Abdominal Emergencies GI/GU Flashcards
Hematemesis
Blood in the vomit
Melena
black tarry stools
liver and spleen
45% blood volume
bleeding in organs
solid organs bleed and hollow organs leak
Stokes Adams
alternates 1st degree, 3rd degree, 1st degree
“high grade”
2 or more atrial P waves in a row fail to conduct
Peritoneum
Abdominal cavity lining
Double walled structure
divides, peritoneal cavity and Retroperitoneal
Bile is made by what organ?
Liver
Hollow organs
Stomach
Gallbladder
Appendix
Solid Organs
Liver Spleen Kidney Pancreas Ovaries
What are accessory GI structures
Salivary glands
Pancreas physiology
secretes insulin, bicarbonate
Peri-umbilical
Stomach
Abdominal Aorta
Suprapubic
inguinal
Melena
blood in stool
Hematemesis
Vomiting of blood
Abnormal accumulation of fluid in peritoneal cavity
Ascites
Calculus
Kidney or gallbladder stones
What does the appendix carry?
Bacteria
Visceral Pain
vague or poorly localized
Somatic Pain
Sharp, localized
Referred pain
Originates in region other thhan where its felt
Grey turners sign
Retroperitoneal bleed
Cullen’s Sign
Subcutaneous edema and bleeding around the umbilicus
Palpate from?
least to most painful
Murphy’s sign
Pt may stop breathing on inspiration due to pressure on GB (push up and down on it)
MS for abdominal pain is?
BHPO
Abdominal pain for how long requires Tx
6hrs
7 F’s for cholecystitis
Fat Forty Fertile Family history Flatulent Female Fair skinned
