Abdominal Pain

Question 1

If the patient has somatic pain, then the pain is able to be _____?

Answer 1

pinpointed

Question 2

If the patient has visceral pain, the pain will be ____.

Answer 2

referred

Question 3

Referred pain is based on ____?

Answer 3

site of embryological origin

Question 4

Neuropathic pain is due to ____.

Answer 4

damaged nerves

Question 5

How would a patient with abdominal pain that is being caused by some sort of obstruction present?

Answer 5

• No fever
• No elevated WBCs
• colicky
• Restless- no comfort in moving

Question 6

Abdominal Pain caused by obstruction can be caused from?

Answer 6

• cholelithiasis

- nephrolithiasis

Question 7

How will a patient with ischemic abdominal pain present?

Answer 7

• Pain out of proportion- may look like they are faking the pain
• No fever
• Soft abdomen
• Bloody stools
• May have a history of A fib/ CAD/ PUD–> think problem with blood flow

Question 8

A patient with abdominal pain caused by inflammation will present how?

Answer 8

• • Fever
• Increased WBCs
• Restless- no comfort in moving
• Constant pain

Question 9

Inflamed abdominal pain can be caused by which top three diagnoses?

Answer 9

• Cholecystitis
• Pyelonephritis
• Pancreatitis

Question 10

If a patient has some sort of perforation and is causing abdominal pain, how will they present?

Answer 10

• Sick as SHIT
• Motionless- REALLY HURTS TO MOVE
• VERY HIGH WBCs
• VERY HIGH FEVER
• rebound tenderness

Question 11

What are some possible diagnoses if the patient has a perforation somewhere causing abdominal pain?

Answer 11

• Peritonitis
• perforation of the intestine due to diverticulitis
• perforation of artery/ies due to peptic ulcer disease

Question 12

Order a ___ if there is RUQ abdominal pain.

Answer 12

• U/S

Question 13

Order a ____ if there is RLQ, LLQ, or LUQ abdominal pain.

Answer 13

• CT