Abdominal Pain Flashcards
(22 cards)
Abdominal Pain
Differential Diagnosis
RUQ
Hepatitis
Biliary colic
Cholecystitis/Cholangitis*
Pancreatitis*
Pneumonia
Pleural effusion
PE*
Abdominal Pain
Differential Diagnosis
Epigastrium
Gastritis
Dyspepsia/PUD
Duodenitis
Pancreatitis*
Cardiac – ACS*
Abdominal Pain
Differential Diagnosis
LUQ
Pancreatitis*
Gastritis
Pneumonia
Pleural effusion
PE*
Abdominal Pain
Differential Diagnosis
Right Flank
Colitis
Perforation*
Obstruction*
Renal colic
Pyelonephritis
AAA
Abdominal Pain
Differential Diagnosis
Umbilicus
Colitis
Perforation*
Obstruction*
Aortic dissection*
AAA*
Early appendicitis
Abdominal Pain
Differential Diagnosis
Left Flank
Colitis
Perforation*
Obstruction*
Renal colic
Pyelonephritis
AAA*
Abdominal Pain
Differential Diagnosis
RLQ
Appendicitis
Ectopic pregnancy*
PID, TOA
Testicular torsion,
epididymitis, orchitis
Ovarian torsion
Renal colic
Abdominal Pain
Differential Diagnosis
Hypogastric
UTI (Cystitis)
Renal colic
Obstruction
Abdominal Pain
Differential Diagnosis
LLQ
Diverticulitis*
Ectopic pregnancy*
PID, TOA
Testicular torsion,
epididymitis, orchitis
Ovarian torsion
Renal colic
Abdominal Pain
Risk Factors
Ruptured Ectopic
Hx:
STI/PID
Recent IUD
Previous ectopic
Smoking
Fallopian tube surgery
Tubal ligation
Abdominal Pain
Risk Factors
Ruptured AAA
Elderly
hx HTN/DM
Smoking
hx Trauma
Abdominal Pain
Risk Factors
Pancreatitis
Alcohol use
Biliary pathology
Abdominal Pain
Risk Factors
Cholangitis
Charcot’s Triad: fever, RUQ pain, jaundice
Abdominal Pain
Risk Factors
Mesenteric Ischemia
Elderly
CAD
CHF
Dehydration
Infection
Abdominal Pain
Risk Factors
Obstruction
Operative or malignant history
Elderly
Abdominal Pain
Risk Factors
Perforated Viscus
Risk factors for diverticulitis or PUD
Malignancy
Instrumentation (i.e. colonoscopy)
Abdominal Pain
Risk Factors
Comp. Diverticulitis
Elderly
Low-fibre diet
Western population
Abdominal Pain
Assessment
Hx
OPQRS
O: nset: When did the symptom start?
P: rovocation/Palliation: What makes the symptom worse or better?
Q: uality: Describe the symptom (e.g., sharp, dull, burning)
R: adiation: Does the symptom spread to other areas?
S: everity: How intense is the symptom (e.g., on a scale of 1-10)
T: ime: How long has the symptom been present?
Associated symptoms
N/V
Fever
Chills
Bowel movement
Urinary symptoms
Pelvic discharge/bleeding)
Abdominal Pain
Assessment
Physical Exam
Abdominal exam
+/- pelvic exam
Cardiac/resp exam
Abdominal Pain
Investigations
Labs
CBC
CMP
BUN/Cr
Amylase
Lipase
Lactate
β-hCG +/- CK/TnI
Abdominal Pain
Investigations
Tests
ECG
CXR
KUB
POCUS
Radiology performed U/S (biliary pathology, ectopic, AAA)
CT abdo/pelvis
Abdominal Pain
Management
ABCs
NPO
Analgesics
Antibiotics
Anti-emetics
Consult surgery as needed
