Abd & GI Flashcards

1
Q

Somatic Pain

A

Well localized & often described as sharp

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2
Q

Left shoulder referred pain

A

-Diaphram irritation (blood or air from rupture of other abdominal structures such as ovaries)
-Ruptured spleen
-Myocardial infarction

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2
Q

Visceral Pain

A

Described as:
-Heaviness
-Pressure
-Aching or burning (not easy to pinpoint)
-Radiates to other areas & may be accompanied by symptoms

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3
Q

Right shoulder referred pain

A

-Liver irritation
-Gallbladder pain
-Diaphragm irritation

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4
Q

Right scapular referred pain

A

Liver & gallbladder

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5
Q

Epigastric referred pain

A

-Stomach
-Lung
-Cardiac

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6
Q

Umbilical referred pain

A

-Small intestine
-Appendix

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7
Q

Back referred pain

A

-Aorta
-Stomach
-Pancreas

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8
Q

Flanks to groin referred pain

A

-Kidneys
-Ureter

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9
Q

Perineal referred pain

A

Bladder

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10
Q

Suprapubic referred pain

A

-Bladder
-Colon

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11
Q

Pain when raising a straight leg against resistance

A

Psoas sign

May indicate:
-Appendicitis
-Right-side AAA

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12
Q

Pain when dropping from tippy-toes to heels w/ a jarring landing

A

Markle Sign

May indicate:
-Localized peritonitis due to acute appendicitis

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13
Q

Tenderness midway between the anterior-superior iliac spine & the umbilicus

A

McBurney sign

May indicate:
Acute appendicitis

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14
Q

Pain in LLQ when palpated

A

Rovsing sign

May indicate:
-Appendicitis

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15
Q

Referred Pain

A

Aaron sign

Pain in chest or epigastrium when Mcburney point is palpated

May indicate:
-Appendicitis

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16
Q

Pain w/ flexed hip rotation

A

Obturator sign

May indicate:
-Appendicitis

17
Q

Periumbilical blue discoloration

A

Cullen’s Sign

May indicate:
-Retroperitoneal hemorrhage
-Pancreatic Hemorrhage
-Ectopic Pregnancy
-Ruptured Spleen
-Ruptured common Bile duct
-Perforated duodenal ulcer
-AAA rupture

18
Q

Blue discoloration of flanks

A

Grey Turner Sign

May indicate:
-Retroperitoneal hemorrhage
-Pancreatic Hemorrhage
-AAA rupture

19
Q

Severe left shoulder pain

A

Kerh Sign

May indicate:
-Splenic rupture
-Ectopic pregnancy rupture

20
Q

Cessation of inspiration during examination of RUQ

A

Murphy’s Sign

May indicate:
-Acute cholecystitis

21
Q

Acute Gastroenteritis

(Stomach Flu)

A

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

22
Q

Chronic Gastroenteritis

A

-Epigastric pain & tenderness
-Nausea & vomiting (may be severe)
-Fever
-Anorexia
-Mucosal bleeding
-May lead to hypovolemia

