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Flashcards in abd pain Deck (20)
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1

First thing you should do for pt c/o abd pain?

Is it emergent or not? Acuity!! ABC's

2

These 3 broad categories of abdominal pain necessitate admission

1) peritoneal irritation
2) obstruction
3) acute vascular compromise

3

This type of abd pain is dull, aching, diffuse, and vague. It is a/w what type of pain fibers?

visceral--C type, slow conduction

4

This type of abd pain is focal and intense. It is a/w what type of pain fibers?

parietal, A and C

5

Where does the pain from cholecystitis often refer to?

right shoulder

6

Post prandial abdominal pain. Create a DDx of 3 potential problems

1) Mesenteric ischemia
2) GERD
3) cholecystitis

7

The abd aorta should be < ____cm.

3cm
(considered an aneurysm >5 cm)

8

You have a fever, LLQ pain, and constipation. What is the most likely dx?

diverticulitis

9

What nerve in the gut is most likely to cause pain?

Irritated pancreas presses on the splanchnic nerves

10

What's the best imaging to use first for abd pain pts?

KUB

11

What imaging do you use if you suspect a biliary problem?

US

12

When might you order an endoscopy?

PUD, Cancer

13

Acute pain over appendix when pushes on the __________

McBurney's point

14

Sign indicative of acute cholecystitis

Murphy's sign

15

Pain at appendix when you push on the LLQ

Rosving's sign

16

Pain with manipulation of cervix in setting of PID

chandelier sign

17

Left shoulder pain with splenic/ectopic rupture

Kehr's sign

18

bluish periumbilical discoloration a/w AAA rupture or other hemorrhage

Cullen's sign

19

Is you patient laying perfectly still trying not to aggravate pain? What are you thinking?

peritonitis

20

Is your patient rolling around in agony? What are you thinking?

intestinal/biliary/renal colic