Approach To A Patient With Surgical Complaint Flashcards Preview

Surgery > Approach To A Patient With Surgical Complaint > Flashcards

Flashcards in Approach To A Patient With Surgical Complaint Deck (26)
Loading flashcards...
1

Pain
Pertinent information to elicit

Provocation and Palliation
Quality
Region and radiation
Severity
Timing

2

Chest pain
Probably etiology

Muscular, cardiac, pneumothorax
Aortic pathology
Cholecystitis
Pancreatiti
Peptic ulcer
GERD

3

Epigastric pain
Differentials

Gastric: esophagitis, gastritis, peptic ulcer
Pancreatic: Pancreatitis, Mass
Others: Cardiac, aotic dissection, mesenteric ischemia, biliary, bowel obstruction, gynecologic

4

Right upper quadrant differentials

Biliary: cholecystitis, cholelithiasis, cholangitis
Hepatic: abscess, hepatitis,mass
Renal: nephrolithiasis, pyelonephritis
Others: cardiac, pulmonary, gastric

5

RLQ pain
Differentials

Colonic: appendicitis, colitis, diverticuliti, inflammatory
Gynecologic: ectopic pregnancy, ovarian torsion,pelvic inflammatory disease
Renal: nephrolithiasis, pyelonephritis, genitourinary tract infection

6

LLQ pain differentials

Colonic : colitus, diverticulitis, inflammatory
Gynecologic:ectopic pregnancy, ovarian torsion, pelvic inflammatory disease
Renal: Nephrolithiasis, Pyelonephritis

7

LUQ pain differentials

Pancreatic : Pancreatitis, Mass
Renal: Nephrolithiasis, Pyelonephritis
Others: cardiac, gastric

8

Flank pain
Differentials

Nephrolithiasis, pyelonephritis, mass

9

Back pain differentials

Muscular
Spondylosis
Fracture
Referred pain
Aortic pathology

10

Pertinent information to elicit with mass or swelling

Size or location
Size and shape
Onset and duration
Edges or borders
Tenderness
Temperature
Consistency
Mobility
Pulsation
Reducibility

11

Probable etiology mass or swelling

Congenital
Inflammatory or infections
Neoplastic, whether benign or malignant
Others: Hernia, lymphnode

12

Pertinent information to elicit in acute abdomen

Associated symptoms or signs of shap pain, fever, distention
Tenderness
Peritoneal irritation - caused by bacterial or chemical contamination of the cavity

13

Probable etiology of acute abdomen

Intestinal obstruction ( complete or incomplete)
Peritonitis from appendicitis, perforated PUD, anastomotic leak after surgery, strangulated bowel, cholecystitis, pancreatitis, bowel perforation
Intra-abdominal abscess or other infections
Trauma

14

Upper Gastrointestinal complaints
Pertinent information

PQRST
Dysphagia, odynophagia , reflux, bleeding, nausea, vomiting

15

Dysphagia
Differentials

Esophagitis
Strictures
Diverticulum
Achalasia
Esophageal cancer

16

Lower GI complaints
Pertinent info

PQRST
Pain
Diarrhea
Constipation
Bleeding

17

Heartburn differential diagnosis

Esophagitis, gastritis, GERD
Cancer

18

UGIB differential

Esophagitis, esophageal varices
PEptic ulcer disease
Esophageal or gastric cancer

19

Diarrhea
Probable etiology

Infectious, gut obstruction

20

Constipation probable etiology

Functional
Obstruction
Cancer

21

LGIB
probable etiology

Hemorrhoids
Cancer
Diverticulosis

22

Jaundice
Pertinent info

PQRST
Associated symptoms

23

Jaundice

Hepatic disease (alcohol, viral, neoplastic, infectious)
Biliary disease (with obstruction to common bile duct)_
Pancreatic disease

24

Trauma, burn , wounds
pertinent info

TOI
POI
DOI
MOI/ NOI

25

Penetrating injury
Probable etiology

Gunshot, knife, impalement

26

Blunt injury
Probable etiology

Motor vehicle accidents,
Motor pedetsiran accidents
Fall
Aggravated assaults