23
Q

Ulcerative Colitis

A

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

24
Crohn disease
A chronic IBF that usually affects the ileum or colon (or both), but may occur anywhere in the GI tract from mouth to anus; Autoimmune & hereditary in origin **Abdominal pain Chronic Fatigue Fever Weight-loss Anorexia Bloody diarrhea w/ or w/out mucus Happens in frequent attacks May cause depression due to pain & relentless inconvenience**
25
Diverticulitis
Outpouching (due to hypertension) in the colon becomes obstructed w/ fecal matter **Massive bright red rectal bleeding Dark stools if bleeding is from a diverticulum in the right colon 🩸💩 Irregular bowel habits (alternating constipation & diarrhea) Cramping & Bloating LLQ Pain & Tenderness Fever Nausea & Vomiting🤮**
26
Appendicitis
Condition in which the appendix becomes inflamed, swollen, or infected due to fecal matter obstruction or viral/bacterial infection **Guarding tenderness Psoas & obturator signs Nausea and vomiting Loss of appetite Low-grade fever Aaron, Rovsing, Markle, & McBurney signs Constipation or diarrhea Abdominal bloating**
27
Peptic Ulcer Disease
infection due to either bacterium Helicobacter pylori (H. pylori) or long-term use of (NSAIDs) **Discomfort or Pain (could radiate to the back) Pain aggravated by meals= Gastric ulcers Pain relieved by meals = Duodenal ulcers Burning Heartburn or acid reflux🔥 Intolerance to fatty foods Feeling of fullness, bloating or belching Nausea & Vomiting/Blood (Coffee Grounds) Loss of Appetite or Weightloss** **Dark Blood in Stool**
28
Bowel obstruction
Occlusion of the intestinal lumen that results in blockage of normal flow of intestinal contents due to: -Hernia -Fecal impaction -Polyps -Tumor **Severe abdominal pain Abdominal distension Severe cramping Feelings of fullness or swelling in your belly Loud sounds from your belly; Gassy Constipation Nausea and vomiting** *The most serious danger is perforation of the bowel, which may lead to generalized peritonitis and sepsis
29
Pancreatitis
Occurs when the pancreas becomes inflamed, releasing pancreatic enzymes into the blood, the pancreatic duct, and the pancreas itself -Epigastric tenderness -Abdominal tenderness & distension -Nausea & vomiting -Grey turner & Cullen signs (2-3 days after) *Severe Cases: -Fever -Tachycardia -Generalized sepsis and shock.
31
Esophageal Varives
Enlarged or swollen tortuous veins (at the end of esophagus) caused by portable hypertension due to cirrhosis **Bright red hematemesis Melena or bloody stools Signs of shock**
32
Hemorrhoids
Swollen, distended veins inside the anus or under the skin around the anus **Slight bleeding (blood in toilet paper)**
33
Cholescystitis
Inflammation of the gallbladder Risk factors include: -Female -Oral contraceptive use -Older age -Obesity -Diabetes mellitus -Chronic alcohol ingestion ***-Nausea & vomiting that may be bile stained -Murphy's sign***
34
Acute Hepatitis
Inflammation of the liver Sudden onset of: **Jaundice Dark urine Dull right upper quadrant pain Malaise/Weakness Anorexia Intermittent nausea and 🤮 **
35
Hereditary hemochromatosis
Body absorbs and stores too much iron, which accumulates in organs such as the liver, heart, and pancreas -Joint pain -Fatigue -Abdominal pain -Decreased libido -Heart problems
36
Peritonitis
****Inflammation of the peritoneum that is often caused by an infection from a hole in the bowel or a burst appendix **Severe pain & distension Extreme thirst & Low urine output Fatigue Diarrhea Fever Severe Constipation & Bloating Inability to pass gas Nausea & Vomiting**
37
-Acute onset of "tearing/ripping" unrelieved Abdominal, Flank or Back pain, may radiate downward -Unexplained hypotension/syncope/Sock -Absent distal pulses -Unequal BP readings on arms -Urge to poop -Pulsatile, tender mass (above umbilicus, left or midline) -Cullen & Grey Turner Sign HX: -HTN -Trauma
Dissecting Aortic Aneurism
38
-RUQ Pain/Tenderness/Rigidity -Generalized ABD Pain -Right Shoulder Pain (referred) -Cullen & Grey Turner Sign -Nausea/Vomiting -ALOC -Shock HX: -Steering Wheel or Lap Belt -Contact Sport -Fall
Liver Trauma Often injured by trauma to the 8th through 12th ribs on the right side of the body and to the upper central part of the abdomen
39
-Pain/Tenderness/Rigidity in LUQ -Generalized ABD Pain -Left Shoulder Pain (referred) -Cullen & Grey Turner Sign -ALOC -Shock HX: -MVA -Trauma
Spleen Trauma
40
-Flank Pain/Lower Back/Abd Pain -Abd Tenderness -Fatigue/Drowsiness/ALOC -Decreased Urine Output/Hematuria -Chest Pain & SOB -Edema -Decreased appetite & Nausea/Vomiting -Shock HX: -Trauma
Kidney (Renal) Trauma