UW acute abdominal pain 02-18 (1)

Question 1

UW. Acute abdominal pain. GI etiology? 3

Answer 1

appendicitis, cholelithiasis, diverticulitis

Question 2

UW. Acute abdominal pain. Genitourinary etiology? 3

Answer 2

ectopic pregnancy, ovarian torsion, nephrolithiasis

Question 3

UW. Acute abdominal pain. also can be MSK etiology.

Answer 3

Nebuvo pvz duota kokie

Question 4

UW. Acute abdominal pain.
Because some diagnoses can be life-threatening, the preliminary evaluation should rapidly assess overall clinical status and then risk stratify based on …..???2

Answer 4

hemodynamic stability and the presence of alarm findings (eg, peritoneal signs, fever).

Question 5

UW. Acute abdominal pain.

40 yo. Based on clinical presentation need abdominal imaging, but what to do first?

Answer 5

All women of childbearing age first require pregnancy testing (eg, serum β-hCG level).

This is not only to guide the choice of imaging modality, but also to evaluate the risk for ectopic pregnancy.

Question 6

UW. in case: 40yo. Temperature is 37.9 C (100.2 F), blood pressure is 110/80 mm Hg, pulse is 110/min, and respirations are 21/min. The abdomen, especially in the lower quadrants, is tender on palpation with mild guarding.

What is good and what is alarming?

Answer 6

Good: HD stable
Alarming: fever, tachycardia, guarding

this case warrants imaging, but age 40 –> do hCG

Question 7

UW. Acute abdominal pain.
why ectopic can cause fever?

Answer 7

ectopic rupture and intraabdominal bleeding (which itself can cause low-grade fever due to peritoneal inflammation).

Question 8

UW. Acute abdominal pain. If hCG increased? next step?

Answer 8

transvaginal ultrasonography is performed next because it is best for determining pregnancy location and evaluating the adnexa, all while avoiding exposure to teratogenic ionizing radiation.

Question 9

UW. Acute abdominal pain. If hCG negative? next step?

Answer 9

negative pregnancy test makes ectopic pregnancy unlikely.
Other diagnoses (eg, appendicitis, diverticulitis, tuboovarian abscess) require more consideration, and the choice of imaging modality will depend more on the suspected diagnosis (eg, CT scan of the abdomen and pelvis for suspected diverticulitis, pelvic ultrasonography for suspected tuboovarian abscess)

Question 10

UW. Acute abdominal pain. when diagnostic laparoscopy?

Answer 10

hemodynamically unstable due to suspected intraabdominal bleeding (eg, ruptured ectopic pregnancy).

Question 11

UW. Acute abdominal pain. when is appropriate Pain medication and serial abdominal examinations?

Answer 11

When Dx has been established, to monitor disease progression.

can be performed after the diagnosis and initiation of treatment (eg, antibiotics for pelvic inflammatory disease); this approach is helpful for monitoring disease progression and the need for additional intervention. It is inappropriate when the evaluation is incomplete, as in this patient.

Question 12

UW. Acute abdominal pain. 40 yo + abdominal pain. you suspect also UTI. best next step?

Answer 12

determine pregnancy status because pregnancy status affects the type of antibiotic prescribed if a urinary tract infection is identified.!!!!!!!!!

Question 13

UW. educational.
Women of childbearing age with acute abdominal pain require immediate pregnancy testing because determination of pregnancy status is needed to guide additional evaluation (eg, choice of imaging modality) and management.

Answer 13

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