Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Exam > Abdominal Pain > Flashcards

Abdominal Pain Flashcards

1
Q

List 7 red flags in abdominal pain

A
  1. Severe pain
  2. Melena
  3. Wt. loss
  4. Abnormal labs
  5. Age >55
  6. Vomiting
  7. Dysphagia
  8. Mass
  9. Concerning family history
  10. Previous history of malignancy or vascular concerns
  11. Bilious Vomiting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List 7 red flag physical exam findings

A
  1. Pallor
  2. Sweating
  3. Hypotension
  4. Tachycardia
  5. Fever
  6. Rebound tenderness
  7. Decreased output
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What medications should you ask about in abdominal pain (7)

A 
NSAIDS, 
ASA, 
TCA, 
Iron, 
EtOH, 
abx 
Steroids
Nicotine 
Valproate
Phenytoin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

DDX for diffuse abdominal pain (7)

A 
Peritonitis 
Mesenteric ischemia 
Pan-colitis
Constipation 
Early appendicitis 
DKA
Hypercalcemia
Somatization
Pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

DDX for epigastric pain (10)

A 
Gastritis
PUD
Duodenal ulcer 
AAA
Aortic dissection 
MI
Pericarditis
Mallory weis tear 
Pancreatitis
NSAIDS/ASA
Biliary colic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

RUQ pain (10)

A 
Cholecystitis
Hepatitis
Biliary collic
Nephrolithiasis
Pyelonephritis
RLL pneumonia 
R Pleural effusion 
Costochronditis
Herpes 
Appendicitis if pregnant 
Trauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

LUQ pain (10)

A 
Pancreatitis
PUD
Gastritis
NSAIDS
Splenic infact
Spenic rupture 
Nephrolitiasis
Pyelonephritis
LLL Pneumonia 
L sided pleural effusion 
Herpes 
Trauma 
Costocondritis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

LLQ pain (10)

A 
Diverticulitis 
Constipation 
Ovairan torsion 
Ovarian cyst 
Ovarian Abscess 
Proctitis
Volvulis 
Ectopic 
Endometriosis 
Cystitis
Epididymitis 
Testicular torsion 
Nephrolithiasis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

RLQ pain (10)

A 
Testicular torsion
Epiddymitis
Ovarian torsion 
Ovarian cyst 
PID
Ectopic 
Appendicitis 
Colitis 
Hernia
Cystitis 
Nephrolitiasis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pelvic pain (10)

A 
PID
Cystitis 
Endometriosis 
Fibroids
Ectopic 
Mittleschmerz
Constipation 
Diverticulitis 
Colitis 
Appendicitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

DDX if abdo pain with fever (5)

A 
Infection
Malignancy
IBD
Pancreatitis 
Infarction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Dx if abdo pain and jaundice (2)

A

Pancreatitis

Hepatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Concerning physical exam finding for bleeding in the abdomen

A 
Turners (flank bruising) 
and Cullens (periumbilical bruising)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List 4 causes of abdominal pain not caused by anything in the abdomen (systemic causes)

A 
DKA 
Drugs
Anemia 
Depression
Could also list resp and cardiac causes like pneumonia,  MI, aortic dissection etc.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

DDX for abdominal pain in children

A 
Life threatening 
-Intussusception 
-Appendicitis
-Obstruction 
-Testicular torsion 
Common
-Gastro
-Constipation 
Missed:
-Abuse
-Ulcer
-Mumps 
-Pneumonia 
-UTI
-Diabetes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment for H. Phylori

A
  1. PPI like Pariet
  2. Bismuth
  3. Nitroimidazole like metronidazole
  4. Tetracycline

FOR 14 DAYS

17
Q

What are some risks of long term PPIs

A 
B12 deficiency (iron? Mg?)
Dementia
C Diff**  only one with real evidence 
Fractures 
Pneumonia
18
Q

Risks for H. Pylori

A 
Low SES
Immigrants 
Living in crowded conditions 
No reliable hot water 
Parents infected
19
Q

Red flag symptoms for Dyspepsia

A 
Vomiting 
Wt. loss 
Melena 
Age >50 
Dysphagia 
Anemia
20
Q

When to do an endoscopy for dyspepsia

A 
Age >60 
Red flags
-Wt loss
-Dysphagia
-Vomiting
-Anemia
-Melena
Failure of reasonable trial of treatment
21
Q

Risks for Barrett’s

A 
Old
Fat
White
Male 
Smoker
22
Q

List 3 investigations you would consider for dyspepsia

A

H. Pylori serology
Hemoglobin
Endoscopy

23
Q

Non pharm management of dyspepsia (7)

A 
Weight loss
Stop smoking 
Stop drinking 
Stop NSAIDS
Aboid triggers
Eat smaller meals 
Elevate head of bed 
Don't eat <3 hours before lying flat
24
Q

First line dtreatment for Dyspepsia

A

Antacids or H2 receptor antagonists if mild
PPI (Pariet) if moderate
Can increase dose to BID

25
Q

Second line treatments for Dyspepsia

A

TCA like amitryptaline

Prokinetic like domperidone

26
Q

When do we treat urethral stones

A

> 5 mm

27
Q

When do we treat urethral stones with medical expulsive therapy

A

5-10 MM and distal

28
Q

How to we check for Urethral stones

A

US KUB or CT KUB

29
Q

How do you do forced IV hydration for urethral stones

A

We don’t anymore, no longer recommended by Can Urol Association

30
Q

Risks for gallstones

A 
Female
Forty
Fertile
Obese
OCP
31
Q

Medications that increase Risks for pancreatitis

A 
Septra
Flagyl
HCTZ
ACE i 
Progesterone 
Atorvastatin
Estrogen
Steroids
32
Q

Risks for pancreatitis

A 
Gallstones
EtOH
Trauma 
Steroids 
Mumps
Malignancy
Autoimmune
Scorpions 
High TG
ERCP
Drugs

Exam (100 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions