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GI MODULE - 2 > Abdominal Pain Algorithm > Flashcards

Abdominal Pain Algorithm Flashcards

1
Q

Immediate Laparotomy

A 
Ruptured Abdominal Aneurysm
Ruptured ectopic pregnancy
Spontaneous hepatic or splenic rupture
Blunt Penetrating trauma
Hemoperitoneum
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2
Q

3Ps for penetrating trauma

A

Platysma (neck
Pleura (chest)
Peritoneum (abdomen)

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3
Q

Urgent Surgical Abdomen

A 
Perforated Viscus
Appendicitis
Meckel's Diverticulitis
Strangulated Hernia
Mesenteric Ischemia
Unruptured Ectopic Pregnancy
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4
Q

Requires Early laparotomy

A

Uncomplicated intestinal obstruction
Uncomplicated acute cholecystitis
Uncomplicated acute diverticulitis on non-strangulated incarcerated hernia

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5
Q

Candidate for Elective laparotomy

A

PUD
Pancreatitis
Endometriosis
Inflammatory Bowel Disease

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6
Q

Non-surgical Abdomen

A

Provide Narcotic Analgesia
Observe patient
reevaluate periodically
investigative studies

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7
Q

Four Classification of Abdominal Pain

A

Peritonitis
Bowel Obstruction
Abdominal Vascular Catastrophe
Non-specific Abdominal Pain

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8
Q

Peritonitis (localized)

A

acute appendicits
cholecystitis
diverticulitis

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9
Q

Peritonitis (general)

A

perforated viscus

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10
Q

bowel obstruction

A

strangulated hernia

volvulus

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11
Q

Abdominal Vascular catastrophe

A

Abdominal Aortic Aneurysm

Acute mesenteric infarction

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12
Q

Non-specific abdominal pain

A 
drug induced
constipation
acute gastroenteritis
acute MI
Lower lobe pneumonia
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13
Q

APACHE II Score of > or equal 15 indicates?

A

High severity of illness

APACHE II estimates ICU mortality based on lab values and patient signs

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14
Q

Aaron Sign

A

Acute Appendicits

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15
Q

Balance Sign

A

Ruptured Spleen

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16
Q

Blumberg sign

A

aka Rebound Tenderness

Peritoneal Irritation

17
Q

Chandelier Sign

A

Pelvic Inflammatory Disease

18
Q

Carnett Sign

A

Intra abdominal pain

19
Q

Charcot Sign

A

Choledocolithiasis

20
Q

Claybrook Sign

A

Ruptured abdminal viscus

21
Q

Courvoisier Sign

A

Periampullary Neoplasm

22
Q

Cruveilhier Sign

A

Portal Hypertension

23
Q

Cullen Sign

A

Hemoperitoneum

24
Q

Cutaneous Hyperplasia

A

Parietal peritoneal inflammation

25
Q

Dance Sign

A

Intussusception

26
Q

Danforth sign

A

Hemoperitoneum

Ectopic Pregnancy

27
Q

Fothergill sign

A

Rectus sheet hematoma

28
Q

Grey Turner Sign

A

Acute hemorrhagic pancreatitis

29
Q

Iliopsoas sign

A

Retrocecal appendicits

30
Q

Kehr Sign

A

Hemoperitoneum

Ruptured spleen

31
Q

Murphy sign

A

acute cholecystitis

32
Q

Obturator sign

A

Pelvic appendicits

33
Q

Puddle sign

A

Free peritoneal fluid (ascites)

34
Q

Ransohoff Sign

A

Ruptured Common Bile duct

35
Q

Rosving sign

A

acute appendicits

36
Q

Summer sign

A

early appendicitis
nephrolithiasis
uterolithiasis
ovarian torsion

37
Q

Ten Horn Sign

A

Acute appendicits

38
Q

Toma sign

A

Inflammatory ascites

39
Q

Subcutaenous Crepitance

A

Free peritoneal fluid

GI MODULE - 2 (6 decks)

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