Acute abdomen

Question 1

what are the physiologic divisions of the abdomen?

Answer 1

epigastric - left and right hypochondriac

umbilical - left and right lumbar

hypogastric - left and right iliac

Question 2

what are the features of somatic sensation in the abdomen?

Answer 2

lateralizing
highly localized
specific
peritoneal signs

Question 3

do labs ever overrule your patient? what is the exception?

Answer 3

NO

psych

Question 4

what is the initial pain distribution for appendicitis?

Answer 4

periumbilical - SMA/SMP distribution

Question 5

is appetite suppression an early or late sign of appendicitis?

Answer 5

late

Question 6

what is the hallmark of vascular disease presentation?

Answer 6

symptoms way out of proportion to physical findings

Question 7

what are the treatments for ischemic bowel?

Answer 7

bowel rest
analgesics
fluids
NPO

Question 8

why is ketorolac (NSAID) contraindicated in small bowel obstruction?

Answer 8

vasoconstricts renal arteries

Question 9

what are the treatments for SBO?

Answer 9

fluids
analgesics
symptom control
NPO

Question 10

if SBO is not resolved after 1-2 days, what should be considered?

Answer 10

surgery