GI Misc. 10 - The Acute Abdomen Flashcards Preview

1st Year - Gastroenterology > GI Misc. 10 - The Acute Abdomen > Flashcards

Flashcards in GI Misc. 10 - The Acute Abdomen Deck (35):
1

What causes RUQ acute abdo problems? (6)

Biliary coliccholecystitischolangitisPneumoniaMusculoskeletalliver abscess/ hepatitis

2

What is the acute abdomen?

a condition of severe abdominal pain, usually requiring emergency surgery, caused by acute disease of or injury to the internal organs.

3

What will most patients with RUQ pain have?

Gallstones

4

what symptoms/ signs can gallstones cause?

RUQ/ epigastric painTemperatureJaundice(depends on what type of problem the gallstones are causing)

5

Intermittent RUQ pain (which may radiate to the shoulder blade) with no temperature or jaundice?

Biliary colic

6

Constant RUQ pain (which may radiate to the shoulder blade) with a temperature but no jaundice?

Cholecystitis

7

Constant RUQ pain (usually), jaundice but no temperature?

Choledocholithiasis (presence of at least one gallstone in the common bile duct)

8

Constant RUQ pain with a temperature and jaundice?

Cholangitis

9

Constant epigastric pain which can radiate to the back and may or may not cause a temperature or jaundice?

Pancreatitis

10

What causes epigastric acute abdo problems? (5)

pancreatitisPerf DUAAAGastritis/ refluxOesophagitis

11

What in the history is usually found in a patient with pancreatitis?

Alcohol or gallstones sometimes

12

How is pancreatitis diagnosed?

Amylase more than 300

13

What tests are done on a patient with probable pancreatitis/

Amylase (more than 300 for diagnosis)ScoringUSS (to look for gallstones)CT (if you're unsure if a patient has pancreatitis)

14

What in the history can indicate a perforated DU?

Alcohol intakeNSAID use

15

Why do you need to take an erect x-ray for a patient with a suspected DU?

To look for air under the diaphragm

16

What presentation should make you suspect an AAA?

Severe epigastric pain radiating to the back with collapse

17

How is gastritis/ GORD/ oesophagitis diagnosed?

Upper GI endoscopy

18

What causes an acute abdomen in the LUQ? (3)

Splenic injury/ rupture/ infarctPneumoniaMusculoskeletal

19

What test should be done on a trauma patient to rule out abdominal injury?

CT

20

What history is usually present with spleen problems?

Splenomegaly or injury

21

What causes an acute abdomen in the flank areas?

Pyelonephritisrenal colicmusculoskeletal

22

Where does renal pain often radiate?

To the back

23

What can renal colic pain mimic?

A ruptured AAA

24

What wil urinalysis show in a patient with renal colic?

Blood in the urineLeucocytes (if they have an infection)

25

What causes an acute abdomen in umbilicus?

ObstructionEarly appendicitisAAAMeckels

26

Elderly male, severe pain radiating to back, collapse, CV history?

AAA until proven otherwise - need an urgent CT

27

Presentation of obstruction?

Generalised abdo painDistended abdomenvomiting constipation

28

Causes of obstruction?

HerniaTumourPrevious surgery

29

What causes a suprapubic acute abdomen? (4)

UTIOvarianAppendicitisDiverticulitis

30

LIF acute abdomen causes? (5)

DiverticulitisEctopic pregnancyTorsion of ovarian cystHernia (femoral/ inguinal)Gastroenteritis

31

What is complicated diverticulitis?

Complicated diverticulitis refers to the clinical presentation of acute diverticulitis with inflammatory manifestations and complications, such as feculent peritonitis, obstruction, perforation, phlegmon, and/or abscess formation (the most severe complication is perforation - usually need a Hartmans procedure)

32

What things should make you suspicious of an ectopic pregnancy?What should you do?

Child bearing ageSudden onsetLIF/ RIF painSepsis + shockBHCGdo a pregnancy test

33

Sudden onset suprapubic pain that is severe and mid-cycle?

Ovarian torsion

34

What should you always examine the groin for in all acute abdomen problems?

Hernias

35

What causes RIF acute abdomen problems?

AppendicitisEctopic pregnancyTorsion of ovarian cystHernia: femoral/ inguinalDiverticulitisChronsMeckelsPerf caecal cancer