Lower Abdo Pain

Question 0

is Hb usually changed in acute trauma?

Answer 0

Nope

Question 1

what is the significance of unilateral pulses in acute situation usually?

Answer 1

preexisting PVD

Question 2

why is ruptured aorta have pain referred to back?

Answer 2

retroperitoneal structure

Question 3

would you resuscitate someone with AAA rupture?

Answer 3

No, will self tamponade usu. more fluids could disrupt

Question 4

what would you suspect if someone deteriorated after you gave them more fluids post lower abdo pain?

Answer 4

you untamponaded a bleed that was tamponaded

Question 5

if you’re vomiting bile coloured fluid, what does it mean?

Answer 5

coming distal to duodenum, not usual

Question 6

what can patchy erythema indicate in lower abdo pain/swelling?

Answer 6

bacteria translocation from bowel

Question 7

hernias usually tender?

Answer 7

nope

Question 8

what is mechanism of bowel strangulation happen?

Answer 8

venous ischaemia»oedema»increase pressure»no capillary flow»arterial ischaemia

Question 9

physical characteristics of hernias?

Answer 9

can’t get above it
cough impulse
reducible

Question 10

what is diverticulosis?

Answer 10

small mucosal outpouching in sigmoid colon, none symptomatic

Question 11

theory of diverticulitis cause?

Answer 11

blocked diverticulum in sac, bacteria become anaerobic and statis

Question 12

CT to dx diverticulitis?

Answer 12

yes, and looking for features of peritonitis if need to operate

Question 13

in right iliac fossa pain in female, always suspect?

Answer 13

ectopic pregnancy

Question 14

appendicitis, appetite?

Answer 14

anorexia

Question 15

if tender/guarding with abdo exam, could indicate?

Answer 15

localized peritonitis