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9 Cards in this Set
- Front
- Back
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Characteristics of pain leaking or ruptured abdominal aortic aneurysms |
- sudden severe abdominal pain/back ache - renal colic (kidney stone) type pain. New presentation of this in over 50yr old suspect AAA even in absence of palpable mass. |
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Abdominal aortic aneurysm associated symptoms |
- collapse - hypotension with bilateral lower limb ischaemia or mottling - history of smoking - hypertension and hypercholesterolaemia |
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Appendicitis characteristics of pain |
- constant pain, increasing in intensity, often starting in peri umbilical area - pain settles in lower right quadrant - rebound tenderness in right iliac fossa. - coughing and walking may exacerbate pain - older patients may present with generalised pain, distension, decreased bowel sounds |
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Appendicitis associated symptoms |
- nausea/vomiting - loss of appetite - constipation - increased temp >37.5 - diarrhoea |
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What should indigestion type pain lead to high suspicion of? |
Cardiac origin |
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What is acute cholecystitis ? |
Inflammation of gall bladder |
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What accounts for 30% of patients attending ED for acute abdominal pain? |
Acute cholecystitis |
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Acute cholecystitis characteristics of pain |
- sharp pain in right upper quadrant - right shoulder-tip pain - worse when breathing deeply, and on palpation of the right upper quadrant |
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Acute cholecystitis associated symptoms |
- nausea/vomitting - increased temp >38 - history of fat intolerance |
