Abdominal Pain Flashcards
3 types of abdominal pain
- inflammatory - constant
- colic - comes and goes (bowel obstruction)
- comes in waves, doesnt go to baseline (biliary colic)
when will gallstones in gall bladder cause jaundice?
won’t usually unless the stones get into the common bile duct or if there is an empyema that compresses the common hepatic duct
what happens to the anion gap in sepsis?
widens as HCO3 goes down
what movement can elicit pancreatitic pain
leaning forward
L1 will compress the pancreas and cause pain
what causes bile to form stones
imbalance of cholesterol and salts in bile causes crystals to form that clump together forming stones. this occurs in the gall bladder as this is where it has a chance to settle
what causes contraction of the gall bladder
CCK released from duodenum in response to fatty foods
test you should to for pancreatitis
lipase
what things can elevate LDH
lung
liver
red cells
pancreas
what is hepatopulmonary syndrome
shortness of breath and hypoxia due to vasodilation of capillaries in the lung due to disease of the liver
causes of pancreatitis
Idiopathic Gallstones Ethanol Trauma Steroids Mumps Autoimmune Scorpion sting Hypercalcemia, hyperlipidemia, hyperparathyroidism ERCP Drugs
what did prof russell is the best predictor of death as investigation
a drop in albumin.
sepsis and trauma block albumin synthesis
what is the half life of serum albumin
12 hours
what is the half life of interstitial albumin
21 days
