Abdominal pain Flashcards Preview

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Flashcards in Abdominal pain Deck (22):
1

What are the 4 goals to achieve with abdominal pain

Early diagnosis
Pain control
Treating cause
Communicating with the patient

2

In what quadrant is pain rare?

Left upper quadrant

3

What is shifting pain

When pain starts in one area and moves to another
Appendicitis

4

How would a patient describe visceral pain?

Pinpoint it

5

How would a patient describe somatic pain

General
It is pain all over the peritoneal cavity

6

Where does pain present if it is from the foregut?

The epigastric region

7

Where does pain present if it is in the midgut

In the periumbilical region

8

Where does pain present if it is in the hindgut?

In the superpubic region

9

What are 3 structures that would give pain in the upper region

Gall Bladder
Stomach
Duodenum
Pancreas

10

What 3 structures can give central pain

Kidneys
Small bowel
Caecum

11

What 5 structures can give lower pain

Appendix and caecum
Transverse colon
Bladder
Uterus
Sigmoid colon

12

What does colicky pain suggest

Obstruction

13

What does throbbing pain suggest

Inflammation

14

What can make the pain worse

Walking
Coughing
Going over bumps in the car
Breathing

15

What can pain radiation indicate?

Indicates the source
Indicates the extent of the disease

16

Where can gall bladder pain radiate to and what is the character of the pain

Shooting pain on the shoulder

17

When is it best to give pain relief and what is used?

Immediately,
Prior to examining the patient
IV morphine

18

How do we apply a painful stimuli

In a graded fashion: breathing up to coughing

19

What is peritonism

Tenderness to percuss

20

What is guarding of the abdomen?

conscious or involuntary guarding
Rigid

21

In what 3 ways can we identify the very sick patient?

Extreme pain and tenderness
High pulse rate
Low blood pressure

22

Why should we not rely on high WCC for appendicitis

The increase in white cells occurs quite late on

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