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Gastrointestinal > Acute Abdomen > Flashcards

Acute Abdomen Flashcards

1
Q

Which quadrant : Spleen

A

LUQ

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2
Q

Which quadrant : Esophagus

A

LUQ

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3
Q

Which quadrant : Greater curvature of the stomach

A

LUQ

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4
Q

Which quadrant : splenic flexure

A

LUQ

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5
Q

Which quadrant : Jejunum

A

LUQ

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6
Q

Which quadrant : Left lobe of the liver

A

LUQ

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7
Q

Which quadrant : Right lobe of the liver

A

RUQ

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8
Q

Which quadrant : hepatic flexure

A

RUQ

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9
Q

Which quadrant : lesser curvature

A

RUQ

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10
Q

Which quadrant : pylorus

A

RUQ

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11
Q

Which quadrant : duodenum

A

RUQ

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12
Q

Which quadrant : gallbladder

A

RUQ

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13
Q

Which quadrant : Sigmoid

A

LLQ

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14
Q

Which quadrant : uterus

A

BLQ

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15
Q

Which quadrant : bladder

A

BLQ

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16
Q

Which quadrant : ovaries/testes

17
Q

Which quadrant : small intestines

18
Q

Which quadrant : appendix

19
Q

Which quadrant : Ileocecal valve

20
Q

Which quadrant : ureters

21
Q

What are the 9 regions of the abdomen? Why are they organized as such?

A

(L/R) Hypochondriac
(L/R) Iliac
Epi/hypogastric
Umbilical

How the abdomen is innervated and receives its blood supply

22
Q

Where is visceral sensation, generally? What nerve carries this sensation?

A

Midline

Vagus

23
Q

What does the celiac trunk supply in the abdomen?

A

Distal esophagus to the ligament of Treitz

24
Q

What does the inferior mesenteric artery supply?

A

Mid-transverse colon to the rectum

25
Q

What does the superior mesenteric artery supply?

A

Everything between the end of the celiac trunk, and before the IMA

26
Q

How does the nerve supply relate to the blood supply in the abdomen?

A

Nerves follow blood supply

27
Q

Peritoneal signs are due to what?

A

Somatic nerve stimulation

28
Q

What nerves carry somatic sensation?

A

Spinal nerves

29
Q

Which type of pain can lateralize well: somatic or visceral

30
Q

What is the best way to do the psoas sign?

A

Have the patient sit up

31
Q

True or false: no lab overrules your patient

32
Q

What is the recommended fluids for surgery?

33
Q

If a patient with abdominal pain is moving about, trying to find a comfortable position, what is the more likely diagnosis?

A

Colic or obstruction

34
Q

What is the classic presentation of ischemic colitis?

A

Pain that is out of proportion to findings, and is worse after eating

35
Q

What is the treatment for ischemic colitis?

A

Bowel rest/NPO

MI therapy basically

36
Q

High BUN and Hb = ?

A

Dehydration

37
Q

What causes an isolated increase in amylase?

A

Any stretch or irritation of intestines

38
Q

Why is Ketorolac contraindicated in BO?

A

Decrease kidney perfusion

39
Q

Why should you wait on surgery for BO?

A

Will do better if treat medically

Gastrointestinal (42 decks)

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