Abdominal Pain Flashcards
Rovsing’s sign
Push on LLQ makes pain in RLQ
Psoas sign
Pain with hip extension
Obdurator sign
Pain with flexion and internal rotation of the hip
When is rebound usually seen in appendicitis?
Usually only after rupture or infarct
Why does PUD wake people up at night?
Gastric secretions peak around 2 AM
CT findings in diverticulitis
Wall thickening and stranding
When does pyloric stenosis present?
2 weeks to 6 weeks;
4x more common in males
What kind of emesis is seen in pyloric stenosis?
Non-bilious
PE finding in pyloric stenosis
Olive-shaped mass in abdomen
Best diagnostic test for pyloric stenosis:
U/S
When does intussusception usually present?
5-12 months
How sensitive is CT scan for diagnosing renal calculi?
> 95% sensitive and specific
What is a KUB?
Kidney Ureter Bladder xray
Why use U/S in the consideration of renal calculi?
To r/o hydronephrosis
not helpful at identifying small calculi
5 random causes of pancreatitis:
Hypertriglyceridemia Trauma Pregnancy Pancreatic carcinoma Atherosclerotic emboli Scorpion bites
Recanalization of the umbilical vein is called:
Caput medusa
Rectus sheath hematoma is most often seen in what patient population:
Anticoagulated patients with coughing
4 Risk factors for cecal volvulus:
Pregnancy
Young age
Prior abdominal surgery
Marathon running
3 common causes of hepatic abscess:
Gram negatives;
Anaerobic streptococci;
Entameoba histolytica
Common lab findings in hepatic abscess:
Elevated WBC
Elevated bilirubin
Elevated AST/ALT
CXR findings in hepatic abscess:
Right-sided effusion and elevation of the right hemidiaphragm
Triple coverage antibiotics for hepatic abscess:
Gentamicin
Metronidazole
Ampicillin
Where to iatrogenic esophageal perforations typically occur?
Pharyngoesophageal junction
Esophagogastric junction
What is the mechanism of elevated PT/INR in patients with liver disease?
Decreased production of vitamin K dependent clotting factors (II, VII, IX, X)
