GI

Question 1

Acute Pancreatitis signs

Answer 1

Acute onset of:
Fever
Nausea
Vomiting
Abdominal pain radiating to the mid back
Pain is located in the epigastric or upper abdomen.

Patient will be guarding his abdomen

Cullen sign will be present
grey-turners sign will be present

Refer to ER

Question 2

What is Cullen’s sign?

Answer 2

Bluish cast around umbilicus

Question 3

What is grey-turners sign?

Answer 3

Bluish cast on flanks

Question 4

Acute Diverticulitis

Answer 4

Acute onset of:
High fever
Anorexia
Nausea/Vomiting
Left lower quadrant abdominal pain

Signs of acute abdomen:
Rebound tenderness
Rovsing’s sign
Boardlike abdomen

CBC will show:
Leukocytosis
Neutrophilia
Left shift

Presence of bands

Question 5

What is Rovsing’s sign?

Answer 5

Palpation of the left abdomen elicits pain of the right abdomen