Abdomen- Ab pain Flashcards Preview

Bates' Guide To Physical Exam > Abdomen- Ab pain > Flashcards

Flashcards in Abdomen- Ab pain Deck (55)
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1

Ab pain- cancer of stomach (process)

Predominantly adenocarcinoma (90-95%)

2

Ab pain- cancer of stomach (location)

Increasingly in 'cardia' and GE junction; also in distal stomach

3

Ab pain- cancer in stomach (timing)

Shorter than peptic ulcer, pain is persistent and slowly progressive

4

Ab pain- cancer in stomach (factors aggregate/relieve)

Aggravates- food
Relieves- NOT relieved by food or antacids

5

Ab pain- cancer in stomach (associated symptoms)

Anorexia, nausea, early satiety, weight loss, sometimes bleeding. Ages 50-70 commonly

6

Ab pain- acute pancreatitis (process)

Acute inflammation of the pancreas

7

Ab pain- acute pancreatitis (location)

Epigastric, may radiate to the back or other parts of the abdomen; may be poorly localized

8

Ab pain- acute pancreatitis (quality)

Usually steady

9

Ab pain- acute pancreatitis (timing)

Acute onset, persistent pain

10

Ab pain- acute pancreatitis (aggregate/relieve)

Aggravate- lying supine
Relieve- leaning forward with trunk flexed

11

Ab pain- acute pancreatitis (symptoms/setting)

Nausea, vomiting, ab distention, fever. Often history of previous attacks and alcohol abuse or gallstones

12

Ab pain- chronic pancreatitis (process)

Fibrosis of the pancreas secondary to recurrent inflammation

13

Ab pain- chronic pancreatitis (location)

Epigastric, radiating through the back

14

Ab pain- chronic pancreatitis (quality)

Steady, deep

15

Ab pain- chronic pancreatitis (timing)

Chronic or recurrent course

16

Ab pain- chronic pancreatitis (aggregate/relieve)

Aggregate-alcohol, heavy or fatty metals
Relieve- possibly leaning forward with trunk flexed; often intractable

17

Ab pain- chronic pancreatitis (symptoms/setting)

Decreased pancreatic function; diarrhea with fatty stools (steatorrhea) and diabetes mellitus

18

Ab pain- cancer of the pancreas (process)

Predominantly adenocarcinoma (95%)

19

Ab pain- cancer of the pancreas (location)

Epigastric and in either upper quadrant; often radiates to the back

20

Ab pain- cancer of the pancreas (quality)

Steady, deep

21

Ab pain- cancer of the pancreas (timing)

Persistent pain; relentlessly progressive illness

22

Ab pain- cancer of the pancreas (aggregate/relieve)

Relieve- same as chronic pancreatitis

23

Ab pain- cancer of the pancreas (symptoms/setting)

Anorexia, nausea, vomiting, weight loss, jaundice; depression

24

Ab pain- biliary colic (process)

Sudden obstruction of the cystic duct or common bike duct by gallstone

25

Ab pain- biliary colic (location)

Epigastric or RUQ; may radiate to R scapula and shoulder

26

Ab pain- biliary colic (quality)

Steady, aching; NOT colicky

27

Ab pain- biliary colic (timing)

Rapid onset over a few minutes, lasts one to several hours and subsides gradually. Often recurrent

28

Ab pain- biliary colic (settings/symptoms)

Anorexia, nausea, vomiting, restlessness

29

Ab pain- acute cholecystitis (process)

Inflammation of the gallbladder, usually from obstruction of the cystic duct by a gallstone

30

Ab pain- acute cholecystitis (location)

RUQ or R abdominal; may radiate to R scapular area