abdominal pain overview

Question 1

abdominal pain/ step 2= frame to RE call/

4 stuff to use to frame the diff dx

hint: REcall= call 2x

Answer 1

CC/Hx:

time course:

1x vs recurrent; vs subabute vs chronic;

location= quadrant;

PE:

VS: unexplained hypotension;

abdomen: peritoneal findings; abdominal distention

Question 2

**abdominal pain Recall/ by time course: recurrent episode

/by OS

Answer 2

recurrent + by OS :

endocrine: DKA; (pancreas= ass. w a tube= duct)

GI:

Biliary disease;

Pancreatitis;

Diverticulitis;

Small or large bowel obstruction

GU:

Nephrolithiasis;

PID

hint: recurrent= related to a tube that can be blocked

Question 3

abdominal pain/

Recall by time course/

subacute or chronic pain

quadrant

Answer 3

**PUD;= sub acute

hepatitis;hint: all acronyms except lui

CMI: chronic mesenteric lschemia;

lBD

IBS

Question 4

abdominal pain + unexplained hypotension;

mechanisms?

Answer 4

1. intra abdominal hemorrhage ;
2. sepsis;
3. other

hint:

mm size hose +loss of fluid or

hose larger= vasodilation + mm # of fluid

or other

Question 5

abdominal pain + abdominal distention

due to…(overview)

Answer 5

Air :

Free air;

Luminal air = constricted air

fluid:

Ascites ; h₂0

Hemorrhage: blood