abdo pain Flashcards
5F’S for what ? and what are htye
FEMALE
FAT
FERTILE
FORTIES
fair
cholescytsiits
in patients with massive ascites what would you not be able to to do
form a belly fold due to the liquid
how would you test shifting dullness and explain
lying supine, fluid will naturally move to the lumbar regions so if you percuss from lateral to medial you should hear dullm then ask to shift to a recumbent postion and percuss
mesenteric adenitis is what give a description
common in kids , inflammation of LN of the abdomen
Preceded usually by cold symptoms or pt currently I’ll
Abdo pain usually umbilical region can also be right iliac fossa
Most common is gastroenteritis viral
Can also be IBD
lN can’t be felt too deep in messentry
what do we use a FAST SCAN
used in trauma
to check for blood , hemopetioneum, pericardial blood,
- check the spleen for bleeding
- morrisons pocuh where blood can form
whats something to always remember about bowel obstruction
YOU CAN STILL BE PASSING WIND AND POO and be obsturctive
signs of cholecystitis
fever
pain in right side
pain in shoulders
pain in back
jaundice
murphies
DX
left sided pain
ischemic colitis
UC
Diverticulitis
types of cholecysitis
calculous
a calculous
what is ischemic colitis and causes
lack of blood flow to the large bowel due to some cause such as hyptoension or a strcitre, or embolism (a fib)
dx of lower GI bleeding
IBD
hemorroids
diverticulitis
infective colitis
ischemic colitis
colon cancer
post radiation colitis
Signs of pancreatitis
- Epigastric to the back
- Vom
Tripod position
Diarrhoea can be common too!!!!!
Get smashed
Diagnosis of pancreatitis
Management
Most common cause
Score e use
Bloods fbc, u and e , amylase lipase
Ultrasound to look for gall stones!,,,
Bm- hyperglycaemia indicates severe
Aggressive fluids (third spacing)
Pain relieve
Anti emetics
Analgesia
Gallstones followed by alcohol
Glasgow
