diseases and exams Flashcards
RIF diagnoses?
RIF organs?
Appendix, caecum, ascending colon, small bowel, ureter
caecal pathology?
(tumours, volvulus or solitary mesenteric diverticulum) are usually seen in elderly, as well as AAA.
Pelvic inflammatory disease?
an acute or chronic condition in which the uterus, Fallopian tubes, and ovaries are infected. It is usually the result of infection ascending from the vagina. Chlamydia trachomatis and Neisseria gonorrhoeae are causative agents
Salpingitis?
Infection and inflammation of the Fallopian tubes.
Mittelschmerz?
Mid-cycle RIF pain corresponding to a ruptured ovarian follicle. This can occur in RIF or LIF and can alternate from month to month. Pain is usually mild, short-lived and cyclical.
Threatened abortion?
Vaginal bleeding that occurs in the first 20 weeks of pregnancy, sometimes accompanied by abdominal cramps. This indicates that a miscarriage is possible.
Causes of RIF pain in men?
Testicular torsion, haemorrhage into a testicular tumour.
Exam scars?
have they got an appendix? previous abdominal surgery will also make small bowel obstruction more likely
Exam abdominal distension?
sign of small bowel obstruction.
Exam cervical lymphadenopathy?
to rule out mesenteric adenitis (inflammation of mesenteric lymph nodes).
Exam masses?
greater omentum can wrap around inflamed organs, could also be tumour or rectus sheath haematoma. Hernias are a cause of small bowel obstruction.
Exam bowel sounds?
absent in functional bowel obstruction
Exam rectal exam?
blood (IBD, bleeding Meckals or caecal diverticulum.
Exam external genitalia?
testicles for signs of torsion.
Exam Rovsings sign?
palpating LIF causes greater pain in RIF than left.
