ABD pain Flashcards
ABD pain and surgery - most important thing?
Dont delay surgery for imaging
High pitched bowel sounds suggests?
Mechanical Bowel obstruct
Intra-abd bleeds req what intervention?
FAST U/S
Abd Masses may indicate
Hernia, Aneurysm, Distended bladder, Tumor
Abd pain labs
BMP, CBC, Coag, T/S XM prn
Visceral pain in relation to epigastric pain includes what structures?
(Foregut) Liver, GB, Stomach, Pancreas, 1st half duodenum
Undx ABD pain TXT
Opioids
Anti-emetics
NG tube
UA cath PRN
Signs of parietal pain?
Rigidity, Rebound TTP, guarding, Lying completely still
Bowels sounds are increased w/?
SBO
When D/C a patient what should be considered?
If Dx unclear (even if CT neg) F/U 12hr PCM/ER
Location of visceral pain?
Apprx at spinal level
Felt midline
CT is SOC for?
Kidney/ureteral stones (No contrast)
DX is driven by -
location of S/S or S/S groupings
SBO is MC due to?
Adhesions
When to perform pelvic exam?
Female - reproductive
Lower abd pain
No hystercetomy
Surgical scars may indicate what w/in the abd?
Adhesions
Where is parietal pain found?
Localized to dermatomes/anterior wall
Visceral pain in relation to periumbilical pain includes what structures?
(Midgut) 2nd half of duodenum, jejunum, ileum, cecum, appendix, 1st half colon
How much blood loss before SBP drops?
30-40 percent
Abd Distention may indicate
Ascites, Ileus, Obstruct, Volvulus
NG tube can confirm what?
Upper GI Bld and decompress bowel obstruct
CT (PR) contrast is useful for?
Distal LRG bowel obstruct
ABD U/S is good for?
Assessing biliary tree, Pancreas, KUB, Aoritc dimensions
ABD XR series is good for?
SBO Incarcerated hernia Sigmoud volvulus Perf Severe constipation