abdominal pn

Question 1

PT has been dx with PID and now is experiencing pn in the URQ

Answer 1

Fitz-hugh-curtis

complication of PID: liver capsule inflammation

Question 2

pn starts centerally and moves into the RLQ

cc:
- nausea
- vomiting
- INCR WBC

Answer 2

appendicitis

Question 3

cc:
- fever
- chills
- unilateral inferior abdominal pn: worst at end or after menstruation

dx: culdocentesis
tx: antibiotics

Answer 3

PID

Question 4

• HCG is present on preg test
• pain in the RLQ
• tender breat
• early morning nausea

Answer 4

ectopic pregnancy

Question 5

pop: male in a warm climate
- can not find a position of relief
- severe pain with nausea and vomiting

Answer 5

kidney/ ureter stones

pn in flanks to groin

Question 6

• severe RUQ pn with referral to inferior scap and nausea/ vomiting
• females, DM, Native American, BC

Answer 6

cholelithiasis

Question 7

pn on FULL stomach, worst with recumbancy

Answer 7

reflux esophagitis

Question 8

Cc: recurrent pn, felt on an EMPTY stomach

• relieved by antacids, unaffected by position

Answer 8

peptic ulcer

Question 9

incr p-amylase

Answer 9

pancreatitis

Question 10

incr AST, ALT, and GGT

Answer 10

Liver failure

Question 11

incr BUN, creatinine

Answer 11

kidney failure

Question 12

incr CKM-B, triponine 1

Answer 12

heart failure

Question 13

Pn worst during menstruation:___

Pn worst at the end of menstruation:___

Answer 13

during: endometriosis
end: PID

Question 14

• herniation of the mucosa

- lower abdominal pn with low grade fever, bl in stool, and mild leukocytosis

Answer 14

diverticulitis