APPROACH TO GIT Flashcards
PAIN LOCATION:
Substernal, may radiate to the back, jaw left shoulder and arm
- esophagitis
- Esophageal motility
- esophageal neoplasm
PAIN LOCATION:
Epigastric
- Peptic ulcer Disease
PAIN LOCATION:
Periumbilical
- Colon
PAIN LOCATION:
Right Upper Quadrant Pain
- Liver
PAIN LOCATION:
Epigastric and RUQ
- Gallbladder bile duct, cholecystitis
PAIN LOCATION:
Epigastrium with radiation to the back
- Pancreatitis
PAIN LOCATION:
Midline then move to the mcburney point in the right lower abdomen
appendicitis
PAIN LOCATION:
Costovertebral angle, flank
Renal
PAIN LOCATION:
Radiation of ulcer to the back
Posterior penetrating duodenal ulcer
PAIN QUALITY:
Burning or warm
esophagitis
PAIN QUALITY:
Colicky or crampy, may be associated with abdominal distention and audile bowel sounds
Small intestinal obstruction or inflammation
PAIN QUALITY:
Colicky, but usually constant dull ache
Appendicitis
PAIN QUALITY:
Squeezing pain
Acute cholecystitis
PAIN QUALITY:
Penetrating or boring pain
Pancreatitis
PAIN QUALITY:
Sharp or cutting pain
nephrolithiasis
PAIN INTENSITY:
Extremely severe abdominal pain
- Perforated PUD
- Acute pancreatitis
- Passage of renal stone
PAIN INTENSITY:
Severe acute pain
Small intestinal obstruction
- cholecystitis
- appendicitis
PAIN INTENSITY:
Moderate acute pain
- PUD
- Gastroenteritis
- Esophagitis
PAIN CHRONOLOGY:
intermitted, occurs in the morning or before meals
- PUD
PAIN CHRONOLOGY:
Develops during sleep, may be preceded by months
- Acute cholecystitis
PAIN CHRONOLOGY:
Nocturnal pain rarely occurs
- IBS
- Functional abdominal pain
PAIN CHRONOLOGY:
Progressive pain 10-15 minutes wihtout remission
- Acute appendicitis
PAIN CHRONOLOGY:
Pain reaching peak intensity within minutes
- Perforated PUD
- Rupture AAA
- Passage of renal stones
- Ruptured ectopic preganancy
PAIN CHRONOLOGY:
Peak pain intensity reached in 10-60 minutes
- Acute pancreatitis
- Intestinal obstruction
- Cholecystitis
- Mesenteric occlusion
PAIN CHRONOLOGY:
Chronic, most intense after meal
- Irritable bowel syndrome
ALLEVIATING:
Antacids, acid supressing
- Esophagitis
- PUD
ALLEVIATING:
Ingesting food
- Duodenal ulcer
ALLEVIATING:
Leaning forward
- Pancreatic pain