Abdominal pain Flashcards
Cholecystitis
Severe, unrelenting RUQ or epigastric pain
Inflammation of the gallbladder
Cholecystitis associated findings:
RUQ pain and rigidity
Positive Murphy sign
Fever
Possible jaundice
Pancreatitis
Dramatic, sudden onset, excruciating LUQ, may refer to left shoulder
Pancreatitis associated findings
Epigastric tenderness, fever, positive Grey Turner and Cullen Signs (both occur 2-3 days after onset)
Appendicitis
Initially peri umbilical or epigastric; later becomes localized to RLQ
Appendicitis associated findings
Guarding
Mcburney sign
Low grade fever
Peritonitis
Sudden or gradual onset, pain on deep inspiration
Peritonitis associated findings
Shallow respirations
Reduced or absent bowel sounds
Diverticulitis
Epigastric, radiating down the left side of abdomen, especially after eating
May refer to back
Diverticulitis associated findings
Flatulence, borbrygmus (rumbling or gurgling noise made by the movement of fluid and gas in the intestines)
Bright red rectal bleeding if perforation occurs
Epigastric
Part of the upper abdomen directly over the stomach
Acute gastroenteritis
Inflammation of the stomach and intestines associated with sudden onset of vomiting and diarrhea
What is the most common abdominal emergency in the US?
APPENDICITIS
Crohn’s disease
Chronic inflammatory bowel disease
Crohn’s disease effects?
Ileum and colon
