abd pain Flashcards
First thing you should do for pt c/o abd pain?
Is it emergent or not? Acuity!! ABC’s
These 3 broad categories of abdominal pain necessitate admission
1) peritoneal irritation
2) obstruction
3) acute vascular compromise
This type of abd pain is dull, aching, diffuse, and vague. It is a/w what type of pain fibers?
visceral–C type, slow conduction
This type of abd pain is focal and intense. It is a/w what type of pain fibers?
parietal, A and C
Where does the pain from cholecystitis often refer to?
right shoulder
Post prandial abdominal pain. Create a DDx of 3 potential problems
1) Mesenteric ischemia
2) GERD
3) cholecystitis
The abd aorta should be < ____cm.
3cm
considered an aneurysm >5 cm
You have a fever, LLQ pain, and constipation. What is the most likely dx?
diverticulitis
What nerve in the gut is most likely to cause pain?
Irritated pancreas presses on the splanchnic nerves
What’s the best imaging to use first for abd pain pts?
KUB
What imaging do you use if you suspect a biliary problem?
US
When might you order an endoscopy?
PUD, Cancer
Acute pain over appendix when pushes on the __________
McBurney’s point
Sign indicative of acute cholecystitis
Murphy’s sign
Pain at appendix when you push on the LLQ
Rosving’s sign
