Acute Abdomen Flashcards
Which type of pain, viceral or somatic, is localized and sharp?
somatic
Where would gastritis and oesophagitis present pain?
epigastric region
Where might umbilical pain be due to?
Ischaemic bowel, pancreatitis
What might pain in the right iliac fossa suggest?
appendicitis
What might pain in the left iliac fossa suggest?
Diverticulitis, ovarian abscess, ischaemic colitis
What might pain the left upper quadrant suggest?
splenic abscess, splenic infarct
What might pain the right upper quadrant suggest?
hepatitis, hepatic abscess, gall stones
What is peritonitis like on examination?
rigid abdomen, absent bowel sounds
For acute abdomen pain, what would urinary tests include?
pregnancy test, ketones
What is an Addisonian crisis?
levels of cortisol fall dramatically
What may be a late sign of mesenteric ischaemia?
metabolic acidosis
What happens to serum lactate levels in mesenteric ischaemia?
rise
Does a CT scan rule out mesenteric ischaemia?
No
