8 - abdo pain Flashcards
1
Q
2 main factors modifying diagnosis of abdo pain
A
gender and age
2
Q
8 life threatening causes of abdo pain
A
- ischemic bowel
- AAA
- hepatic or splenic injury
- perf
- acute pancreatitis
- obstruction
- ectopic preg
- MI
3
Q
2 general locations of abdo pain
A
- intra-abdo
2. extra-abdo
4
Q
3 intra-abdo causes
A
- peritoneal inflammation
- aseptic or bacterail - obstruction of hollow viscus
- intestine or biliary tree - vascular disorders
- bowel
- AAA
5
Q
5 extra-abdo causes
A
- abdo wall
- usually trauma - pelvic
- ectopic
- salpingitis
- cyst - intrathoracic
- MI
- pneumo
- esophageal - metabolic
- DKA
- sickle cell crisis - neurogenic
- pre-eruptic zoster
- spinal disk
6
Q
locations and Dx
A
LLQ - diverticulitis
RLQ - append
RUQ - cholelitiasis, cholecycstitis
epigastric, periumbilical - pancreatitis
7
Q
Lab tests to do
A
- CBC - look for WBCs
- urinalysis - hematuria
- amylase/lipase
- bHCG
- others
8
Q
3 uses of standard XR
A
- air
- foreign bodies
- gas pattern
9
Q
uses of US
A
- AAA
- bilary tract disease
- renal
- women of childbearing age
- ascites
10
Q
uses of CT
A
- trauma
- AAA
- pancreatitis
- urolitiathis
- diverticulitis
- appendicitis
11
Q
general steps to mgmt
A
- nothing
- IV fluids
- NG tube
- analgesia
- ABx
- antiemetics
12
Q
mgmt of cholecystitis
A
- ALP, AST, bili, US
- ABx and anagesia
13
Q
mgmt of diverticulitis
A
- CT
- surg consult
- Abx, anal
14
Q
mgmt pancreatitis
A
- amylase, ALP, bili, AST, Ca, O2 sat
- CT
- CXR
- surg consult
15
Q
mgmt perf viscus
A
- CXR
- NG suciton
- OR
