katab 19 al-ma'da Flashcards
47 yr old ptnt, with 3 hrs abdominal pain, abdominal guarding and distention. your most important consideration is:
be alert for signs/symptoms of shock
which is true regarding dialysis:
patients who miss dialysis treatments may present with weakness
injury to hollow, abdominal organ likely result in:
leak of contents into abdominal cavity
pain localized to lower back and/or lower abdom quadrants most suggestive of:
kidney infection
pancreatitis
aortic aneurism
aortic aneurysm (why?)
from online:
Many people have no symptoms and don’t know they have an (ABDOMINAL) aortic aneurysm until it ruptures, which is often quickly fatal. Symptoms, when they do occur, include PAIN IN THE BACK or near the naval. An extremely sharp and severe pain may indicate rupture, requiring emergency medical treatment.
solid abd. organs include:
spleen, kidneys, pancreas
characteristic of peptic ulcer disease:
gnawing/burning stomach pain subsides after eating
most ptnts with abdominal pain prefer what position:
lie on side with knees drawn into abdomen
ptnt past med history includes heart failure, hypotension, diabetes. acute renal failure likely a cause of:
NOT diabetes, NOT siezures
answer: heart failure
Relatively recent research has shown that heart failure is a significant
70 yr ptnt with weakness, short breath, and a dialysis patient. his wife says he missed two treatments. you give O2, hear rhonchi in his lungs. he’s conscious but confused, 98/54 BP, pulse 120 and irregular, 24 breaths/min and LABORED. you should:
leave him sitting, keep him warm, transport immediately
which is true regarding gastrointestinal bleed:
NOT in the majority of cases…
bleed in the gastrointestinal tract is a symptom of another disease not a disease itself
young fem with costovertebral angle tenderness likely has problems with which organ:
kidney
online fact:
Costovertebral angle tenderness (CVAT) is a widely used physical examination maneuver to differentiate renal pathology, such as pyelonephritis and ureteral stones. CVA is at 12th rib and spine area. CVA tenderness can indicate kidney pathology.
functions of the liver include:
choose one:
absorb nutrients
store bile and filter toxins
secretion of bile and filter toxic substances
The liver is the most solid organ in the body and sits below the diaphragm on the right upper quadrant of the abdomen. It functions to store sugars and starches as well as produce blood factors that increase the body’s ability to clot.
The liver produces proteins that help your blood to clot
pain radiates from RT lower quadrant from umbilical area, nausea, vomiting, lack of appetite is likely:
appendicitis
statements regarding acute abdomen pain is correct:
initial pain tends to be vague, poorly localized
in presence of ileus, the only way the stomach can empty itself is by:
vomit
An ileus is the temporary slowing of digestive tract mobility which can lead to a buildup and blockage in the digestive tract. The smooth muscle of the digestive tract moves in a series of waves called peristalsis, pushing the contents of food or drink from the esophagus through the large intestine. Disruptions in peristalsis can occur anywhere throughout the digestive tract
59 yr ptnt with sudden onset lower back pain, conscious, alert, restless and diaphoretic. there’s a pulsating mass LFT of his umbilicus. you:
Administer O2, prepare for immediate transport.
in contrast to the parietal peritoneum, the visceral peritoneum:
is supplied by the same nerves from spinal cord that supply the skin on the abdomen
lines abdominal wall cavity adn stimulated when solid abdominal organs contract
less likely to become inflamed or infected
is supplied by nerves of the autonomic nervous system which are less able to localize pain or sensation
is supplied by nerves of the autonomic nervous system. solid abdominal organs include the.
details:
The parietal peritoneum provides protection and support for the abdomen and its organs. This peritoneal layer covers the abdominal walls and acts as a lubricating surface, thereby decreasing the friction between the organs.
kidneys help regulate BP by:
removing sodium and water from the body
most common and significant complication asw acute abdomen is:
peritonitis
peritonitis may result in shock because:
fluid shifts from bloodstream into body tissues
60 yr female, tearing sensation and pain in lower back. sweaty, tachycardia. you suspect:
kidney stones
aortic aneurysm
strangulated hernia
acute pancreatitis
aortic aneurysm
a strangulated hernia:
loses its blood supply due to compression by local tissues
35 yr old ptnt, pain in upper RT abdominal quadrant, referred RT shoulder pain, likely has:
acute cholecystitis
*The gallbladder holds a digestive fluid known as bile that is released into your small intestine.
most important treatment for severe abdom pain and signs of shock:
high flow O2
transport w/out delay
transport ptnt without delay
