Midterm Review Flashcards
Acute severe abdominal pain: Red flags
-Rapid onset
-Distension
-Signs of Shock
-Peritonitis
Severe Acute Pain: Emergency
-Intestinal hernias, obstruction, ileus, diverticulitis, intussuception, volvulus
-Appendicitis, pancreatitis, cholecystitis
*any known condition can suddenly develop into obstruction, perforate or cause peritonitis
Severe Acute Pain: Non-GI
-Non-GI: cardiovascular, lung, female, kidney, etc.
*any known condition can suddenly develop into obstruction, perforate or cause peritonitis
Acute Pain (Less Severe)
Flair up of known condition: Crohn’s disease gets worse
Chronic Pain (>3 months): Intestinal
IBS, Crohn’s, Ulcerative Colitis
Chronic Pain (>3 months: Non-GI
Diverticulosis, GERD, chronic dyspepsia
Causes of Abdominal Pain
• 90% are considered functional (Other 10% are pathological)
Peptic Ulcer: Possible Symptoms
Upper Abdominal Pain
Peptic Ulcer: Diagnostic Conditions
-Endoscopy and biopsy for Helicobacter pylori
-H. pylori breath test Gastritis
-Evaluation of NSAID use
-Stool examination for occult blood
IBD: Possible Symptoms
Episodic diarrhea, fever, anorexia, weight loss, extraintestinal sx
IBD: Diagnostic Considerations
Scoping
Celiac Disease: Possible Symptoms
Abdominal bloating, diarrhea, symptoms worse with gluten
Celiac Disease: Diagnostic Considerations
-Small bowel biopsy
-Serological markers
Celiac Disease: Diagnostic Considerations
-Small bowel biopsy
-Serological markers
Chronic Cholecystitis: Possible Symptoms
Recurrent colicky RUQ pain
