45 - Acute Abdomen

Question 1

Abdominal pain diagnosis changes according to sex and age:
young patients- __ is more common
older patients- bowel __, intestinal __, __

Answer 1

appendicitis
obstruction
ischemia
diverticulitis

Question 2

The three leading categories for non surgical acute abdomen are:
endocrine/metabolic (__,__,__)
hematologic (__,__)
drugs/poisoning (__,__,__)

Answer 2

diabetic crisis/Addisonian crisis/FMF
sickle cell crisis/acute leukemia
lead poisoning/black widow/narcotic withdrawal

Question 3

What are the 5 most common reasons for surgical acute abdominal condition?

Answer 3

hemorrhage
infection
perforation
blockage
ischemia

Question 4

Abdominal pain can also be classified into two categories according to anatomy and physiology: 
\_\_\_ pain (due to distension)
\_\_\_ pain

Answer 4

visceral

parietal

Question 5

Visceral pain tends to be more ___ and is incorrectly __. It is usually found in the following areas: (3)

Answer 5

fuzzy 
localized
epigastrium
periumbilical
hypogastrium

Question 6

The epigastric area includes the ___ until the second part of the __, __, __ ducts, __, and __

Answer 6

stomach
duodenum
liver
bile
pancreas
spleen

Question 7

The periumbilical area includes the second part of the __, 2/3 of the proximal ___

Answer 7

duodenum

transverse colon

Question 8

The hypogastric area includes the distal ___ and __

Answer 8

transvers colon

anus

Question 9

Radiation to the right shoulder can originate from pain in the __, __, or __

Answer 9

liver
gallbladder
right hemidiaphragm`

Question 10

Radiation to the left shoulder can be from the __, __, or __

Answer 10

heart
tail of pancreas
spleen

Question 11

Primary peritonitis is more common in __, usually due to __ or hemolytic ___

Answer 11

children
pneumococcus
streptococcus

Question 12

Adults with __ or __ may also develop primary peritonitis. The common bacteria are ___ and __

Answer 12

ESRD
ascites
E. Coli
Klebsiella

Question 13

Abscess will cause __ and __ pain with __ GI sound and function.
A diffuse process (perforated ulcerated duodenum) will lead to ___ abdominal pain with a “quite” a abdomen.

Answer 13

sharp
localized
normal
spread

Question 14

What are the 3 things you should look for when performing PE on a patients with suspected peritonitis?
extreme ___
___
___

Answer 14

sensitivity
rebound
guarding

Question 15

When taking history we must follow the (OPQRST):

Answer 15

when
characteristics
location
duration
radiation

Question 16

Pain pointed at with one finger is usually __ pain.

Pain pointed at with spread palm is usually __ pain.

Answer 16

parietal

visceral

Question 17

Eating will exacerbate the abdominal pain in the following cases: (5)
bowel \_\_\_
bowel \_\_\_
\_\_\_ colic
\_\_itis
\_\_itis

Answer 17

obstruction
perforation
biliary
pancreatitis
diverticulitis

Question 18

Eating will reliever the abdominal pain in the following cases (2):
unperforated __ __ disease, and ___

Answer 18

unperforated peptic ulcer disease

gastritis

Question 19

חסר. עצרתי באמצע עמוד 207 לסיכום

Answer 19

חסר