AB pain Flashcards
1
Q
Differentials
A
Appendicitis Diverticulitis Nephrolithiasis Pancreatic cancer Acute Pancreatitis Acute Cholecystitis Acute Hepatitis Peptic Ulcer Disease Pyelonephritis CHOLELITHIASIS CHOLANGITIS
2
Q
Appendicitis
A
- Acute onset
- PERI-UMBILICAL pain of origin
- Pain localized to RLQ
- Worse with pressure
- Anorexia
- Nausea
3
Q
Diverticulitis
A
- Crampy RIGHT LOWER quadrant pain
- constipation
- Low fibre diet
- Fever and chills
4
Q
Nephrolithiasis
A
RIGHT LOWER quadrant pain
- Urinary Frequency
- Nausea
- Anorexia
5
Q
Pancreatic cancer
A
- Dull epigastric pain
- Pain radiates to the BACK
- Weight loss
- Dark urine
- Pale Stools
- Heavy drinker or smoker
- Jaundice signs
6
Q
Acute Pancreatitis
A
- epigastric pain that radiates to the BACK
- Pain improves when leaning forward
- Nausea
- Anorexia
- Alcoholic *
7
Q
Acute Cholecystitis
A
- RUQ pain
- pain radiates to the RIGHT SCAPULA
- Pain starts after eating FATTY foods
8
Q
Acute Hepatitis
A
- RUQ pain
- Fever
- Anorexia
- Dark Urine
- Clay stools
9
Q
Peptic Ulcer Disease
A
- Epigastric pain
- Pain worsens or relieved by EATING
- pain relieved by antacids or PPIs
10
Q
Plan
A
- CBC
- Liver function tests
3 Ultrasound/ CT of abdomen - Amylase, lipase test
- Viral hep serology
11
Q
Pyelonephritis
A
“Abdominal pain”
- Flank pain
- fever
- N/V
- Blood or discolored urine
- Kidney stones in history
12
Q
CHOLELITHIASIS
A
“Abdominal pain”
- RUQ pain
- Family hx, 4 F’s (Female, fat, forty, fertile)
- Diabetes
- Alcohol
- Sudden onset
- Obstructive jaundice signs (dark urine and pale stools)
13
Q
CHOLANGITIS
A
- Fever
- RUQ pain
- Jaundice
