Abdominal Signs Flashcards
(20 cards)
How can you classify bowel sounds?
Absent = Perf or ileus
Or
Present
Increased = Diarrhoea or just eaten
Normal
Tinkling = obstruction
What is the name for vastly increase audible bowel sounds and what does this mean?
Borborygmi - Soon to perf
What investigations should you always remember in abdo stations?
Bloods including AMYLASE
Group and save
Groin/hernia/PR
Urine dip
ABG
Imaging eg erect chest and supine abdo or US
What are the main GI causes of vomiting?
- Gastroenteritis
- Peptuc ulceration
- IBD
- Pancreatitis
- Colitis
- Obstruction
- Ileus
- Cholecysitits
What are the CNS causes of vomiting?
Raised ICP
Meningitis
Migraine
What are the endocrine causes of vomiting?
Uraemia
Hypercalcaemia
DKA
Addisons
Pregnancy
What less common things can cause vomiting?
MI
Sepsis
Autonomic neuropathy
Alcohol
Opiates
Antibiotics
What are the causes of epigastric pain?
Pancreatitis
Cholecystitis
Aortic Aneurysm
Peptic and duodenal ulcer
What are the causes of RUQ pain?
Biliary colic
Cholecystitis
Hepatitis
Colon cancer
Renal colic
What are the causes of LUQ pain?
Colon/Gastric cancer
Renal colic
Peptic ulcer
Splenic rupture
What are causes of loin pain?
Renal colic
Pyelonephritis
Renal tumour
What are the caues of LIF pain?
Ovarian torsion
IBD
Volvulus
Diverticulitis
UTI
Gynae - Torson, ectopic, salpingitis
What are the causes if RIF pain?
Ovarian torsion
IBD
Volvulus
Diverticulitis
UTI
Gynae - Torson, ectopic, salpingitis
Appendicitis
What are the cause of pelvic pain?
UTI
Retention
Stones
Gynae - Endometriosis
What are the causes of generalised abdo pain?
Peritonitis
IBD
IBS
Gastroenteritis
Constipation
What are the causes of central abdo pain?
Pancreatitis
Ruptured AAA
What are the causes of abdominal distension?
Fat
Flatus - resonant percussion
Faeces - ?obstruction
Fluid - Ascities - stony dull percussion
Fetus - DON’t FORGET
What are the three main causes of hepatomegaly?
Cancer
Cirrhosis
CCF
What is the mmneonic for the most common thyroid cancers?
Please Feed My Alligator Larry
Pupillary
Follicular
Medullary
Anaplastic
Lymphoma
What os Boerhaave Syndrome?
Complete tear of oesophagus from vomiting causing Macklers Triad
- Vomiting
- Lower chest pain
- Subcutaneous emphysema