Abdomen cards

Question 1

RIght Upper Quadrant (RUQ)

Answer 1

1. liver: right lobe
2. gall bladder
3. ascending colon, right colic flexure and right half of transverse colon
4. stomach (pylorus), duodenum, head of pancreas

Question 2

LUQ

Answer 2

1. liver: left lobe
2. most of stomach
3. spleen
4. transverse colon (left half), left colic flexure, descending colon

Question 3

RLQ

Answer 3

1. small intestines, appendix, cecum, lower part of ascending colon
2. right side of full bladder or pregnant uterus

Question 4

LLQ

Answer 4

1. small intestines, lower part of descending and sigmoid colon
2. left side of full bladder or pregnant uterus

Question 5

Epigastric region (1/9)

Answer 5

• liver
• gallbladder
• stomach
• pyloric sphincter, superior duodenum, head of pancreas

REFERRED PAIN FOR DISEASED GALLBLADDER, STOMACH, DUODENUM, and PANCREAS occurs here

Question 6

Umbilical region (1/9)

Answer 6

• lower duodenum, loops of small intestine

- parts of transverse colon

Question 7

Hypogastric or Pubic region

Answer 7

• sigmoid colon

- ureter and upper bladder

Question 8

Lumbar and Inguinal regions

Answer 8

-parts of ureters

Question 9

Gallbladder (early referred + somatic pain from peritoneal irritation )

Answer 9

early referred pain - epigastric region

somatic pain:

• right side of epigastrum
• near the costal margin
• right line semilunaris

Murphy’s sign - have patient inhale and press on skin above their gallbladder. They will stop inhaling if there is pain.

Question 10

Pyloric area of stomach and first part of duodenum pain due to perforated ulcer or gastritis

Answer 10

early referred pain - epigastric region

somatic pain - right edge of epigsatrium but can also extend to umbilical and hypogastric areas.

Question 11

Appendix

Answer 11

early referred pain - umbilical area

after peritoneal irritation - lateral area of RLQ

McBurney’s point - location of appendix. Found 1/3 of the way between ASIS and umbilicus.

Question 12

referred pain from secondary irritation of the diaphragm (organs + location)

Answer 12

Organs - gallbladder, pylorus of stomach, duodenum

Location - upper RIGHT shoulder and lower RIGHT cervical region

Question 13

Cecum and sigmoid colon pain

Answer 13

Cecum - right side of hypogastrium

Sigmoid colon - left side of hypogastrium

Question 14

Stone in renal pelvis

Answer 14

referred pain to posterior abdomen in area of costovertebral angles (TAP SMARTLY)

Question 15

Stone movement from upper to lower ureter

Answer 15

inferolaterally from costovertebral angle to the posterior lumbar region and to anterior lumbar/inguinal regions