15: Abdominal Pain

Question 1

When does risk of AAA rupture increase?

Answer 1

When its 5.5cm or greater

Question 2

AAA leakage presentation

Answer 2

Severe pain

Question 3

Aortic dissection

Answer 3

Tear of the tunica intima -> false lumen in the aorta (can be seen on CT)

Question 4

Presentation of aortic dissection

Answer 4

Atypical tearing CP, widened mediastinum, vital signs abnormal

Question 5

Other name for acute colonic pseudo-obstruction

Answer 5

Ogilvie Syndrome

Question 6

Upper limit of normal cecum size

Answer 6

9cm (greater is at risk of colonic perforation)

Question 7

Monitoring acute colonic pseudo obstruction

Answer 7

Assess cecum size by radiograph every 12 hours

Question 8

Conservative tx for acute colonic pseudo obstruction

Answer 8

NG and rectal tube placed to promote expulsion of colonic gas, stop any drugs that reduce intestinal motility, enema if large amount of stool present

Question 9

Treatment for acute colonic pseudo obstruction if the cecum is greater than 12 cm dilation

Answer 9

Colonoscopic decompression or surgery

Question 10

Meckel’s diverticulum rule of 2’s: 4 parts

Answer 10

1. 2 ft from ileocecal valve
2. 2% of population
3. 2 inches long
4. 2 types of ectopic tissue (gastric or pancreatic)