Abdominal Pain +

Question 1

question

Answer 1

answer

Question 2

What are the regions of the abdominal area

Answer 2

right/left hypochondraic region, epigestric region

right/left lumbar region, umibilical region

right/left iliac region, hypogastric region

Question 3

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

Answer 3

right hypochondraic region

Question 4

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

Answer 4

right hypochondraic region

Question 5

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

Answer 5

epigestric region

Question 6

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

Answer 6

epigestric region

Question 7

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

Answer 7

left hypochondraic region

Question 8

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

Answer 8

right lumbar region

left lumbar region

Question 9

(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

Answer 9

umibilical region

Question 10

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

Answer 10

umibilical region

Question 11

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

Answer 11

right iliac region

Question 12

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

Answer 12

hypogastric region

Question 13

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

Answer 13

left iliac region

Question 14

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

Answer 14

right lumbar region
left lumbar region
umibilical region

(from epigestric region)

Question 15

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

Answer 15

to back

Question 16

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

Answer 16

back

Question 17

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

Answer 17

left lumbar region

Question 18

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

Answer 18

right iliac region

left iliac region

Question 19

lung bugs
stomach

foregut
midgut
hindgut

Answer 19

foregut

Question 20

upper abdominal pain

foregut
midgut
hindgut

Answer 20

foregut

Question 21

periumbilical pain

foregut
midgut
hindgut

Answer 21

midgut

Question 22

mesophrenic duct
cloaca

foregut
midgut
hindgut

Answer 22

hindgut

Question 23

lower abdominal pain

foregut
midgut
hindgut

Answer 23

hindgut

Question 24

abdominal wall

autonomic nerves
somatic nerves

Answer 24

somatic nerves (SPW)

Question 25

parietal peritonium autonomic nerves somatic nerves

Answer 25

somatic nerves (SPW)

Question 26

abdominal organs autonomic nerves somatic nerves

Answer 26

autonomic nerves (AVO)

Question 27

visceral peritonium autonomic nerves somatic nerves

Answer 27

autonomic nerves (AVO)

Question 28

inflammatory causes of acute abdominal pain

Answer 28

``` appendicitis diverticulitis cholecystitis PID pancreatitis pyelonephritis intra-abdominal abcess ```

Question 29

perforation/rupture causes of acute abdominal pain

Answer 29

peptic ulcer diverticular disease ovarian cyst aortic aneurysm

Question 30

obstruction causes of acute abdominal pain

Answer 30

intestinal obstruction biliary colic ureteric colic

Question 31

severe pain triage level 1 level 2 level 3

Answer 31

level 2

Question 32

abdominal pain with stable vitals triage level 1 level 2 level 3

Answer 32

level 3

Question 33

history taking abbreviation

Answer 33

SOCRATES ``` site onset character radiation associated symptoms time exacerbating factors severity (subjective pain) ```

Question 34

What are the steps of abdominal examination?

Answer 34

inspection palpation percussion auscultation

Question 35

What are you looking for in auscultation of the abdomen?

Answer 35

bowel sounds bruit

Question 36

Signs for appendititis

Answer 36

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

Question 37

ddx for pain/vomiting ± rigidity

Answer 37

acute pancreatitis diabetic gastric paresis dka incercerated hernia

Question 38

ddx for pain/vomiting/distention

Answer 38

bowel obstruction | celcal volvulus

Question 39

ddx pain (±vomiting)

Answer 39

``` acute diverticulitis adnexal torsion mesenteric ischemia myocardial ischemia testicular torsion ```

Question 40

ddx pain/shock

Answer 40

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

Question 41

abdominal pain which later shifts to right iliac fossa

Answer 41

acute appendicitis

Question 42

periumbilical or loin bruising

Answer 42

acute pancreatitis

Question 43

blood in stool

Answer 43

acute diverticulitis

Question 44

murphy's sign

Answer 44

acute cholecystitis

Question 45

pain in right hypochondrium radiating to should or scapula

Answer 45

acute cholecystitis

Question 46

asymmetrical femoral pulses

Answer 46

ruptured aortic aneurysm

Question 47

lab test for pancreatitis

Answer 47

lipase (amylase if lipase not available)

Question 48

lab test for mesenteric ischemia

Answer 48

lactate

Question 49

common causes of abdominal pain (8)

Answer 49

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

Question 50

three pathways of abdominal pain

Answer 50

visceral, somatic, | and referred

Question 51

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

Answer 51

visceral

Question 52

occurs with irritation of the parietal peritoneum visceral somatic referred

Answer 52

somatic

Question 53

pain felt at a distance from its source visceral somatic referred

Answer 53

referred

Question 54

potentially life-threatening causes of abdominal pain (6)

Answer 54

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

Question 55

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

Answer 55

- small bowel obstruction or ileus | - diverticulitis