Week 8 Clinprac Flashcards
What are the two ways to subdivide the abdomen?
- Right/left upper/lower quadrants
- Epigastrium, umbilicus, subrapubic, and then left/right hypochondrium, lumbar, inguinal
What structures are in the right upper quadrant?
- Liver
- Gallblader
- Right kidney/adrenal gland
- Inferior vena cava
- Duodenum
- Head of pancreas
What structures are in the left upper quadrant?
- Left kidney/adrenal gland
- Stomach
- Spleen
- Body/tail of pancreas
What structures are in the left lower quadrant?
- Left ureter
- Left ovary/fallopian tube (women)
- Left spermatic cord (men)
What structures are in the right lower quadrant?
- Right ureter
- Right fallopian tube/ovary (women)
- Right spermatic cord (men)
Abdominal pain radiating to right scapula
- Diaphragm irritation
- Gall bladder pathology
Epigastric pain radiating to back
- Pancreatitis
- Perforated peptic ulcer
Loin to groin pain
Ureteric stones
Radiation of pain from periumbilicular area to right inguinal area
Appendicitis
Aggravating factors of abdominal pain
- Bowel motions
- Medication
- Eating
- Laying still/movement/posture
Questions to do with vomiting?
- How many times?
- How long ago?
- Blood in vomit?
- Describe composition
- Any relation to eating?
Diarrhoea classification and questions
- More than three SPD
- How long ago?
- Consistency
- Associated symptoms
Constipation classification and questions
- Less than three SPW
- Pain?
- Any recent changes?
Haematochezia
Bright red blood; rectal bleeding
Melaena
Foul smelling, tarry black stools
What causes jaundice? What are some symptoms?
- Caused by buildup of bilirubin
- Itching
- Pale shit
- Dark urine
- Abdominal pain
What are some risk factors of Hep A and B?
- IV drug use
- Tattoos
- Transfusions
- Sexual history