ABDOMEN 25 POINTS Flashcards
(25 cards)
In a 36 year old male with sudden onset of severe right flank pain radiating to right scrotum with nausea and vomiting very restless, move in an effort to relieve the pain, what kind of abdominal pain the patient has?
visceral pain
Characteristic of acute abdominal pain
pain less than 24 hours
where is the radiation of pain in patient with gallbladder pathology
tip of right scapula
the following are characteristic of significant abdominal pain EXCEPT
location of abdominal pain is near umbilicus
what is the cause of esophageal dysphagia in a 23 year old male who had dysphagia in a hurried meal, relieved by drinking water and he can finish his meal
schatzki ring
What drug that reduces the LES pressure will you inquire from history of patient with GERD
theophylline
what is the symptoms in patient with repeated regurgitation of stomach contents which was rechewed and swallowed
rumenation
the mechanism how opiates causes vomiting
indirectly stimulates the CTZ
what will differentiate regurgitation from projectile vomiting
effortless passage of gastric contents into the mouth
What is the organism you will suspect as the cause of diarrhea who developed Hemolytic uremic syndrome
shigella
What kind of incontinence does a 60 y/o female G6P6 have noted leakage of urine after coughing
stress incontinence
in a patient with globular abdomen what will differentiate obesity from ascites as the cause?
bulging of flanks
answers include; bulging of flanks, area of tymphanitic on top
on rectal examination access to the peritoneum will be on what part of the rectum
anterior
- In patient with acute appendicitis where is the location of tenderness on rectal examination
6 o clock
What is the consistency of the prostate in patients with acute bacterial prostatitis
boggy and tender
which is more accurate to determine the size of the liver
palpation of liver edge to indicate how many fingers breath below the RSCM
What is the considered significant residual urine volume in a 76 year old male complaining of dribbling
> 100 mL
What can you do at once to know whether the cause of reddish urine is hematuria
examine under the microscope to see the red cells
In a 50 year old female, elementary tracher, (-) diabetes, (-) Hypertension, no other symptoms however there is swollen lower extremities, (+) varicosities, what is the probable cause of nocturia
Chronic venous insufficiency
What is the abdominal contour in a 65 year old male with bronchogenic CA stage 4
scaphoid
In an elderly obese woman with constipation for 1 week, what will be a prominent abdominal finding
abdominal distention
where is the site of intestinal obstruction in a 46 year old male with vomiting of villous fluid associated with intense epigastric pain
duodenum
what is the significance of cullen’s sign
indicate hemoperioneum
PE findings that will point to jaundice as the cause of yellowish discoloration of the skin
icteric sclerae
