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Flashcards in EM Deck (31):
1

in women, pain in one of the lower quadrants

- could be ruptured ectopic

2

mid-epigastric radiating to back

- pancreatitis

3

RUQ with radiation to back or right shoulder

- gallbladder disease, PID

4

RLQ radiating to right shoulder

- ectopic or appendicitis

5

LLQ radiating to left shoulder

- diverticultitis

6

pain that gets better when laying flat

- appendicitis

7

pain with movement

- irritation of parietal peritoneum

8

writhing on gurney

- kidney stones

9

aorta over 5-6 cm

- check for aneurysm

10

bacterial overgrowth with appendicitis

- Bacterioides fragilis and E. coli

11

black stones

- form primarily in gallbladder
- hemolysis induced

12

brown stones

- form in gallbladder and intrahepatic and extrahepatic ducts
- formed in bile infected with enteric bacteria

13

leading cause of large bowel obstruction

- carcinoma

14

signs of intussusception

- red current jelly stool, stool mixed with blood and mucus
- sausage shaped mass upon palpation of the abdomen

15

hallmark signs of hemorrhagic pancreatitis

- Cullens sign: umbilical ecchymosis
- Grey Turner's sign: flank ecchymosis

16

hallmark sign of acute pancreatitis

- elevated amylase and lipase

17

mesenteric ischemia

- lactic acid elevated in 91% of patients
- pain is disproportionate to abdominal findings

18

distention

- large bowel obstruction
- sigmoid or cecal volvulus

19

high pitched rushes

- small bowel obstructions

20

pulsatile aorta

- AAA

21

occult blood

- carcinoma
- GI bleed

22

unequal femoral pulses

- aortic dissection

23

diagnostic test for appendicitis

- CT

24

cholecystitis symptoms

- pain that radiates to the back or below the right scapula
- clay colored stools
- fever
- N/V
- jaundice

25

tests for cholecystitis

- CT and US

26

symptoms of bowel obstruction

- severe pain that comes and goes
- distention
- vomiting
- constipation if complete blockage
- diarrhea if partially blocked

27

Ogilvie syndrome

- colonic pseudo-obstruction
- massive gaseous distention of colon

28

diagnostic test for diverticulitis

- CT
- avoid BE and colonoscopy as they can perforate the bowel

29

perforated ulcer

- acute onset of severe epigastric pain
- chemical and bacterial peritonitis

30

aortic dissection

- chest and upper back pain before migrating into the abdomen as the dissection moves distally

31

acute intermittent porphyria

- suddenly experience symptom triad: weakness, psychosis, ab pain

- may have seizures