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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

why do you want to watch an abdominal pain walk

because if they can walk properly they are not retroperitoneal