8.22 Symptom Investigation 5 (Red Flags) Flashcards
(18 cards)
What are the red flags for t-spine and ribs that primary affect the abdominal contents?
- cholecystitis
- peptic ulcer
- pyelonephritis
- kidney stones
Cholecystitis is inflammation of
gall bladder
What is colicky pain?
on and off
Where does colicky pain from cholecystitis usually occur and/or refer to?
- RUQ, usu in an organ or smooth muscle
- R scapular pain
Cholecystitis worsens with
ingestion of fatty foods
rest and cholecystitis
no change with activity/rest
Peptic ulcer: pain
dull, gnawing pain and burning in
- epigastrium
- mid-back
- supraclavicualar region
peptic ulcers produce TTP here
R epigastrium
symptoms other than pain with peptic ulcers
- constipation
- bleeding
- vomiting
Symptoms of peptic ulcers are relieved with
food
risk factors for pyelonephritis
- UTI
- enlarged prostate
- hx of kidney stones
What is the medical term for kidney stones?
nephrolithiasis
s/s of kidney stones
- sudden, severe back or flank pain
- chills, fever, nausea
- renal colic
- symptoms of UTI
- hx of kidney stones
Something that should cue you in that it may be visceral is if:
the pt’s musculoskeletal complaints change with ingestion of food
Common causes of abdominal pain: RUQ
- duodenal ulcer
- hepatitis
- hepatomegaly
- lower lobe pneumonia
- cholecystitis (gall bladder)
Common causes of abdominal pain: LUQ
- ruptured spleen
- gastric ulcer
- aortic aneurysm
- perforated colon
- lower lobe pneumonia
Common causes of abdominal pain: RLQ
- appendicitis
- infection of uterine linine
- ovarian cyst
- ruptured ectopic pregnancy
- renal/ureteral stone
- strangulated hernia
- diverticulitis
- regional ileitis
- perforated cecum
Common causes of abdominal pain: LLQ
- sigmoid diverticulitis
- infection of uterine lining
- ovarian cyst
- ovarian abcess
- renal/ureteral stone
- strangulated hernia
- diverticulitis
- regional ileitis
- ulcerative colitis
