis
- cyst
3. intrathoracic
- MI
- pneumo
- esophageal
4. metabolic
- DKA
- sickle cell crisis
5. neurogenic
- pre-eruptic zoster
- spinal disk

6

locations and Dx

LLQ - diverticulitis
RLQ - append
RUQ - cholelitiasis, cholecycstitis
epigastric, periumbilical - pancreatitis

7

Lab tests to do

1. CBC - look for WBCs
2. urinalysis - hematuria
3. amylase/lipase
4. bHCG
5. others

8

3 uses of standard XR

1. air
2. foreign bodies
3. gas pattern

9

uses of US

- AAA
- bilary tract disease
- renal
- women of childbearing age
- ascites

10

uses of CT

- trauma
- AAA
- pancreatitis
- urolitiathis
- diverticulitis
- appendicitis

11

general steps to mgmt

1. nothing
2. IV fluids
3. NG tube
4. analgesia
5. ABx
6. antiemetics

12

mgmt of cholecystitis

- ALP, AST, bili, US
- ABx and anagesia

13

mgmt of diverticulitis

- CT
- surg consult
- Abx, anal

14

mgmt pancreatitis

- amylase, ALP, bili, AST, Ca, O2 sat
- CT
- CXR
- surg consult

15

mgmt perf viscus

- CXR
- NG suciton
- OR

16

mgmt AAA

- 2 large bore IV
- STAT crossmatch
STAT surg

17

3 most common causes of surgical abdo in elderly

1. cholecystitis
2. bowel obstuction
3. appendicitis