Abdominal Pain + Pregnancy Flashcards
what is required for all abdominal pain? (3)
rectal exam
FOBT
GU exam
what is the FAST exam used for?
identify free fluid in abdomen or pelvis (bleeding)
what does the eFAST include? (2)
chest viscera
lung viscera
how to tell between UGIB vs LGIB?
hematemesis / blood on NG tube = UGIB
clear NG tube = LGIB
what 2 vital signs indicate at least a moderate amount of blood loss?
SBP < 100
HR > 100
treatment for UGIB/LGIB? (3)
1 gram ceftriaxone
PPI
octreotide
patient presents with abdominal pain, period of pain improvement, then worsening abdominal pain with fever, leading to sepsis. Dx?
hollow organ rupture
hollow organ rupture treatment? (4)
IV fluids
IV antibiotics
pain meds
sx
patient presents with abdominal pain that is out of proportion to exam. Dx? Treatment? (2)
ischemic bowel disease
surgical revascularization
necrotic debridement
what position should we place pregnant patients with abdominal pain in?
semi-left decubitus position
management for vaginal bleeding in patient that is < 20 weeks pregnant? (4)
FAST exam
vaginal ultrasound (for fetus)
RhoGAM
OB f/u within 2 days
management for vaginal bleeding in patient that is > 20 weeks pregnant? (4)
FAST exam
vaginal ultrasound
RhoGAM
admit patient
how to manage trauma in pregnant patient? (5)
bedside FAST
vaginal ultrasound
pelvic exam w/ nitrazine pH strips
RhoGAM
admit if > 20 weeks
hypertension > 20 weeks gestation + proteinuria or HELLP syndrome.
what is HELLP?
preeclampsia
Hemolysis
Elevated Liver enzymes
Low Platelets
treatment for mild preeclampsia?
d/c with f/u to OB
