4- Ab pain

Question 1

Obturator sign

Answer 1

pain on internal rotation of right thigh (pelvic appendix)

Question 2

Early in the course of appendicitis, vital signs are

Answer 2

may be normal

perforation –> rate of low-grade fever (<38 C) increases to about 40%. O

Question 3

Pain prior to nausea and vomiting is often suggestive of ________

Answer 3

a surgical etiology of the pain, such as SBO

Question 4

Cervical motion tenderness has been noted in up to 25% of women with ____________.

Answer 4

acute appendicitis

Question 5

Diverticulitis pain is generally located in the ________

Answer 5

left lower quadrant

Question 6

KUB detects approximately ___ of renal calculi

Answer 6

60-70%

Question 7

Odd conditions are associated with the development of pancreatitis

Answer 7

hypertriglyceridemia
 trauma
 pregnancy
 pancreatic carcinoma
atherosclerotic emboli
scorpion bites.

Question 8

RUQ pain, fever and a Murphy’s sign suggests _______

Answer 8

Cholecystitis

Cholelithiasis presents with similar pain, but is not associated with fever or a Murphy’s sign

Question 9

The ____ and ____ are the two most common sites of colonic volvulus

Answer 9

cecum- 10 to 52%

sigmoid colon- 43 to 71%

Question 10

cecal volvulous

Answer 10

• ages 25-35
• Prior ab surgery and pregnancy predispose to obstruction or cecal volvulus
• marathon runners have been found to have a higher incidence of cecal volvulus