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First Aid STEP 2 CS > ABDOMINAL PAIN > Flashcards

ABDOMINAL PAIN Flashcards

1
Q

Nephrolithiasis DDx:

3

A
  1. RCC.
  2. Pyelonephritis.
  3. GI etiology (eg appendicitis).
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2
Q

Nephrolithiasis workup:

7

A
  1. UA, urine culture and sensitivity, urine cytology.
  2. BUN/Cr.
  3. CT abdomen.
  4. US renal.
  5. KUB.
  6. IVP.
  7. Blood culture.
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3
Q

Pancreatic cancer DDx:

7

A
  1. Cholangiocarcinoma.
  2. Acute viral hep.
  3. Acute alcoholic hep.
  4. Chronic pancreatitis.
  5. Cholecystitis/choledocholithiasis.
  6. AAA.
  7. PUD.
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4
Q

Pancreatic cancer workup:

6

A
  1. CBC.
  2. Electrolytes.
  3. Amylase, lipase.
  4. AST/ALT/Bil/ALP.
  5. CT abdo.
  6. US abdo.
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5
Q

Acute pancreatitis DDx:

7

A
  1. PUD.
  2. Cholecystitis/choledocholithiasis.
  3. Gastritis.
  4. AAA.
  5. Mesenteric ischemia.
  6. Alcoholic hepatitis.
  7. Boerhaave syndrome.
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6
Q

Acute pancreatitis workup:

8

A
  1. CBC.
  2. Electrolytes, BUN/Cr.
  3. Amylase, lipase.
  4. AST/ALT/Bil/ALP.
  5. US abdo.
  6. CT abdo.
  7. Upper endoscopy.
  8. ECG.
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7
Q

Acute cholecystitis DDx:

6

A
  1. Choledocholithiasis.
  2. Hepatitis.
  3. Ascending cholangitis.
  4. PUD.
  5. Fitz-Hugh-Curtis.
  6. Acute subhepatic appendicitis.
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8
Q

Acute cholecystitis workup:

5

A
  1. CBC.
  2. AST/ALT/bil/ALP.
  3. US abdo.
  4. CT abdo.
  5. Blood culture.
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9
Q

Ascending cholangitis DDx:

5

A
  1. Acute gallstone cholangitis.
  2. Acute cholecystitis.
  3. Hepatitis.
  4. Sclerosing cholangitis.
  5. Fitz-Hugh-Curtis.
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10
Q

Ascending cholangitis workup:

7

A
  1. CBC.
  2. AST/ALT/bil/ALP.
  3. Blood culture.
  4. Viral hep serologies.
  5. US abdo.
  6. MRCP.
  7. ERCP.
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11
Q

Acute hep DDx:

5

A
  1. Acute cholecystitis.
  2. Ascending cholangitis.
  3. Choledocholithiasis.
  4. Pancreatitis.
  5. Acute glomerulonephritis.
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12
Q

Acute hepatitis workup:

6

A
  1. CBC.
  2. Amylase, lipase.
  3. AST/ALT/bil/ALP.
  4. Viral hep serologies.
  5. UA.
  6. US abdo.
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13
Q

PUD DDx:

5

A
  1. Gastritis.
  2. GERD.
  3. Cholecystitis.
  4. Chronic pancreatitis.
  5. Mesenteric ischemia.
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14
Q

PUD workup:

5

A
  1. Rectal exam, stool for occult blood.
  2. Amylase, lipase, lactate.
  3. ALT/AST/bil/ALP.
  4. Upper endoscopy (including H.pylori testing).
  5. Upper GI series.
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15
Q

Perforated peptic ulcer DDx:

5

A
  1. Acute pancreatitis.
  2. Hepatitis.
  3. Cholecystitis.
  4. Gallstone cholangitis.
  5. Mesenteric ischemia.
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16
Q

Perforated peptic ulcer workup:

10

A
  1. Rectal exam.
  2. CBC.
  3. Electrolytes.
  4. Amylase, lipase, lactate.
  5. AST/ALT/bil/ALP.
  6. CXR.
  7. KUB.
  8. CT abdo.
  9. Upper endoscopy (including H.pylori testing).
  10. Blood culture.
17
Q

Splenic rupture DDx:

5

A
  1. Kidney stone.
  2. Rib fracture.
  3. Pneumonia.
  4. Perforated peptic ulcer.
  5. Splenic infarct.
18
Q

Splenic rupture workup:

5

A
  1. CBC.
  2. Electrolytes.
  3. CXR.
  4. CT abdo.
  5. US abdo (if hemodynamically unstable).
19
Q

Intestinal obstruction DDx:

6

A
  1. Small bowel or colon cancer.
  2. Volvulus.
  3. Gastroenteritis.
  4. Food poisoning.
  5. Ileus.
  6. Hernia.
20
Q

Mesenteric ischemia/infarction DDx:

5

A
  1. Diverticulitis.
  2. PUD.
  3. Gastroenteritis.
  4. Acute pancreatitis.
  5. Cholecystitis.
21
Q

Mesenteric ischemia/infarction workup:

8

A
  1. Rectal exam.
  2. CBC.
  3. Amylase, lipase, lactate.
  4. ECG.
  5. AXR.
  6. CT abdo.
  7. Mesenteric angio.
  8. Barium enema.
22
Q

Ovarian torsion DDx:

6

A
  1. Appendicitis.
  2. Nephrolithiasis.
  3. Ectopic pregnancy.
  4. Ruptured ovarian cyst.
  5. PID.
  6. Bowel infarction or perforation.
23
Q

Ovarian torsion workup:

9

A
  1. Pelvic exam.
  2. Urine hCG.
  3. Doppler US pelvis.
  4. Rectal exam.
  5. UA.
  6. CBC.
  7. CT abdo.
  8. Laparoscopy.
  9. Chlamydia and gonorrhea testing, VDRL/RPR.
24
Q

Diverticulitis DDx:

4

A
  1. Crohn.
  2. UC.
  3. Gastroenteritis.
  4. Abscess.
25
Q

Diverticulitis workup:

7

A
  1. Rectal exam.
  2. CBC.
  3. Electrolytes.
  4. CXR.
  5. AXR.
  6. CT abdo.
  7. Blood culture.
26
Q

Acute appendicitis DDx:

7

A
  1. Gastroenteritis.
  2. Diverticulitis.
  3. Crohn.
  4. Nephrolithiasis.
  5. Volvulus or other intestinal obstruction.
  6. Perforation.
  7. Acute cholecystitis.
27
Q

Acute appendicitis workup:

6

A
  1. CBC.
  2. Electrolytes.
  3. CT abdo.
  4. AXR.
  5. US abdo.
  6. Blood culture.
28
Q

IBS DDx:

5

A
  1. CD.
  2. Celiac disease.
  3. Chronic pancreatitis.
  4. GI parasitic infection (amebiasis, giardiasis).
  5. Endometriosis.
29
Q

IBS workup:

8

A
  1. Rectal exam, stool for occult blood.
  2. Pelvic exam.
  3. Urine hCG.
  4. CBC.
  5. Electrolytes.
  6. Colonoscopy.
  7. CT abdo/pelvis.
  8. Stool for ova and parasitology, Entamoeba histolytica antigen.
30
Q

PID DDx:

6

A
  1. Endometriosis.
  2. Dysmenorrhea.
  3. Vaginitis.
  4. Cystitis.
  5. Spontaneous abortion.
  6. Pyelonephritis.
31
Q

PID workup:

7

A
  1. Pelvic exam.
  2. Urine hCG.
  3. Cervical cultures.
  4. CBC.
  5. ESR.
  6. UA, urine culture.
  7. US pelvis.
32
Q

plus
Intestinal obstruction workup:

(6)

A
  1. Rectal exam.
  2. CBC.
  3. Electrolytes.
  4. AXR.
  5. CT abdo/pelvis with contrast.
  6. Colonoscopy.

First Aid STEP 2 CS (94 decks)

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