Part gallstone and part signs of acute abdomen and differential Flashcards

1
Q

How common are gallstones?

A

Common; present in 15% of adult population

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2
Q

Gallstone occurence male vs female

A

Females are over 50 times more likely to form stones than men

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3
Q

Family history and gallstones

A

Positive family history makes it five times elevated risk

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4
Q

Age and occurence of gallstones

A

frequency increases with age. Marked increase >40.

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5
Q

Risk factors for gallstones

A
  • Ethnicity
  • Female Sex
  • Family history and genetics
  • Age
  • Obesity— 25% of morbidly obese have evidence of gallstones.
  • DM— a correlation with lipid abnormalities.
  • Diet— with high- cholesterol, high- carbohydrate diet.
  • Drugs— OCP, octreotide, thiazide diuretics.
  • Chronic diseases— cirrhosis, Crohn’s disease, cystic fibrosis (CF),
    sickle cell.
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6
Q

What is a sign used to check if the gallbladder is inflamed and how is it performed?

A
  • Performed by palpating/putting pressure the right upper quadranat
  • Inspiration causes the gallbladder to descend onto the fingers, producing
    pain if the gallbladder is inflamed
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7
Q

What is cholecystitis?

A

Inflammation of the gallbladder

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8
Q

What is an acute abdomen?

A

Refers to the signs and symptoms of
abdominal pain and tenderness

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9
Q

Surgical acute abdomen conditions

A
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10
Q

Non surgical causes of the acute abdomen

A
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11
Q

Location and causes of referred pain

A
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12
Q

Laboratory test for abdominal pain

A
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13
Q

Abdominal examinations signs and their division based on stage of examination

A

History

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14
Q

What is shoulder pain on inspiration, associated with?

A

Associated with hemoperitoneum

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15
Q

What are Varicose veins at umbilicus associated with?

A

Portal hypertension

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16
Q

What is periumbilical bruising associated with?

A

hemoperitoneum

17
Q

What is local area of discoloration near umbilicus and flank associated with?

A

Acute pancreatitis

18
Q

What is a Yellow discoloration of umbilical region associated with ?

A

ruptured common bile duct

19
Q

What is pain or pressure in epigastric or anterior chest with persistent firm pressure applied at McBurney point associated with?

A

acute appendicitis

20
Q

What is Sharp pain created by compressing appendix between abdominal wall and iliacus associated with?

A

chronic appendicitis

21
Q

What is Transient abdominal wall rebound tenderness, associated with?

A

peritoneal inflammation

22
Q

What is Loss of abdominal tenderness when abdominal wall muscles contracted, associated with?

A

intrabdominal source of abdominal pain

23
Q

What is Extreme pelvic pain with movement of the cervix, associated with?

A

Pelvic inflammatory disease

24
Q

What is Palpable gallbladder when jaundice is present associated with?

A

, periampullary mass

25
What is Abdominal wall mass that does not cross midline and is palpable when rectus is contracted, associated with?
Rectus muscle hematoma
26
What is Elevation of extended leg against resistance is painful, associated with?
retocecal acute appendicitis
27
Which of the appendicitis signs is associated with more than one condition?
Flexion and external rotation of right thigh creates hypogastric pain, Pelvic abscess or inflammatory mass (appendicitis)
28
ERCP uses
- During ERCP, diagnostic procedures can be done, namely cholangiopancreatoscopy, biopsy, or brush cytology. - An intraductal ultrasound may also be done. - Therapeutic uses include sphincterotomy, stent placement, and stone removal
29
ERCP indications
30
Differential diagnosis of acute abdomen in elderly patients
31
Differential diagnosis of acute abdomen in oncology patients
32
Differential diagnosis of acute abdomen by quadrant (4)