Acute Abdomen Flashcards
Most common presenting feature of an acute abdomen
pain
Qualities of visceral pain
Poorly localized, dull
Qualities of parietal pain
Sharp, well-localized
Diagnoses that have rapid onset, severe constant pain
Acute appendicitis Acute pancreatitis Ectopic pregnancy Mesenteric ischemia Strangulated bowel
Intermittent, colicky pain
Small bowel obstruction
Inflammatory bowel disease
Biliary colic
Kehr’s sign
Pain referred to the left shoulder due to irritation of the left hemidiaphragm
*often seen with splenic rupture
Where may biliary tract pain radiate?
Right shoulder or right scapula (due to right hemidiaphragmatic irritation)
Where may kidney pain radiate?
From flank to groin and genitalia (loin to groin)
Where may pancreas pain radiate to?
Back
Pain relieved by vomiting
Small bowel obstruction
Constipation or obstipation
Bowel obstruction
Mucoid diarrhea with blood
Intussusception
Anorexia
Acute appendicitis
Fever
Acute appendicitis
Acute cholecystitis
Acute pancreatitis
Atrial fibrillation increases risk for?
mesenteric ischemia (because of emboli to mesenteric arteries)
