Abdominal Signs Flashcards

(20 cards)

1
Q

How can you classify bowel sounds?

A

Absent = Perf or ileus

Or

Present

Increased = Diarrhoea or just eaten

Normal

Tinkling = obstruction

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2
Q

What is the name for vastly increase audible bowel sounds and what does this mean?

A

Borborygmi - Soon to perf

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3
Q

What investigations should you always remember in abdo stations?

A

Bloods including AMYLASE

Group and save

Groin/hernia/PR

Urine dip

ABG

Imaging eg erect chest and supine abdo or US

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4
Q

What are the main GI causes of vomiting?

A
  1. Gastroenteritis
  2. Peptuc ulceration
  3. IBD
  4. Pancreatitis
  5. Colitis
  6. Obstruction
  7. Ileus
  8. Cholecysitits
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5
Q

What are the CNS causes of vomiting?

A

Raised ICP

Meningitis

Migraine

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6
Q

What are the endocrine causes of vomiting?

A

Uraemia

Hypercalcaemia

DKA

Addisons

Pregnancy

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7
Q

What less common things can cause vomiting?

A

MI

Sepsis

Autonomic neuropathy

Alcohol

Opiates

Antibiotics

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8
Q

What are the causes of epigastric pain?

A

Pancreatitis

Cholecystitis

Aortic Aneurysm

Peptic and duodenal ulcer

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9
Q

What are the causes of RUQ pain?

A

Biliary colic

Cholecystitis

Hepatitis

Colon cancer

Renal colic

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10
Q

What are the causes of LUQ pain?

A

Colon/Gastric cancer

Renal colic

Peptic ulcer

Splenic rupture

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11
Q

What are causes of loin pain?

A

Renal colic

Pyelonephritis

Renal tumour

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12
Q

What are the caues of LIF pain?

A

Ovarian torsion

IBD

Volvulus

Diverticulitis

UTI

Gynae - Torson, ectopic, salpingitis

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13
Q

What are the causes if RIF pain?

A

Ovarian torsion

IBD

Volvulus

Diverticulitis

UTI

Gynae - Torson, ectopic, salpingitis

Appendicitis

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14
Q

What are the cause of pelvic pain?

A

UTI

Retention

Stones

Gynae - Endometriosis

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15
Q

What are the causes of generalised abdo pain?

A

Peritonitis

IBD

IBS

Gastroenteritis

Constipation

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16
Q

What are the causes of central abdo pain?

A

Pancreatitis

Ruptured AAA

17
Q

What are the causes of abdominal distension?

A

Fat

Flatus - resonant percussion

Faeces - ?obstruction

Fluid - Ascities - stony dull percussion

Fetus - DON’t FORGET

18
Q

What are the three main causes of hepatomegaly?

A

Cancer

Cirrhosis

CCF

19
Q

What is the mmneonic for the most common thyroid cancers?

A

Please Feed My Alligator Larry

Pupillary

Follicular

Medullary

Anaplastic

Lymphoma

20
Q

What os Boerhaave Syndrome?

A

Complete tear of oesophagus from vomiting causing Macklers Triad

  1. Vomiting
  2. Lower chest pain
  3. Subcutaneous emphysema