Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

PNP DNP > Abdominal > Flashcards

Abdominal Flashcards

(73 cards)

Start Studying
1
Q

Epigastric Pain

A

PUD, GERD, gallbladder disease, pancreatitis, trauma, idiopathic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Periumbilical

A

Functional abdominal pain, abdominal migraine, Strep pharyngitis, gastroenteritis, appendicitis, carbohydrate intolerance, lactase deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

RLQ pain

A

ovarian torsion, appendicitis, PID, ectopic pregnancy, Mittelschmerz, R lower lobe pneumonia, inguinal hernia, iliopsoas abscess, ovarian cyst, testicular torsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

LLQ pain

A

constipation, ovarian cyst, testicular torsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Suprapubic pain

A

UTI, constipation, urinary retention, hydrometrocolpos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Abdominal Pain Red Flags

A

Bleeding, peri-rectal disease, involuntary weight loss, persistent vomiting, deceleration of linear growth, acholic stools, unexplained fever, dysphagia, persistent RUQ or RLQ pain, pain that wakes child from sleep, arthritis, nocturnal diarrhea, family Hx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Extra-abdominal Causes of Abdominal Pain

A

Pneumonia (visceral innervation), Strep pharyngitis, reproductive tract disease (STI, cyst, ectopic pregnancy, etc.), diabetic ketoacidosis, sickle cell disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Guarding

A

Peritonitis, appendicitis, cholecystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

No bowel sounds

A

Peritonitis, infarcted bowel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Palpable mass

A

Tumor, cyst, intussusception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nutritional status

A

Wt, Ht, edema, anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Extra-abdominal features

A

Arthritis, uveitis, rash (erythema nodosum on shins, pyoderma granulosum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Abdominal distention

A

Peritonitis, obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Visible bowel loops

A

Intussusception, obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

High-pitched bowel sounds

A

Obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Acute Abdomen

A

Crying, irritability, bloody stools, fever, hypothermia (heralds sepsis), omphalitis, severe pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

RUQ

A

Biliary: cholecystitis, cholelithiasis, cholangitis
Hepatic: hepatitis, hepatic abscess
Others: pneumonia, PE, pancreatitis, PUB, retrocecal appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

LUQ

A

Splenic: splenic infarct, splenic laceration
Cardiac: myocardial infarction, pericarditis
Others: pneumonia, PE, pancreatitis, PUD, diaphragmatic hernia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Epigastric

A

Gastric: PUD, gastritis
Pancreatic: pancreatitis
Biliary: cholecystitis, cholelithiasis, cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

RLQ

A

Colonic: appendicitis, cecal diverticulitis, cecal volvulus
GU: nephrolithiasis, ovarian torsion, PID, ectopic pregnancy, testicular torsion, inguinal hernia
Other: mesenteric adenitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

LLQ

A

Colonic: sigmoid diverticulitis
GU: nephrolithiasis, ovarian torsion, PID, ectopic pregnancy, testicular torsion, inguinal hernia
Other: abdominal aortic aneurysm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Gallbladder pain

A

RUQ to upper back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

R subcostal pain

A

Liver and GB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Pain relieved by vomiting

A

SBO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Anorexia
SBO, appendicitis, cholecystitis
26
Comorbid diabetes
Pancreatitis
27
Acute pain with Hx of Afib
Mesenteric ischemia
28
Appendicitis
Periumbilical pain localizing to RLQ, anorexia, nausea, fever. Rebound tenderness, Psoas sign highly predictive
29
Bowel Obstruction / SBO
Abdominal distention, nausea, anorexia, constipation | Distention is highly predictive
30
Cholecystitis
Periumbilical pain location to RUQ, anorexia, nausea, fever | Murphy sign is highly predictive
31
Diverticulitis
LLQ pain, fever | LLQ pain is highly predictive
32
Ectopic pregnancy
Abdominal pain, amenorrhea, vaginal bleeding | Cervical motion tenderness, lateralizing pain are highly predictive
33
Mesenteric ischemia
Abdominal pain out of proportion with exam findings, nausea, anorexia
34
Pancreatitis
Abdominal pain radiating to back, N/V | Grey-Turner or Cullen sign suggest necrotizing pancreatitis
35
Perforated Viscus
Severe, generalized abdominal pain, peritoneal sign
36
Peptic Ulcer Disease (PUD)
Epigastric pain associated with eating
37
Ovarian torsion
sudden onset of severe, unilateral lower abdominal pain, nausea Known history of ovarian cyst or mass increases likelihood
38
Ruptured AAA
Abdominal pain and/or back pain with a pulsatile abdominal mass Pulsatile mass is highly predictive
39
Ureterolithiasis
Acute onset flank pain radiating to groin, nausea | Can mimic ruptured AAA
40
Surgical Scar
Obstruction, perforated viscus
41
Ecchymosis
Retroperitoneal bleed
42
Grey-Turner (flanks)
Acute pancreatitis, retroperitoneal hematoma, ruptured ectopic pregnancy
43
Cullen (umbilicus)
Ectopic pregnancy, acute pancreatitis, retroperitoneal hematoma
44
Fox (inguinal)
Traumatic injury to pancreas, kidneys, aorta, ascending/descending colon
45
Bryant (scrotal)
Ruptured AAA
46
Abdominal distention
Obstruction, ascites
47
Vesicular Rash (dermatomal)
Zoster
48
Elevated WBC
Appendicitis, mesenteric ischemia, SBO, pancreatitis | Doesn't R/O, just gives hints
49
C-Reactive Protein
Perforated appendix
50
Procalcitonin
Stimulated by bacterial infection | Complicated appendicitis and intestinal ischemia/necrosis
51
D Dimer
Trauma, malignancies, venous thromboembolism, and aortic dissection Mesenteric ischemia
52
Intestinal Fatty Acid Binding Protein (I-FABP)
Small intestine epithelium | Intestinal injury or mucosal barrier disruption d/t poor mesenteric blood flow or ischemia
53
Lactate
Liver can't convert all of what tissues are releasing d/t anaerobic glycolysis. Vascular causes of abdominal pain d/t decreased tissue perfusion and hypoxia
54
Serum Lipase/Amylase and LFT
In epigastric pain, r/o pacnreatitis Lipase increases later than amylase False elevation w/ impaired renal function ALT/AST elevation with gallstones and gallstone pancreatitis
55
Dx appendicitis
CT or U/S
56
Dx bowel obstruction
Xray
57
Dx Cholecystitis
U/S
58
Dx Diverticulitis
CT
59
Dx Ectopic pregnancy
Transvaginal U/S
60
Dx Mesenteric ischemia
CTA
61
Dx Pancreatitis
CT
62
Dx Perforated viscus
Xray
63
Dx Ovarian torsion
Pelvic U/S with Doppler
64
Dx Renal/ureteral colic
Spiral CT w/o contrast
65
Dx Ruptured AAA
U/S
66
XRay - Air under diaphragm
Perforated viscus | Artifact of recent laproscopy
67
XRay - Air fluid levels (strong of pearls, stack of coins)
SBO
68
XRay - appedicolith/fecalith
Appendicitis
69
XRay - Double Bubble
Malrotation with midgut volvulus
70
XRay - Sentinel Loop Sign
Acute pancreatitis (L), acute appendicitis (R), acute cholecystitis (R), diverticulitis (L)
71
XRay - target/crescent lucency
Intussusception
72
XRay - Bent Inner Tube
Sigmoid volvulus
73
XRay - Coffee Bean
Cecal or sigmoid volvulus

PNP DNP (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions