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E Med > Abdominal Pain + > Flashcards

Abdominal Pain + Flashcards

1
Q

question

A

answer

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2
Q

What are the regions of the abdominal area

A

right/left hypochondraic region, epigestric region

right/left lumbar region, umibilical region

right/left iliac region, hypogastric region

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3
Q

Hepatitis

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

right hypochondraic region

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4
Q

cholecystitis

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

right hypochondraic region

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5
Q

peptic ulcer

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

epigestric region

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6
Q

pancreatitis

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

epigestric region

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7
Q

splenic injury

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

left hypochondraic region

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8
Q

renal and uretic pain

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

right lumbar region

left lumbar region

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9
Q

(back) bowel obstruction

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

umibilical region

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10
Q

aortic aneurysm

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

umibilical region

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11
Q

appendicitis

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

right iliac region

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12
Q

pelvic pain

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

hypogastric region

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13
Q

diverticulitis

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

left iliac region

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14
Q

Where does peptic ulcer and pacreatic pain refer to?

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

right lumbar region
left lumbar region
umibilical region

(from epigestric region)

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15
Q

Where does aortic aneurysm pain refer to?

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

to back

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16
Q

Where does peptic ulcer and pacreatic pain refer to?

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

back

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17
Q

Where does diverticulitis pain refer to?

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right iliac region
left iliac region
hypogastric region

A

left lumbar region

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18
Q

Where does pelvic pain refer to?

right hypochondraic region
left hypochondraic region
epigestric region

right lumbar region
left lumbar region
umibilical region

right region
left iliac region
hypogastric region

A

right iliac region

left iliac region

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19
Q

lung bugs
stomach

foregut
midgut
hindgut

A

foregut

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20
Q

upper abdominal pain

foregut
midgut
hindgut

A

foregut

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21
Q

periumbilical pain

foregut
midgut
hindgut

A

midgut

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22
Q

mesophrenic duct
cloaca

foregut
midgut
hindgut

A

hindgut

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23
Q

lower abdominal pain

foregut
midgut
hindgut

24
Q

abdominal wall

autonomic nerves
somatic nerves

A

somatic nerves (SPW)

25
Q

parietal peritonium

autonomic nerves
somatic nerves

A

somatic nerves (SPW)

26
Q

abdominal organs

autonomic nerves
somatic nerves

A

autonomic nerves (AVO)

27
Q

visceral peritonium

autonomic nerves
somatic nerves

A

autonomic nerves (AVO)

28
Q

inflammatory causes of acute abdominal pain

A 
appendicitis
diverticulitis
cholecystitis
PID
pancreatitis
pyelonephritis
intra-abdominal abcess
29
Q

perforation/rupture causes of acute abdominal pain

A

peptic ulcer
diverticular disease
ovarian cyst
aortic aneurysm

30
Q

obstruction causes of acute abdominal pain

A

intestinal obstruction
biliary colic
ureteric colic

31
Q

severe pain

triage level 1
level 2
level 3

32
Q

abdominal pain with stable vitals

triage level 1
level 2
level 3

33
Q

history taking abbreviation

A

SOCRATES

site
onset
character
radiation
associated symptoms
time
exacerbating factors
severity (subjective pain)
34
Q

What are the steps of abdominal examination?

A

inspection
palpation
percussion
auscultation

35
Q

What are you looking for in auscultation of the abdomen?

A

bowel sounds

bruit

36
Q

Signs for appendititis

A

rovsing’s sign
point sign (McBurney’s)
psoas sign
obturator sign

37
Q

ddx for pain/vomiting ± rigidity

A

acute pancreatitis
diabetic gastric paresis
dka
incercerated hernia

38
Q

ddx for pain/vomiting/distention

A

bowel obstruction

celcal volvulus

39
Q

ddx pain (±vomiting)

A 
acute diverticulitis
adnexal torsion
mesenteric ischemia
myocardial ischemia
testicular torsion
40
Q

ddx pain/shock

A 
abdominal sepsis
aortic dissection
hemorrhagic pancreatitis
leaking/ruptured abdominal aortis aneurysm
mesenteri ischemia (late)
MI
ruptured ectopic pregnancy
41
Q

abdominal pain which later shifts to right iliac fossa

A

acute appendicitis

42
Q

periumbilical or loin bruising

A

acute pancreatitis

43
Q

blood in stool

A

acute diverticulitis

44
Q

murphy’s sign

A

acute cholecystitis

45
Q

pain in right hypochondrium radiating to should or scapula

A

acute cholecystitis

46
Q

asymmetrical femoral pulses

A

ruptured aortic aneurysm

47
Q

lab test for pancreatitis

A

lipase (amylase if lipase not available)

48
Q

lab test for mesenteric ischemia

49
Q

common causes of abdominal pain (8)

A
  1. gastric, esophageal, or duodenal inflammation
  2. acute appendicitis
  3. biliary tract disease
  4. ureteral colic
  5. diverticulitis
  6. acute gastroenteritis
  7. constipation and obstipation
  8. nonspecific
50
Q

three pathways of abdominal pain

A

visceral, somatic,

and referred

51
Q

results from stimulation of autonomic nerves invested in the visceral
peritoneum surrounding internal organs

visceral
somatic
referred

52
Q

occurs with irritation of the parietal peritoneum

visceral
somatic
referred

53
Q

pain felt at a distance
from its source

visceral
somatic
referred

54
Q

potentially life-threatening causes of abdominal pain (6)

A
  1. ruptured ectopic pregnancy
  2. ruptured or leaking abdominal aneurysm
  3. ischemia
  4. intestinal obstruction
  5. perforated viscus
  6. acute pancreatitis
55
Q

two most common diagnostic CT finding in adults with acute abdominal pain

A
  • small bowel obstruction or ileus

- diverticulitis

E Med (13 decks)

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