Acute abdomen

Question 1

Dull pain commonly caused by distention, inflammation or ischemia

Answer 1

Visceral pain

Question 2

Sharper, localized pain

Answer 2

Parietal pain

Question 3

Pain in dissecting (abdominal aortic) aneurysm

Answer 3

Tearing pain

Question 4

DDX for progressively increasing pain w/in 1-2 hours

Answer 4

acute cholecystitis
acute pancreatitis
proximal bowel obstruction

Question 5

DDX for abdominal pain which intensifies and later localizes

Answer 5

Acute appendicitis
Distal small bowel obstruction
Colon obstruction
Diverticulitis

Question 6

Cases of severe abdominal pain lasting for less than ___ hours are recommended for surgical operation.

Answer 6

6

Question 7

Essentials in rapid survey of patients with abdominal pain

Answer 7

Eval for shock
hemorrhage
anemia
dehydration
cardiac decompensation

Question 8

Tenderness at the RLQ found in appendicitis

Answer 8

McBurney’s sign

Question 9

Sign found in appendicitis wherein pain is illicited in hyperextension of right hip

Answer 9

Iliopsoas sign

Question 10

Abdominal pain illicited by internal rotation of flexed right hip; found in appendicitis

Answer 10

Obturator sign

Question 11

RLQ pain illicited by palpation of LLQ; found in appendicitis

Answer 11

Rovsing’s sign

Question 12

Bluish peritoneal discoloration found in retroperitoneal hemorrhage

Answer 12

Cullen’s sign

Question 13

Discoloration of the flank found in retroperitoneal hemorrhage

Answer 13

Cullen’s sign

Question 14

Severe left shoulder pain in ectopic pregnancy rupture

Answer 14

Kehr’s sign

Question 15

Abrupt interruption of inspiration on palpation of RUQ found in acute cholecystitis

Answer 15

Murphy’s sign

Question 16

Manipulation of cervix causes patient to lift buttocks of table

Answer 16

Chandelier Sign