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Flashcards in Acute abdomen Deck (15):
1

Definition of acute abdomen

Abdominal pain plus one or more peritoneal signs (rigidity, tenderness +/- rebound, involuntary guarding).

2

What is the most common cause of free air under the diaphragm?

Perforated peptic ulcer (90%)

3

What's the deal with contrast for abdominal CT?

Both oral and IV are optimal. Exception: nephrolithiasis should do non-contrast

4

What are surgical causes of abdominal pain in the RUQ?

Perforated duodenal ulcer, cholecystitis, hepatic abscess, retrocecal appendicitis, appendicitis in pregnant woman

5

What are surgical causes of abdominal pain in the RLQ?

Appendicitis, cecal diverticulitis, Meckel's diverticulitis

6

What are surgical causes of abdominal pain in the LLQ?

Sigmoid diverticulitis, volvulus (sigmoid most common type)

7

What are surgical causes of abdominal pain in the LUQ?

Splenic rupture, splenic abscess

8

What are surgical causes of abdominal pain the is diffuse?

Bowel obstruction, leaking aneurysm, mesenteric ischemia

9

What are surgical causes of abdominal pain in the periumbilical area?

Early appendicitis, referred pain from small bowel

10

What are surgical causes of abdominal pain in the suprapubic area?

Ectopic pregnancy, ovarian torsion, tubo-ovarian abscess, psoas abscess, incarcerated groin hernia

11

What are NONsurgical causes of abdominal pain in the RUQ?

RLL PNA, biliary colic, cholangitis, hepatitis, Fitz-Hugh-Curtis

12

What are NONsurgical causes of abdominal pain in the midepigastric region?

PUD (nonperf), MI, esophagitis, PE, pancreatitis, Herpes zoster, rectus sheath hematoma

13

What are NONsurgical causes of abdominal pain in the RLQ or LLQ?

Ureteral calculi, regional enteritis, IBD, PID, endometriosis, prostatitis, Mittelschmerz, UTI, ruptured ovarian cyst

14

What are NONsurgical causes of abdominal pain in the LUQ?

LLL PNA, gastritis, splenomegaly, splenic infarct

15

What are NONsurgical causes of abdominal pain diffusely?

Abd wall hematoma, black widow spider envenomation, lead poisoning, DKA, gastroparesis, sickle cell crisis, adrenal crisis, opiate withdrawal, nerve root compression