Abdominal Pain Flashcards
Rome II Criteria
12 weeks of symptoms in the preceding year; a change in the frequency or form of the stool, bloating, and pain that is usually dull, cramps and recurrent
Rome II Criteria suggests
Irritable bowel syndrome
Diffuse pain is seen in
Peritonitis Pancreatitis Leukemia Sickle cell crisis Mesenteric thrombosis Gastroenteritis Aneurysm Colitis Intestinal Obstruction
RUQ pain is seen in
Gall bladder hepatitis peptic ulcer pancreatitis Retrocecal appendicitis Renal pain MI Pneumonia Empyema Pericarditis
RLQ pain is seen in
appendicitis obstruction diverticulitis cholecystitis perforated ulcer ectopic pregnancy ovarian cyst/torsion salpingitis endometriosis ureteral calculi renal pain seminal vesiculitis
LLQ pain is seen in
Diverticulitis intestinal obstruction appendicitis abdominal wall hematoma ectopic pregnancy ovarian cyst/torsion salpingitis endometriosis ureteral calculi renal pain seminal vesiculitis
LUQ pain is seen in
Gastritis pancreatitis splenic enlargement, rupture, infarction, aneurysm renal pain MI PNA Empyema
Appendicitis
rebound tenderness over appendix RLQ involuntary guarding McBurney's point Tachycardia mild fever
Cholecystitis
RUQ guarding and tenderness
light palpation over gall bladder may reveal it is enlarged
Peptic ulcer disease
Pain on gentle percussion over the midepigastrium or duodenum
Peritonitis in PUD is secondary to perforation
Begins an hour after eating and is relieved by eating and antacids
Intestinal obstruction
rushes of high-pitched, tinkling peristalsis
associated with recurring cramps, colicky pain
succussion splash in stomach
sudden onset of colicky abdominal pain
vomiting
obstipation
Abdominal distention
Salpingitis
unilateral or bilateral tenderness on palpation in the lower abdomen
increased bowel sounds
involuntary guarding and rigidity are rare
Pelvic exam elicits pain with lateral movement of the cervix
purulent cervical discharge
Irritable bowel
tender colon
Rome II criteria
Acute Diverticulitis
Abdominal tenderness Palpable mass in LLQ Fever decreased bowel sounds diarrhea and rectal bleeding rare
Ureterolithiasis
Tenderness on percussion in the CVA and ileum
hematuria
