abdominal pain pearls Flashcards by myfav coupons

Q

abdominal pain in RUQ +

clinical clues=

Postprandial or nocturnal pain

Dark urine

=>think …

A

biliary dz

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Q

abdominal pain in RUQ +

clinical clues=

Alcohol use

IVDU=Injection drug use; (also high # of sexual partners)

Jaundice

=>think …

A

Hepatitis

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Q

abdominal pain RUQ +

clinical clues=

Alcohol use

Gallstones

=>think …

A

Pancreatitis

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Q

abdominal pain in flanks +

clinical clues=

Hematuria (usually microscopic)

Severe pain

=>think …

A

renal colic

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Q

abdominal pain in LUQ+

clinical clues=

Endocarditis

Trauma

Shoulder pain

=>think …

A

Splenic infarct or rupture

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Q

abdominal pain epigastrium +

clinical clues=

Worse supine

History of alcohol abuse or gallstones

=>think …

A

Pancreatitis

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Q

abdominal pain epigastrium+

clinical clues=

Melena

History of NSAID use

=>think …

A

Peptic ulcer

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Q

**abdominal pain in diffuse periumbilical +

clinical clues=

Smoking;

Male gender;

Hypotension;

syncope or pulsatile abdominal mass

=>think …

A

AAA

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Q

abdominal pain in diffuse periumbilical+

clinical clues=

Migration and progression

=>think …

A

appendicitis

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Q

abdominal pain in diffuse periumbilical+

clinical clues=

History of AFib

Heart failure

Valvular heart disease

Catheterization

Pain out of proportion to exam

=>think …

A

Acute mesenteric ischemia= AMI

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Q

abdominal pain diffuse periumbilical+

clinical clues=

Inability to pass stool or flatus

Prior surgery

=>think …

A

Bowel obstruction

hint: nothing gets out

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Q

abdominal pain diffuse periumbilical+

clinical clues=

PVD or CVD

Pain brought on by food

Weight loss

=>think …

hint: PVD= peripheral vasclar dz and

A

Chronic mesenteric ischemia

hint: eating=> have to digest=> GI needs blood=> ischemia=> pain

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Q

abdominal pain diffuse periumbilical +

clinical clues=

Diarrhea

Travel history

=>think …

A

Gastroenteritis

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Q

abdominal pain /diffuse periumbilical +

clinical clues=

Family history

Hematochezia

Weight loss

=>think …

A

IBD= Inflammatory bowel diseaseS

hint: pass le bidet, la flamme or the crown= crohn from gen to gen

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Q

abdominal pain/diffuse periumbilical +

clinical clues=

Intermittent diarrhea or

constipation

=>think …

A

IBS

hintL bs= bull SHIT

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Q

abdominal pain in RLQ or LLQ +

clinical clues=

Sexually active woman

Vaginal discharge

Cervical motion tenderness

=>think …

Study These Flashcards

A

PID

pelvic inflammatory dz

Q

abdominal pain in RUQ or LUQ or LLQ+

clinical clues=

Diarrhea

Fever

=>think …

Study These Flashcards

A

diverticulitis

Q

cervical motion tenderness:

other names

Study These Flashcards

A

cervical excitation or

chandelier sign

elicited by pelvic exam

Q

cervical motion tenderness =chandelier sign;

presents in which dz?

Study These Flashcards

A

pelvic inflammatory disease (PID);

ectopic pregnancy;

is used to help differentiate PID vs. appendicitis