GIT Assessment 2nd Flashcards
65 years old male, known diabetic and hypertensive presenting with sudden, severe pulsating abdominal pain
associated with shock.
Catastrophic, immediate surgery
When should the area of the stomach with the pain be palpated?
Last
According to established statistical data, the most common diagnosis for surgical abdomen is:
Non specific abdominal pain
Originates from the intra-abdominal viscera.
Visceral pain
Referred pain felt at the periumbilical region will be least likely to originate from which organ?
Cecum
According to statistical data, what is the most common discharge diagnosis for patients presenting to the emergency department (ED) with acute abdominal pain?
Non specific abdominal pain
Right upper quadrant pain, radiating to the right scapula, fever
Inflammatory group. Lowest priority in urgency of surgery
Pain characterized by poor localization
Visceral pain
Colic pain
- Is caused by a change in pH of the intra abdominal contents
- Is caused by violent peristalsis
- Always originates from a hollow viscera
- Is associated with bowel ischemia
Always originates from a hollow viscera
Pain characterized by severe onset that is intensified by movement of the abdominal wall
Somatic pain
Which of the ff. statements regarding the acute abdomen is MOST correct?
- The pain is usually of the referred pain type
- The pain is oftentimes preceded by vomiting
- The pain is usually colicky in nature
- The initial pain associated with an acute abdomen tends to be vague and poorly localized.
The pain is oftentimes preceded by vomiting
The most common presenting clinical symptom of acute abdomen is:
Abdominal pain
Pain that originates from intra-abdominal organs but is felt in areas outside the abdominal region such as the flank, neck, chest region.
Reffered pain
Missed menstrual period; right adnexal tender mass, signs of blood loss and shock
Catastrophic, immediate surgery
Low grade fever, radiation from epigastrium to RLQ, RLQ point tenderness.
Inflammatory group. Lowest priority in urgency of surgery
Pain midway between menstrual period, short duration.
No surgery is needed / non surgical
Sudden severe abdominal pain associated with hypotension is usually
Is a sign of peritonitis
All of the following causes of acute abdominal pain occur more frequently in patients older than age 50 years than in patients younger than age 50 years EXCEPT:
- Diverticular disease
- Cholecystitis
- Appendicitis
- Intestinal obstruction
- Vascular-related pathology
Appendicitis
Abdominal pain that is gradual in onset may be observed in which of the following?
- Inflammation of the appendix
- Perforation of the stomach
- Volvulus of the sigmoid colon
- Rupture of an abdominal aneurysm
Inflammation of the appendix
Abdominal pain with borborygmus on abdominal auscultation signifies:
Intestinal obstruction
T/F
In a patient presenting with acute abdominal pain, the abdomen should be immediately examined before the other regions in order to avoid diagnostic delay.
TRUE
In a severely ill or shocked patient with obvious physiologic dysfunction, which of the following should be observed?
- First obtain a complete history
- Resuscitation is done after performing a complete history to avoid missing important clinical findings.
- Do a primary survey first.
- Take an abdominal x ray immediately
Resuscitation is done after performing a complete history to avoid missing important clinical findings.
An abdominal x ray will be most helpful in the diagnosis as to the cause of acute abdominal pain in which of the following?
- Perforated bowel
- Intestinal ischemia
- Acute appendicitis
- Intestinal obstruction
Intestinal obstruction
Patients presenting with abdominal colic:
- Maybe not be admitted
- Needs emergent surgical intervention
- Will benefit further observation and laboratory examinations
- Usually have an immediate catastrophic problem
Will benefit further observation and laboratory examinations
