icr: abd pain Flashcards
ulcerative colitis
diarrhea, rectal bleeding, crampy abd pain
begins at rectum and works up; crypt distortion
ulcerative colitis
diarrhea, rectal bleeding, crampy abd pain
begins at rectum and works up; crypt distortion
crohns disease
diarrhea, and crampy pain relieved with defacation
RLQ tenderness, palpable mass, fever
ulceration, rectal sparing, and skip lesions
PUD
burning epigastric pain, pain with food/weightloss (gastric) or after food/relieved by antacids (duodenal);
break in mucosa
pancreatitis
caused by gallstones (increased bilirubin, AST or ALT), alcohol, drugs,
boring pain that RADIATES TO BACK
elevated amylase and lipase
cholecystitis
cholesterol stones or pigmented
severe RUQ pain precipitated by a large fatty meal
murphys sign
increased WBC, stones
appendicitis
anorexia, pain that moves to RLQ, fever
obturator sign and psoas sign
WBC>20k = perforation
enlarged thickened appendix
viral gastroenteritis
crampy adb pain, stool without blood, WBC normal, nausea/diarrhea
acute intestinal obstruction
due to surgery, hernia, cancer, volvulus, intussusseption
pain, vomiting, constipation
abd distentsion, rigidity, shock
air fluid levels on CT
acute intestinal ischemia
due to arterial occlusion or veno occlusion
severe unrelenting acute pain, risk for thrombus or emboli
thumbprinting on plain film (bowel edema)
pelvic inflammation disease
infx spreads from vagina to endometrium; pain for less than three weeks
cervix with yellow discharge — positive chlamydia
IBS
altered bowel habits and abd pain without structural abnormalities
chronic pain
normal labs — atleast 3 days/mo for 3 months for ddx with atleast 2 of:
improvement with defacation
change in stool freq
change in stool appearrance
parietal pain
direct stimulation of peritoneum
intense and precisely located
appendicitis
visceral pain
inflammation of hollow organ
cant be localized, dull, noxious
lithiasis and PUD
crohns disease
diarrhea, and crampy pain relieved with defacation
RLQ tenderness, palpable mass, fever
ulceration, rectal sparing, and skip lesions
PUD
burning epigastric pain, pain with food/weightloss (gastric) or after food/relieved by antacids (duodenal);
break in mucosa
pancreatitis
caused by gallstones (increased bilirubin, AST or ALT), alcohol, drugs,
boring pain that RADIATES TO BACK
elevated amylase and lipase
cholecystitis
cholesterol stones or pigmented
severe RUQ pain precipitated by a large fatty meal
murphys sign
increased WBC, stones
appendicitis
anorexia, pain that moves to RLQ, fever
obturator sign and psoas sign
WBC>20k = perforation
enlarged thickened appendix
viral gastroenteritis
crampy adb pain, stool without blood, WBC normal, nausea/diarrhea
acute intestinal obstruction
due to surgery, hernia, cancer, volvulus, intussusseption
pain, vomiting, constipation
abd distentsion, rigidity, shock
air fluid levels on CT
acute intestinal ischemia
due to arterial occlusion or veno occlusion
severe unrelenting acute pain, risk for thrombus or emboli
thumbprinting on plain film (bowel edema)
pelvic inflammatory disease
infx spreads from vagina to endometrium; pain for less than three weeks
cervix with yellow discharge — positive chlamydia
IBS
altered bowel habits and abd pain without structural abnormalities
chronic pain
normal labs — atleast 3 days/mo for 3 months for ddx with atleast 2 of:
improvement with defacation
change in stool freq
change in stool appearrance
