Abdomen Pain

Question 1

3 kinds of abdo pathophysiology?

Answer 1

1. obstruction
2. inflammation
3. perforation

Question 2

Localisation of the following:

1. obstruction
2. inflammation
3. perforation

Answer 2

1. obstruction: poorly localised
2. inflammation: well localised (parietal)
3. perforation: well localised unless general

Question 3

Quality of the following:

1. obstruction
2. inflammation
3. perforation

Answer 3

1. obstruction: colicky
2. inflammation: sharp
3. perforation: sharp

Question 4

what does colicky mean?

Answer 4

waves, comes and goes

Question 5

if leaning forwards makes abdo pain better, could be a sign of?

Answer 5

pancreatitis

Question 6

associated symptoms of abdo pain?

Answer 6

nausea?
vomiting?
flatus
bowel motion
fever
sweats
travel
NSAIDS, antibiotics

Question 7

where is visceral pain usually felt? why?

Answer 7

central/epigastric: embryological

Question 8

what can cause periumbilical pain?

Answer 8

any of the unpaired organs

Question 9

describe parietal pain:

Answer 9

localised to where viscus touches parietal peritoneum

Question 10

how to fast diagnose perforated bowel?

Answer 10

Gas under diaphragm possible shoulder tip pain

Question 11

how to decrease pain with midgut vomiting?

Answer 11

Nasogastric tube

Question 12

hindgut vomiting?

Answer 12

infrequent

Question 13

foregut vomiting?

Answer 13

projectile

Question 14

is renal colic colicky pain?

Answer 14

nope, more constant

Question 15

where do paired organs refer?

Answer 15

laterally

Question 16

example of obstruction in the wall?

Answer 16

colon cancer

large bowel obstruction

Question 17

example of extrinsic obstruction of hollow viscus?

Answer 17

adhesion in small bowel

Question 18

what else besides organs can refer back to front?

Answer 18

shingles before appearance of rash

Question 19

what can you trial to help diagnose appendicitis?

Answer 19

appetite test with food

Question 20

3 kinds of hernias:

Answer 20

inguinal
femoral
abdominal/hiatus

Question 21

what does high pitched bowel sound mean?

Answer 21

partial obstruction

Question 22

what can cause absent bowel sound?

Answer 22

peritonitis/perforation: be worried

Question 23

3 signs and symptoms of severe peritonitis?

Answer 23

generalised pain
generalised tenderness
guarding/rebound tenderness

Question 24

what are the obs like in peritonitis

Answer 24

fever
tachycardic
hypotension
decreased urine

Question 25

name 4 non abdo causes of abdo pain:

Answer 25

heart
lung/diaphragm
back
herpes zoster

Question 26

what can cause retroperitoneal pain?

Answer 26

Haematoma

AAA

Question 27

what is Mittelschmerz?

Answer 27

ovulatory pain

Question 28

woman under 50 comes in with abdo pain?

Answer 28

preg test

Question 29

what is Murphy’s Sign?

Answer 29

cessation of inspiration due to pain of gall bladder moving down irritating peritoneum in acute cholescystitis

Question 30

inflam in biliary colic?

Answer 30

Nope, just pain

Question 31

what can cause acute pancreatitis? 3 things:

Answer 31

lower gall stone obstruction
alcohol
ERCP

Question 32

what is choledocholithiasis? inflam?

Answer 32

stone stuck in biliary system

no inflam

Question 33

2 causes of peptic ulcer?

Answer 33

H.Pylori

NSAIDS

Question 34

difference in presentation between biliary colic and choledocholithiasis?

Answer 34

choledocholithiasis has jaundice due to bile duct blockage

Question 35

what do you see with U/S when trying to diagnose gall stone?

Answer 35

see dilated vessels, not gall stone

Question 36

vital signs for biliary colic?

Answer 36

normal

Question 37

vital signs for acute cholescystitis?

Answer 37

fever, tachy

Question 38

vital signs for acute pancreatitis?

Answer 38

tachy, hypoxia hypotension if severe

Question 39

fever with choledocholithiasis?

Answer 39

yes

Question 40

what side is diverticulitis normally on?

Answer 40

left side

can be right if caecal diverticulitis