Lower Abdo Pain Flashcards Preview

Jason's MD2 Intersession 1 > Lower Abdo Pain > Flashcards

Flashcards in Lower Abdo Pain Deck (16)
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0
Q

is Hb usually changed in acute trauma?

A

Nope

1
Q

what is the significance of unilateral pulses in acute situation usually?

A

preexisting PVD

2
Q

why is ruptured aorta have pain referred to back?

A

retroperitoneal structure

3
Q

would you resuscitate someone with AAA rupture?

A

No, will self tamponade usu. more fluids could disrupt

4
Q

what would you suspect if someone deteriorated after you gave them more fluids post lower abdo pain?

A

you untamponaded a bleed that was tamponaded

5
Q

if you’re vomiting bile coloured fluid, what does it mean?

A

coming distal to duodenum, not usual

6
Q

what can patchy erythema indicate in lower abdo pain/swelling?

A

bacteria translocation from bowel

7
Q

hernias usually tender?

A

nope

8
Q

what is mechanism of bowel strangulation happen?

A

venous ischaemia»oedema»increase pressure»no capillary flow»arterial ischaemia

9
Q

physical characteristics of hernias?

A

can’t get above it
cough impulse
reducible

10
Q

what is diverticulosis?

A

small mucosal outpouching in sigmoid colon, none symptomatic

11
Q

theory of diverticulitis cause?

A

blocked diverticulum in sac, bacteria become anaerobic and statis

12
Q

CT to dx diverticulitis?

A

yes, and looking for features of peritonitis if need to operate

13
Q

in right iliac fossa pain in female, always suspect?

A

ectopic pregnancy

14
Q

appendicitis, appetite?

A

anorexia

15
Q

if tender/guarding with abdo exam, could indicate?

A

localized peritonitis