Abd & GI Flashcards
Somatic Pain
Well localized & often described as sharp
Left shoulder referred pain
-Diaphram irritation (blood or air from rupture of other abdominal structures such as ovaries)
-Ruptured spleen
-Myocardial infarction
Visceral Pain
Described as:
-Heaviness
-Pressure
-Aching or burning (not easy to pinpoint)
-Radiates to other areas & may be accompanied by symptoms
Right shoulder referred pain
-Liver irritation
-Gallbladder pain
-Diaphragm irritation
Right scapular referred pain
Liver & gallbladder
Epigastric referred pain
-Stomach
-Lung
-Cardiac
Umbilical referred pain
-Small intestine
-Appendix
Back referred pain
-Aorta
-Stomach
-Pancreas
Flanks to groin referred pain
-Kidneys
-Ureter
Perineal referred pain
Bladder
Suprapubic referred pain
-Bladder
-Colon
Pain when raising a straight leg against resistance
Psoas sign
May indicate:
-Appendicitis
-Right-side AAA
Pain when dropping from tippy-toes to heels w/ a jarring landing
Markle Sign
May indicate:
-Localized peritonitis due to acute appendicitis
Tenderness midway between the anterior-superior iliac spine & the umbilicus
McBurney sign
May indicate:
Acute appendicitis
Pain in LLQ when palpated
Rovsing sign
May indicate:
-Appendicitis
Referred Pain
Aaron sign
Pain in chest or epigastrium when Mcburney point is palpated
May indicate:
-Appendicitis
Pain w/ flexed hip rotation
Obturator sign
May indicate:
-Appendicitis
Periumbilical blue discoloration
Cullen’s Sign
May indicate:
-Retroperitoneal hemorrhage
-Pancreatic Hemorrhage
-Ectopic Pregnancy
-Ruptured Spleen
-Ruptured common Bile duct
-Perforated duodenal ulcer
-AAA rupture
Blue discoloration of flanks
Grey Turner Sign
May indicate:
-Retroperitoneal hemorrhage
-Pancreatic Hemorrhage
-AAA rupture
Severe left shoulder pain
Kerh Sign
May indicate:
-Splenic rupture
-Ectopic pregnancy rupture
Cessation of inspiration during examination of RUQ
Murphy’s Sign
May indicate:
-Acute cholecystitis
Acute Gastroenteritis
(Stomach Flu)
Abrupt & violent in onset
caused by:
-viruses (norovirus, shigella, salmonella)
-Bacteria
-Parasites
-Toxins or chemicals
-Allergies, lactose intolerance, immune disorders
-Diarrhea
-Nausea and vomiting
-Loss of appetite
-Abdominal pain & cramping
-Fever
-Chills
-Fatigue
-Body aches
Chronic Gastroenteritis
-Epigastric pain & tenderness
-Nausea & vomiting (may be severe)
-Fever
-Anorexia
-Mucosal bleeding
-May lead to hypovolemia
Ulcerative Colitis
Type of IBF affecting the large intestine; Characterized by ulceration of the mucosa of the intestine (usually rectum & lower part of colon, but sometimes entire colon)
Abdominal pain
Chronic Fatigue
Fever
Weight-loss
Anorexia
Bloody diarrhea w/ or w/out mucus