Approach To Abdominal Pain 2

Question 1

-itis definition

Answer 1

Inflammation

Question 2

Colitis
Cholecystitis
Cystitis
Enteritis

Answer 2

Colon
GB
Urinary Bladder
SI

Question 3

ROS from heartburn

Answer 3

SOB, CP
Weight loss and night sweats
Fever, chills

Question 4

Heartburn, what do I also do as specialty test

Answer 4

Murphy sign
Enlarged liver test
ASCITES (fluid in abd can cause Heartburn also)

Question 5

How to test for peritonitis

Answer 5

Heel strike test, Rebound

Question 6

How to write about auscultation

Answer 6

BS x4

Question 7

How to write about percussion

Answer 7

Tympani to percussion, soft and non tender

Question 8

How to write about palpating

Answer 8

Soft and nontender, no G,RB (guarding, rebound), or masses

Question 9

How to write about inspection

Answer 9

ABD appears (flat, round obese, scaphoid) without scars or lesions

Question 10

Acute D and V what do you need to know

Answer 10

Travel, recent food or places you have been, anyone else you know with similar sx

Question 11

If pt wakes up at night for V or D

Answer 11

It is most likely infection

Question 12

Tests for V or D

Answer 12

Stool multi-pathogen molecular assay
Stool Culture
Gram stain

Question 13

3 causes of D/V

Answer 13

Viral, bacterial, parasitic

Question 14

Norovirus

Answer 14

Large group of people
Cruise ships
Young children’s or infants (or been around them)

Question 15

Bacterial V.D

Answer 15

Traveling usually,
Uncooked eggs
Pets

Question 16

Parasitic D,V

Answer 16

Impure water

Question 17

CC : changes in Bowel movement

What should you ask, don’t see OLDCAAARTS

Answer 17

TELL ME MORE ABOUT DONE
When did you notice change
Have you felt something else happen when you feel like you need to go
What have you done to make it normal

Question 18

Constipation ROME Criteria

Answer 18

2 of the following

1. Fewer than 3 BM/week
2. 25% or more poops by straining or incomplete empty
3. Lumpy hard stool
4. Manual facilitation

Question 19

Normal poop

Answer 19

Corn on cob

Sausage

Question 20

Diarrhea looks like

Answer 20

Chicken nuggets
Porridge
Gravy

Question 21

Constipation looks like

Answer 21

Rabbit droppings

Bunch of grapes

Question 22

4 reasons for constipation

Answer 22

1. Delay pooping
2. Diet : low fiber, fairly, cheese, banana, caffeine, alcohol, no water
   Exercise : aerobic can help
3. Medication
4. Endocrine Dysfunction : Hypothyroidism

Question 23

3 specialty tests you can do fro constipation

Answer 23

1. Heel strike
2. Rebounds
3. Fluid wave

Question 24

What can help these people

Answer 24

Somatic dysfunction at around T5-L2, S2-S4
Exercise, eat fruits and vegetables, increase water
Go to bathroom when you need

Question 25

PUD vs GERD

Answer 25

PUD : better when eating , from NSAIDS or H-pylori, can cause blood in S or V
GERD : worse when eating esp high fat meal, can lead to erosive esophagitis

Question 26

2 types of D

Answer 26

Secretory : E. coli or bacteria

Osmotic : sugar, Mg., Lactose intolerance