Abdominal, Gynecological, Genitourinary, and Renal Emergencies Flashcards
Solid organs in abdominal cavity
Spleen, liver, pancreas, kidneys, ovaries
Hollow organs in abdominal cavity
Stomach, gallbladder, duodenum, large intestine, small intestine, bladder, appendix, fallopian tubes, uterus, ureters
Peritoneum (definition and contents)
Lining of abdominal cavity
Visceral peritoneum: covers organs
Parietal peritoneum: Attached directly to abdominal wall
Intraperitoneal space
Space between visceral and parietal peritoneum
Houses the spleen, liver, gallbladder, stomach, pancreas, small intestine, and part of the large intestine
Retroperitoneal space
Space outside the intraperitoneal space
Houses kidneys, pancreas, ureters, and abdominal aorta
Organs located in Right Upper Quadrant of Abdomen
- Majority of liver
- R kidney
- pt Colon
- Part of pancreas
- Gallbladder
- Pt Small intestines
Organs located in Left Upper Quadrant of Abdomen
- Small am’t liver
- Spleen
- L kidney
- Stomach
- Pt Colon
- Most of pancreas
- Pt Small intestines
Organs located in Right Lower Quadrant of Abdomen
- Pt. colon
- Pt. small intestines
- R ureter
- R ovary
- R fallopian tube
- appendix
Organs located in Left Lower Quadrant of Abdomen
- Colon
- Small intestines
- L ureter
- L ovary
- L fallopian tube
Organs located in midline area of abdomone
- Bladder
- Uterus
- Prostate
Types of abdominal pain
- Visceral pain
- Parietal pain (Somatic pain)
- Referred pain
Visceral pain
The visceral peritoneum contains nerves of the autonomic nervous system
- Difficult to pinpoint where the pain is
- Often referred to as a “colicky” pain.
Parietal pain
Parietal peritoneum shares the same nerve path from the spinal cord that is connected to the skin on the abdomen, which means it can perceive much of the same sensations such as pain and pressure.
- Easier to pinpoint particular area in regard to pain.
Referred pain
Pain (from the visceral peritoneum) felt by the patient on areas of the body that appear to have no relation to the abdominal area (such as the back or shoulder)
- Common in cholecystitis, or inflammation of the gall bladder
Peritonitis
Inflammation of the peritoneum that is usually the result of blood, bacteria, or chemical substances that enter the abdominal cavity
-Signs: abdominal pain, abdominal distention, fever, loss of appetite, and a positive Markle Test.
Appendicitis
Inflammation of the appendix due to infection, often from fecal matter
Signs: nausea, vomiting, fever, lack of appetite (anorexia), positive Markel Test, and jaundice (yellowing) of the skin
Pancreatitis
Inflammation of the pancreas, caused by excessive alcohol use, gallstones, pancreatic cancer, trauma
Signs: abdominal pain (which might be severe, radiating from the umbilicus to the back and shoulders), distention, fever, tachycardia and shock
Cholecystis
Inflammation of the gall bladder
Signs: pain in the epigastric area, right upper abdominal pain (which may be referred to the right shoulder), heartburn, belching, nausea, and vomiting (with the vomitus a greenish color [bile] in most cases).
GI bleeding
Bleeding in either esophagus, stomach, or intestines, caused by colon cancer, esophageal varices, ulcers, hemorrhoids, ischemic and/or obstructed bowels, and trauma.
S&S: weakness, abdominal pain, hematemesis (vomiting of blood), vomitus that looks like coffee grounds, (a classic sign of upper GI bleeding) hematochezia (bright red blood in stool), melena (dark tarry stools), syncope, altered mental status, and shock
Esophageal varicies
Varicose veins that develop in the esophagus when the venous blood return to the liver is obstructed, which happens in conditions such as cirrhosis.
S&S: hematemesis (vomiting blood), tachycardia, shortness of breath, jaundice of the skin or sclera of the eyes (a result of the liver disease), and shock.