Abdominal Pain Flashcards
Causes of RUQ pain (right hypochondriac)
cholecystitis cholangitis viral hepatitis biliary colic primary biliary cirrhosis gallstone ileus
causes of loin pain
renal colic
pyelonephritis
causes of epigastric pain
pancreatitis
pancreatic cancer
duodenal ulcer
peptic/gastric ulcer
causes of central pain
ruptured AAA
intestinal obstruction
mesenteric ischaemia
causes of LUQ pain (left hypochondriac)
splenic rupture
splenic abscess
causes of right iliac fossa pain
appendicitis chron's caecum obstruction ovarian cyst hernia ectopic pregnancy
causes left iliac fossa pain
diverticulitis UC constipation ovarian cyst ectopic pregnancy hernia
causes of hypogastric pain
cystitis
testicular torsion
urinary retention
placental abruption
cholecystitis
signs, symptoms, cause, history of presenting complaint
Murphy's sign positive fever raised inflammatory markers impacted gallstones may radiate to the back or the shoulder
cholangitis
signs and symptoms, cause
Charcot’s triad - fever, RUQ pain and jaundice
bacterial infection of the biliary tree
predisposed if history of gallstones
biliary colic
signs, symptoms, cause
no fever or inflammation
follows a fatty meal
pain increases, flattens and reduces
viral hepatitis
signs and symptoms, causes
nausea and vomiting anorexia myalgia lethargy RUQ pain recent travel, IV drugs
primary biliary cirrhosis
signs and symptoms
middle aged female fatigue pruritus raised IgM raised bilirubin raised ALP
renal colic
signs and symptoms, cause
loin to groin pain
restless
haematuria
stone
pyelonephritis
signs and symptoms, cause
fever and rigors
vomiting
infection
pancreatitis
signs and symptoms, cause
radiates to the back relieved by leaning forward predisposed by alcohol and gallstones very severe pain tenderness low grade fever Cullens and grey-turner sign positive IGETSMASHED
duodenal ulcer
sign and symptom
epigastric pain that is relieved by eating
gastric ulcer
signs and symptoms
epigastric pain worsened by eating
pancreatic cancer
signs and symptoms
painless jaundice
anorexia and weightloss
steatorrhoea
mesenteric ischaemia
signs and symptoms, HPC
history of AF or cardiovascular disease
diarrhoea
rectal bleeding
metabolic acidosis
ruptured AAA
signs and symptoms, HPC
central abdominal pain that radiates to the back
catastrophic or sub-acute presentation
history of cardiovascular disease
patient in shock
intestinal obstruction
signs and symptoms, HPC
history of malignancy or abdominal surgery
vomiting
not opened bowels
tinkling bowel sounds
splenic abscess
signs and symptoms, cause
endocarditis is most common cause. also, UTI surgical wound or GI infection
left upper quadrant pain
diverticulitis
symptoms and treatment
antibiotics or surgical resection
altered bowel habit
rectal bleeding
appendicitis
signs and symptoms
central pain moves to right iliac fossa anorexia tachycardia fever tender RIF ryesings's sign - palpate LIF increases RIF pain
urinary retention
signs and symptoms
men
benign prostatic hypertrophy
suprapubic pain
gallbladder ileus
signs and symptoms, cause
small bowel obstruction secondary to gallstones
RUQ pain
distention
vomiting
fistula between gangrenous biliary duct and duodenum
what causes of abdominal pain radiate to the back
cholecystitis
pancreatitis
RAAA
TB peritonitis