20 Abdomen Abnormal Findings Flashcards

1
Q

appendicitis

pain characteristic

A

epigastric + periumbilical pain

  • localized to RLQ
  • sudden onset
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2
Q

appendicitis

precipitating factors

A

obstruction

-fecal, stone adhesion

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3
Q

cholecystitis

A

acute or chronic inflammation of gallbladder

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4
Q

cholecystitis

pain characteristic

A
  • RUQ
  • may radiate to RT scapula
  • sudden onset
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5
Q

cholecystitis

precipitating factors

A
  • fatty meals

- obstruction of duct in cholelithasis

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6
Q

diverticulitis

A

inflammation of outpouch of mucosa thru intestinal wall

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7
Q

diverticulitis

pain characteristic

A
  • cramping LLQ

- radiates to back

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8
Q

diverticulitis

precipitating factors

A
  • fiber-rich diet

- stress

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9
Q

duodenal ulcer

A

breaks in mucosa of duodenum

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10
Q

duodenal ulcer

pain characteristic

A
  • aching
  • gnawing
  • epigastric
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11
Q

duodenal ulcer

precipitating factors

A
  • stress

- NSAIDs

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12
Q

gastritis

A

inflammation of mucosal lining of stomach

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13
Q

gastritis

precipitating factors

A

Acute: NSAID, ETOH, stress, infectn
Chronc: H Pylori, autoimmune response

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14
Q

pancreatitis

pain characteristic

A
  • upper abdominal
  • knifelike
  • deep epigastric or umbilical area pain
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15
Q

pancreatitis

precipitating factors

A
  • ductal obstruction
  • ETOH
  • acetaminophen
  • infection
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16
Q

umbilical hernia

A

common in children

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17
Q

hiatal hernia

A

-weak diaphragm causes portionof stomach/esophagus to move into thoracic cavity

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18
Q

reducible hernia

A

moves back to normal position when pt relaxes

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19
Q

incarcerated or nonreducible hernia

A

stays displaced even after pt relaxes

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20
Q

cancer of esophagus

risk factors

A
  • males over age of 50
  • ETOH abuse
  • smoking
  • poor oral hygiene
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21
Q

cancer of esophagus

s/s

A
  • wt loss
  • dysphagia
  • odynophagia
22
Q

odynophagia

A

pain on swallowing

23
Q

hepatic cancer is usually preceded by..

A

onset of cirrhosis r/t ETOH abuse, autoimmune liver disease, hep C + B infectn

24
Q

hepatic cancer

subjective findings

A
  • RUQ pain
  • bruise/bleed easy
  • nausea
  • fatigue
25
hepatic cancer | objective findings
- ascite - jaundice - vomit - pale stools
26
ventral hernia | common causes
hernia of incision - obesity - repeated surgery - post op infection - impaired wound healing - poor nutrition
27
pancreatic cancer | RF
- smoking - age - race - genes
28
pancreatic cancer | subjective findings
- LUQ pain that radiates to back - nausea - pruritis (itching)
29
pancreatic cancer | objective findings
extreme wt loss - jaundice - dark urine - diarrhea - greasy, pale stools
30
stomach cancer | RF
dietary habits
31
stomach cancer | subjective findings
- indigestion - loss of appetite - ab bloating after eating - nausea - ab pain
32
stomach cancer | objective findings
- wt loss - vomit - ab distention - GI bleed - cancerous lesions usually in distal third of stomach
33
colorectal cancer
involves any part of the large intestine, sigmoid colon, rectum
34
colorectal cancer | RF
- 50 y.o + - fam hx - preexisting order of GI - diabetes - tobacco - mod ETOH - obesity - diet high in red meat - lack of physical activity
35
colorectal cancer | subjective findings
- variation in bowel habits - ab cramping/pain - incr intestinal gas - fatigue
36
colorectal cancer | objective findings
- rectal bleeding - wt loss - intestinal obstructn
37
ulcerative colitis
lower portion of lrg intestines+ rectum
38
ulcerative colitis | RF
- common in adolescents + yng adults | - autoimmune
39
ulcerative colitis | subjective findings
- rectal pain - urgency to move bowels w or w/o ability to pass stools - ab pain/cramping
40
ulcerative colitis | objective findings
- wt loss - diarrhea - fever
41
esophagitis | common cause
- smoking - ETOH abuse - reflux of gastric contents - ingestion of extremely hot or cold foods/liquids
42
esophagitis | subjective findings
- dysphagia - chest pain - nausea
43
esophagitis | objective findings
- vomit - wt loss - esophageal obstruction
44
peritonitis | subjective findings
- ab pain/tendernss - ab bloating - nausea - decr U+O
45
peritonitis | objective findings
- ab distention - vomiting - decr appetite - fever
46
Hep A virus
enteric routes | -feces or oral
47
Hep B virus
parenteral, sex, or perinatally
48
Hep C virus
via blood or blood products, parenterally
49
Hep D virus
- same as HBV | - parenteral, sex, or perinatally
50
Hep E virus
enterically fr travels to asia, india, africa, central america
51
chrons disease
can involve any part of lower intestinal tract | -common in yougn adults