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Surgery Test 1 > Acute Abdomen/Peritonitis > Flashcards

Acute Abdomen/Peritonitis Flashcards

1
Q

Will there be free air in primary peritonitis?

A

Nope

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2
Q

Should we operate on primary peritonitis?

A

Nope

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3
Q

What is an acute abdomen?

A

Sudden severe abdominal pain

-Can be benign

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4
Q

Should we give Phernergan for abdominal pain?

A

Never

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5
Q

Why is the omentum the body’s housekeeper?

A

It walls of any infections and adheres to them

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6
Q

What is visceral pain?

A
  • Deep
  • Generalized
  • Results from organ distention?
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7
Q

What is parietal pain?

A

Sharp and well-localized

-Results from peritoneum irritation from pus, bile, GI secretions

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8
Q

Where are receptors for visceral pain located?

A

-Hollow viscera or

Visceral peritoneum

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9
Q

What kind of nerves mediate visceral pain?

A

Autonomic

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10
Q

What kind of nerves mediate parietal pain?

A

Somatic nerves

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11
Q

Why do patients have shoulder pain after a laparotomy?

A

-Air trapped under diaphragm refers to shoulders

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12
Q

What is the rate of gradual pain?

A

Over several hours

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13
Q

What is explosive pain?

A

Within seconds

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14
Q

What is rapidly progressive pain?

A

1-2 hours

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15
Q

Which is worse: pain then N/V or N/V then pain?

A

Pain then N/V

-N/V then pain could be gastroenteritis

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16
Q

How do steroids affect pain perception?

A

Patients on steroids usually feel less pain d/t anti-inflammatory properties

17
Q

What specific questions should we ask about a patient’s surgical history?

A

If they still have their: gallbladder, appendix, ovaries, uterus

18
Q

What does a patient that is rigid and motionless most likely have?

A

Peritonitis

19
Q

What does rebound tenderness indicate?

A

Peritoneal inflammation

20
Q

Is it common for patients to have both a positive psoas sign and positive obturator sign?

A

No

21
Q

What imaging is good to look for appendicitis?

A

CT with PO contrast

22
Q

When so we consult a surgeon for abdominal pain?

A
  • Peritonitis
  • Ischemia
  • Tender abdomen with fever and hypotension
  • Incarcerated hernia
23
Q

What are some causes of secondary peritonitis?

A 
Appendicitis
Salpingitis
Diverticulitis
Trauma
Bowel perforation
24
Q

Treatment of secondary peritonitis?

A
  • IV fluids to replace fluids in peritoneal cavity
  • Broad-range ABX
  • Then surgery
25
Q

What conditions are associated with primary peritonitis?

A
  • Cirrhosis
  • Nephrotic syndrome
  • SLE
26
Q

What is source of primary peritonitis infection?

A

-Hematogenous spread

27
Q

Treatment for primary peritonitis?

A

ABX

Surgery Test 1 (7 decks)

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