GIT 5TH ASSESSMENT Flashcards
Locations & causes of referred abdominal pain except?
- Scrotal pain from ureter
- right shoulder pain from gallbladder
- left shoulder pain from heart
- left shoulder pain from head of pancreas
- Scrotal pain from ureter
- right shoulder pain from gallbladder, LIVER, RIGHT HEMIDIAPHRAGM
- left shoulder pain from heart, LEFT HIMIDIAPHRAGM, SPLEEN
- left shoulder pain from head of pancreas CHECK (TAIL)
A sudden excruciating pain in the right upper quadrant that usually radiates to the back after fatty meal would usually present in what ff disease condition?
Acute Calculous Cholecystitis
Mainstay of evaluation for the diagnosis of acute abdomen?
History & PE
Rare cause of abdominal Pain in children less than 2 yrs old.
- Malrotation w/ midgut volvulus
- Gastroenteritis
- Intussusception
- Appendicitis
Malrotation w/ midgut volvulus
Gastroenteritis
Intussusception
Appendicitis THIS SHOULD BE BUT IT WAS WRONG
What is the most common nonobstetric abdominal emergency requiring surgery in pregnancy?
Acute appendicitis
Imaging modality of choice in pediatric patient w/ acute abdomen?
Ultrasound
Which statement is false?
- High dose narcotics can interfere w/ bowel motility
- Anticoagulant drugs maybe cause of abdominal rectus sheath hematoma
- Methamphetamin cause vasodilation of the mesenteric vessels
- Steriods can cause PUD due to the decrease in gastric mucosa protective barrier
Methamphetamin cause vasodilation of the mesenteric vessels
Diagnostic imaging of choice for acute appendicitis in pregnancy?
Ultrasound
Abdominal hypertension that needs surgical decompression via laparotomy?
Grade 2 hypertension
The least advantage of doing DRE on patient w/ acute abdomen?
- To rule out rectal mass causing the obstruction
- To take note feces on examining finger
- Anal sphincter competence
- Determine melena or hematochezia
Anal sphincter competence
Radiologic findings on Xray of the bowel obstruction, except?
- Presence of Haustral markings
- 3cm dilated small bowel
- Pneumoperitoneum
- No bowel gas in the resctum or distal colon
Presence of Haustral markings
What do you call the sign that produces extreme pelvic pain w/ movement of the cervix?
Chandelier sign
Diagnostic imaging of choice for bowel obstruction?
CT scan w/ contrast
Patient had sudden onset of abdominal pain in the periumbilical area radiating to the back after drinking spree & debauchery. The pain was noted to be persistent & patient noted severe abdominal pain w/ rigid abdomen. What seemed to be the disease condition causing acute abdomen?
Pancreatitis
Defined as severe tenderness on PE or w/out w/out rebound tenderness & guarding.
- Peritonitis
- Acute abdomen
- Parietal pain
- Visceral pain
- Peritonitis —-
- Acute abdomen WRONG
- Parietal pain
- Visceral pain
Patient experience an excruciating abdominal pain & abdominal distention 8 hours after onset of abdominal pain. He usually skip meal due to his nature of work. PAtient was diagnoseed to have acute gastritis before but stopped taking his medications. What is the efficient diagnostic modality of choice?
- CT scan of whole abdomen w/ contrast
- Ultrasound of the whole abdomen to include appendix
- Chest xray PA view
- Abdominal xray flat plate
CT scan of whole abdomen w/ contrast –
Ultrasound of the whole abdomen to include appendix WRONG
Chest xray PA view
Abdominal xray flat plate –
Refers to a constellation of signs & symptoms of abdominal pain & enderness & often requires prompt diagnosis & surgical treatment?
Acute abdomen
Mr. Owen is a french national & was living w/ his Filipina girlfrined. He had a sudden onset of vague abdominal pain in the periumbilical area & migrated to the right lower quadrant. He is unable to walk due to severe abdominal pain in the RLQ. What is the best diagnostic imaging of choice for his condition?
CT Scan
Type of pain that is sharper & better localized, it corresponds to the nerve roots that supply the peritoneum?
Parietal pain
W/c statement is true?
- Abdominal pain usually precedes vomiting in many nonsurgical conditions
- Vomiting usually precedes abdominal pain in many nonsurgical conditions
- Vomiting does not occur in bowel obstruction
- Vomitting usally preceds abdominal pain in many surgical abdominal conditions
- Abdominal pain usually precedes vomiting in many nonsurgical conditions FALSE (SURGICAL)
- Vomiting usually precedes abdominal pain in many nonsurgical conditions FALSE (SURGICAL)
- Vomiting does not occur in bowel obstruction FALSE
- Vomitting usally preceds abdominal pain in many surgical abdominal conditions
