Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 3 - Gastro > Lower Abdo Pain > Flashcards

Lower Abdo Pain Flashcards

1
Q

Causes of right lumbar pain

A 
Appendicitis
Bowel obstruction in caecum 
Crohn’s disease
Ruptured ectopic pregnancy
Renal/ureteric stones 
Coeval volvulus 
Meckel’s Diverticulitis
Perforated viscous 
Inguinal hernia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Meckel’s diverticulitis?

A

Congenital form of diverticulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What might cause left iliac pain?

A 
UC and Crohn’s
Sigmoid diverticulitis 
Testicular torsion 
constipation 
Leaking AAA
Ruptured ectopic 
Ischaemic colitis
Colon cancer (rarely)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a volvulus?

A

Looped bit of bowel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Key conditions that cause flank pain?

A 
Pyelonephritis 
Nephrolithiasis (kidney stones)
Ureteric colic (kidney stones in ureter 
Testicular torsion 
Perforated peptic ulcer 
Leaking AAA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

OTher causes of flank pain

A

Renal cancer
Abscess
Basal pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Spinal causes of flank pain?

A

Fractures
metastasises
Disc prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Gynaecological reasons for flank pain?

A

Ectopic pregnancy

OVarian torsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Other abdo pathology causing flank pain?

A

Pancreatitis

Diverticulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Differentials for SUDDEN onset left/right iliac pain

A

Perforated viscous
Ureteric stones
Testicular torsion
Volvulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SLow onset

A

UC/Crohn’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Colicky right/left iliac pain?

A

Ureteric stones

Volvulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Constant pain at right or left iliac pain?

A

Appendicitis - deep pain
Testicular torsion
Diverticulits is colicky then constant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What type of pain is UC or Crohn’s?

A

Crampy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Appendicitis radiation

A

Central to RIF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ureteric stones radiation

A

Loin to groin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What exacerbates appendicitis?

A

Movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Why must you ask about timing of last excretion?

A

Could indicated bowel obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What might N& V suggest?

A

Appendicitis
Bowel obstruction
Testicular torsion
Ureteric stones

20
Q

Fever might suggest

A

Appendicitis
DIverticulitis
UC
Crohn’s

21
Q

Tinkling bowel sounds might suggest

A

Intestinal obstruction (e.g. volvulus)

22
Q

Aphthous ulcers might suggest

A

Crohn’s

23
Q

Weight loss might suggest

A

Crohn’s

UC

24
Q

Lower urinary tract symptoms would suggest

A

Ureteric stones

25
Q

Volvulus signs on X-RAY?

A

Coffe bean sign and fetus sign

26
Q

Kidney stones - uni lateral or bi lateral

A

Uni lateral

27
Q

Describe the type of pain in kidney stones

A

Gradual that becomes severe

28
Q

Differentiate kidney stones and ureteric stone pain

A

COnstant pain - kidney stones

Colicky pain - ureteric stones because the ureters are trying to contract and end up spasming

29
Q

Sharp pain would suggest

A

Ruptured AAA

30
Q

Shooting pain would suggest

A

Nerve impingement

31
Q

If the pain radiates down the leg, what would it suggest?

A

Pain down the leg from flank

32
Q

Peritonitis might be caused by

A

Ruptured AAA

Perforated peptic ulcer

33
Q

What makes ureteric colic better?

A

Nothing

34
Q

If the pain is worse on activity, what might it suggest?

A

MSK

35
Q

If the pain lasts may weeks?

A

MSK pain

36
Q

Fevers associated with flank pain can be due to

A

Inflammation: pyelonephritis, appendicitis
Other form of sepsis: Psoas abscess
Malignancy

37
Q

Dehydration as an associated symptom will be seen in

A

Kidney stones

38
Q

Nausea and vomiting will be associated with

A 
Visceral organs 
E.g. ureteric colic
Biliary colic 
Appendicitis 
Testicular torsion
39
Q

Ureteric obstruction is associated with

A

Hesitancy
Reduced flow
Dribbling and incomplete urination

40
Q

UTI Is associated with

A

Urinary frequency increase
URgency
Dysuria

41
Q

What preexisting conditions may be relevant to flank pain

A 
Previous kidney stones 
Recurrent cystitis (UTI) 
Atherosclerotic disease 
Longstanding back pain 
Kidney disease e.g. polycystic kidney disease 
Having 1 kidney

IBD
Recurrent surgery

42
Q

Recurrent stones predispose to what type of kidney stone?

A

Struvite stones produced by bacteria?

43
Q

What drug hx is important ?

A

Acyclovir
Indinavir
Acetazolamide

44
Q

Why are Acyclovir and Indinavir important

A

These antivirals may cause kidney stone formation

45
Q

How can acetazolamide cause kidney stones

A

Pee more
Dehydration
Kidney stones

46
Q

FH

A

IBD
COlon cancer
Kidney stones

47
Q

Social hx - what do you ask?

A 
Diet
Exercise 
Occupation 
Stress
Travel - sexual history esp if there’s a chance of pregnancy

Year 3 - Gastro (42 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions