Abdo pain Flashcards

(41 cards)

1
Q

What might cause RUQ?

A
Hepatitis
Gallstones/Biliary colic
Acute cholecystitis
Acute cholangitis
Duodenal Ulcer
Right basal pneumonia
Appendicitis
Pyelonephritis
Congestive hepatomegaly
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2
Q

Causes of hepatitis

A

Viral
Autoimmune
Alcoholic

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3
Q

What are the symptoms of hepatitis?

A
Nausea
Vomiting
Fever
weightloss
Jaundice
Ascites
Itchiness
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4
Q

When do you get biliary colic?

A

Worse after eating fatty foods

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5
Q

Risk factors for gallstones (6Fs)

A
Female
Fat
Forty 
Family history 
Fertile 
Fair (Caucasian)
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6
Q

What is cholecystitis + what is the sign?

A

Cystic duct obstruction

Murphy’s sign

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7
Q

What is cholangitis

A

INFECTION of the cystic duct as well as the biliary tree

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8
Q

What is charcot’s triad?

A

RUQ pain
Fever
Jaundice

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9
Q

What is cholangitis and what signs does it present with?

A

INFECTION of the cystic duct as well as the biliary tree

Charcot’s triad
Reynold’s pentad

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10
Q

Left hypochondriac region pain can be due to?

A
Aortic aneurysm 
Gastric ulcer
Perforated colon 
Ruptured spleen 
Left basal pneumonia 
Pyelonephritis
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11
Q

Reynold’s pentad

A

Mental confusion

Symptoms of septic shock (hYPOtension)

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12
Q

What can cause

A

Ischaemic bowel - acute (trauma) or chronic (intermittent gut claudication after eating, therefore you get weight loss)

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13
Q

Symptoms of ischaemic bowel

A

Fever
Nausea
Vomiting
Bloody diarrhoea

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14
Q

How would you describe an AAA?

A

Expansile

Pulsatile

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15
Q

What can cause generalised abdo pain?

A

Ischaemic bowel
Peritonitis
Gastroenteritis
DKA

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16
Q

How would someone with peritonitis appear?

A

Pt will be lying v still as movement causes extreme pain

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17
Q

What might you need to ask regarding gastroenteritis?

A

If anyone around them experienced the same

Travel hx

18
Q

How can you classify ischaemic bowel and what are these different types due to?

A

Acute (trauma) or chronic (intermittent gut claudication after eating, therefore you get weight loss)

19
Q

Epigastric pain can be caused by?

Give gastro causes

A
Acute/chronic pancreatitis
Perforated peptic ulcer 
Gastroenteritis
Peptic ulcer disease
Biliary colic 
Acute cholecystitis
Ascending cholangitis 
Oesphagitis due to GORD
Incomplete bowel obstruction 
Gastric cnacer
Pancreatic cancer
20
Q

Give cardiac causes of epigastric pain

A

MI
Ruptured AAA
Mesenteric ischaemia

21
Q

Give respiratory causes of epigastric pain

A

Basal pneumoniae

22
Q

What signs are suggestive of pancreatic cancer?

A

Painless jaundice + palpable gall bladder

23
Q

What would very sudden onset pain suggest?

A

Perforated viscus (e.g. perforated duodenal ulcer)
Boerhaave’s perforation
Myocardial infarction

24
Q

Pain which develops maximal intensity over 10-20mins?

A

Acute pancreatitis, biliary colic

25
Pain takes few hours to take peak intensity?
Cholecystitis, pneumonia | inflammatory causes
26
Sharp burning pain?
Peptic ulcer disease | GORD
27
Crampy pain
Gastroenteritis
28
Deep dull pain
Pancreatitis
29
Colicky
gallsones | Mesenteric ischaemia
30
Radiation to back?
Pancreatitis Leaky AAA Peptic ulcers if perforation
31
Shoulder tip radiation?
Pnemonia | Subphrenic abscess
32
Radiation to neck/jaw/arm
cardiac pathology
33
If pain is relieved with sitting forward
Acute pancreatitis
34
Food
Dodenal ulcer pain is relieved with food but WORSENS gasric ulcer pain
35
Fatty meals
Biliary colic
36
Worsened by large meals
GORD
37
Worse with exercise
Cardiac causes
38
Self limiting
Biliary colic | ????
39
Very painful
MI Acute pancreatitis Perforated peptic ulcers Meseneric ischaemia
40
Associated symptoms?
``` N+V+fever Pain on inspiration Sweating & weakness Jaundice Cough Heartburn Bitter/metallic taste in mouth Weight loss or gain ```
41
What would abdo pain plus chronic dry cough suggest?
GORD