medical abdomen Flashcards
(142 cards)
Three choices in Abdominal Pain
surgeon, admit, home
what is the workup for medical abdomen
Hx, PE, labs, diagnostics = no surgeon
when can you send an abdomen case home?
i. Home if: pain improved (not “gone”), can take PO’s, can walk, stable home, stable vitals, they look better
what to do with “Non-specific abdominal pain”
12-24hr f/u: cause may reveal itself
Strict return precautions, document understanding
RUQ abd pain think
PNA HEPATIC TUMOR HEPATIC ABSCESS HEPATITIS RETROCAECAL APPENDICITIS BILIARY COLIC CHOLANGITIS PYLONEPHRITIS RENAL COLIC RENAL INFARCTION
Epigastric pain think
duodenal ulcer oesophagitis gastritis gastric ulcer pancreatitis
LUQ pain think
PNA splenic infarction pancreatitis pylonephritis renal colic renal infection
central painthink
aortic aneurysm Meckle's diverticulitis infarction enteritis obstruction intussusception
LLQ causes
renal colic UTI diverticulitis sigmoid volvulus diverticulitis colitis ovarian cycst salpingitis ectopic pregnancy
suprapubic pain causes
pelvic appendicitis diverticulitis uterine fibroid ovarian cyst salpingitis cystitis
RLQ
renal colic UTI Meckle's diverticulitis chorn's disease acute appy perforated caecal carcinoma ovarian cyst salpingitis ectopic prenancy
Meckle’s diverticulum
true diverticulum of small bowel
Congenital, present 2% at birth
Incomplete obliteration/vestigial remnant of the Vitelline duct
how do they present and what is the big symptom
- Asymptomatic until a complication – obstruction, inflammation, perforation
Kids w/ hematochezia – think Meckel’s
esophagus think
GERD PUD Motility barret's hiatal hernia immune cancer
Bowel think
GIB diverticulosis UC Crohn's hernias gastroentritis
solid organ infection/unflammation
pancrease, liver, spleen, kidney, prostate
stones
GB
Kidney
something not working
urinary retention
ascites
gastroparesis
pseudoobstruction
metabolic
DKA (almost always seen with abd pain)
vasculitis
sickle cell
toxicology
etoh
cocaine
other
tricky pain
PNA
Pleural effusion
AMI/ACS
RIGHT SHOULDER referred pain from
biliary tree,
GB,
diaphragm irritation
epigastric referred pain from
Cardiac
esophagus