Abdominal Pain Flashcards Preview

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Flashcards in Abdominal Pain Deck (13):
1

3 types of abdominal pain

1. inflammatory - constant
2. colic - comes and goes (bowel obstruction)
3. comes in waves, doesnt go to baseline (biliary colic)

2

when will gallstones in gall bladder cause jaundice?

won't usually unless the stones get into the common bile duct or if there is an empyema that compresses the common hepatic duct

3

what happens to the anion gap in sepsis?

widens as HCO3 goes down

4

what movement can elicit pancreatitic pain

leaning forward
L1 will compress the pancreas and cause pain

5

what causes bile to form stones

imbalance of cholesterol and salts in bile causes crystals to form that clump together forming stones. this occurs in the gall bladder as this is where it has a chance to settle

6

what causes contraction of the gall bladder

CCK released from duodenum in response to fatty foods

7

test you should to for pancreatitis

lipase

8

what things can elevate LDH

lung
liver
red cells
pancreas

9

what is hepatopulmonary syndrome

shortness of breath and hypoxia due to vasodilation of capillaries in the lung due to disease of the liver

10

causes of pancreatitis

Idiopathic
Gallstones
Ethanol
Trauma
Steroids
Mumps
Autoimmune
Scorpion sting
Hypercalcemia, hyperlipidemia, hyperparathyroidism
ERCP
Drugs

11

what did prof russell is the best predictor of death as investigation

a drop in albumin.
sepsis and trauma block albumin synthesis

12

what is the half life of serum albumin

12 hours

13

what is the half life of interstitial albumin

21 days