Flashcards in medical abdomen Deck (142)
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1
Three choices in Abdominal Pain
surgeon, admit, home
2
what is the workup for medical abdomen
Hx, PE, labs, diagnostics = no surgeon
3
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
4
what to do with “Non-specific abdominal pain”
12-24hr f/u: cause may reveal itself
Strict return precautions, document understanding
5
RUQ abd pain think
PNA
HEPATIC TUMOR
HEPATIC ABSCESS
HEPATITIS
RETROCAECAL APPENDICITIS
BILIARY COLIC
CHOLANGITIS
PYLONEPHRITIS
RENAL COLIC
RENAL INFARCTION
6
Epigastric pain think
duodenal ulcer
oesophagitis
gastritis
gastric ulcer
pancreatitis
7
LUQ pain think
PNA
splenic infarction
pancreatitis
pylonephritis
renal colic
renal infection
8
central painthink
aortic aneurysm
Meckle's diverticulitis
infarction
enteritis
obstruction
intussusception
9
LLQ causes
renal colic
UTI
diverticulitis
sigmoid volvulus
diverticulitis
colitis
ovarian cycst
salpingitis
ectopic pregnancy
10
suprapubic pain causes
pelvic appendicitis
diverticulitis
uterine fibroid
ovarian cyst
salpingitis cystitis
11
RLQ
renal colic
UTI
Meckle's diverticulitis
chorn's disease
acute appy
perforated
caecal carcinoma
ovarian cyst
salpingitis
ectopic prenancy
12
Meckle's diverticulum
true diverticulum of small bowel
Congenital, present 2% at birth
Incomplete obliteration/vestigial remnant of the Vitelline duct
13
how do they present and what is the big symptom
3. Asymptomatic until a complication – obstruction, inflammation, perforation
Kids w/ hematochezia – think Meckel’s
14
esophagus think
GERD
PUD
Motility
barret's
hiatal hernia
immune cancer
15
Bowel think
GIB
diverticulosis
UC
Crohn's
hernias
gastroentritis
16
solid organ infection/unflammation
pancrease, liver, spleen, kidney, prostate
17
stones
GB
Kidney
18
something not working
urinary retention
ascites
gastroparesis
pseudoobstruction
19
metabolic
DKA (almost always seen with abd pain)
20
vasculitis
sickle cell
21
toxicology
etoh
cocaine
other
22
tricky pain
PNA
Pleural effusion
AMI/ACS
23
RIGHT SHOULDER referred pain from
biliary tree,
GB,
diaphragm irritation
24
epigastric referred pain from
Cardiac
esophagus
25
ipsilateral groin referred pain from
renal colic
hernia
26
ipsilateral flank
lower abdomen
or thigh
Testicles, female reproductive
27
back pain can be referred from the
Aorta, pancreas
28
sacrum can be referred from
rectum
prostate
female gYN
29
physical exam for an abdominal complain should include
skin
heart
lungs
CVAT
Gyn/GU
rectal
WATCH THEM WALK
30
