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41 Cards in this Set
- Front
- Back
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Right Upper Quadrant Associated Organs |
Liver
Gallbladder Tip of right kidney |
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Epigastric Associated Organs
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Stomach
Pancreas |
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Left Upper Quadrant Associated Organs
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Spleen
Pancreas Tip of Left Kidney |
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Umbilcal Associated Organs
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Uterus
Bowel Aorta |
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Right Lower Quadrant Associated Organs
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Appendix
Right Ovary Bowel |
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Suprabubic associated organs
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Bladder
Uterus |
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Left Lower Quadrant
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Left Ovary
Bowel |
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Visceral Pain
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Hollow organs, contract forcefully, or are distended or stretch and ischemia
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Right upper quadrant pain
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liver distention against its capsule in ETOH hepatitis
Biliary tree |
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Visceral periumbilical pain
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early acute appendicitis
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Epigastric pain organs
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Stomach,
duodenum pancreas |
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Non-specific abdominal pain Differential Diagnosis
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appendicitis
intestinal obstruction cholecystitis |
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GERD atypical symptoms
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Cough
wheezing chronic sore throat hoarseness |
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GERD diagnosis criteria
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heartburn
acid reflux or regurgitiation for more than once a week unless proven otherwise |
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:"Alarm" GI symptoms
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dysphagia (difficulty swallowing)
odynophagia (pain with swallowing) Recurrent vomiting GI bleeding Weight loss Anemia palpable mass jaundice |
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Acute Right lower Quadrant pain DD
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Appendicitis
Pelvic Inflammatory disease Ruptured ovarian follicle ectopic pregnancy |
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Acute Left Lower Quadrant Pain DD
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Diverticulitis
Bowel Obstruction |
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Chronic Lower Abdominal Pain DD
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Colon Cancer
Irritable Bowel Syndrome |
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Regurgitation DD
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GERD
Esophageal stricture Esophageal Cancer |
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Hematemesis DD
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Esophageal varices
Gastric Varices Gastritis Peptic Ulcer Disease |
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Anorexia r/t abdominal fullness/early satiety DD
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Diabetic gastroparesis
Anticholinergic medication gastric outlet obstruction gastric cancer hepatitis |
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parietal pain
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when the organ is inflamed it affects the parietal peritoneum
more severe and easily localized ex: Appendicitis Diverticulitis |
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Bowel Movement Questions for Patient
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Frequency
consistency pain w bm blood present/black stool? color WHAT IS NORMAL FOR THE PATIENT |
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chronic conditions that cause upper abdominal pain
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esophagitis/gerd
peptic ulcer gastritis gastroenteritis functional dyspepsia recurrent abdominal pain |
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Diahrrhea
Acute vs Chronic (length of time) |
Acute Lasts up to 2 weeks
Chronic Lasting 4 weeks or longer |
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Murphy's Sign
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Acute Cholecystitis
Palpate liver on inspiration pain=positive |
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McBurney's Sign
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Appendictis
Rebound tenderness in RLQ |
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Appendicitis Assessment
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McBurney
Rovsings sign/Blumberg Psoas Sign Obturator Sign |
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abdomen r/t GU:
urination |
frequency
urgency pain with urination color/smell starting stream/leakage |
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back pain r/t abdominal/ GU
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costovertebral angle (kidney)
Low back -Prostate (referred pain) |
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Abdomen r/t CV
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pain on exertion or at rest
radiate to neck or jaw |
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ABdomen pain r/t musculoskeletal
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pain on change of position/movement
joint pain limited ROM heat/swelling |
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Abdominal pain r/t respiratory
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cough or dyspnea
-pneumonia of lower lobe can cause abd pain SOB |
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Abdominal pain r/t psychogenic
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stress
mental health problems mood and preoccupation with food/weight |
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Inspection of Abdomen
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skin -color, scars, hair, lesion
umbilicus- contour symmetry s/s peristalsis |
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Auscultate abdomen
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Bowel Sounds
diaphragm over aorta, iliac and femoral arteries for bruits liver & spleen - friction rub |
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percuss liver
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mid clavicular line
- 6-12cm mid sternal line -4-8cm |
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splenic percussion sign
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shifting from tympany to dullness with inspiration gests enlarged spleen.
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Acute conditions that cause abdominal pain
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appendicitis
ectopic pregnancy peptic ulcer perforation Disecting aneurysm MI Peritonitis Acute Pancreatitis HSP- henoch-schonlein purpura Mesenteric adenitis cholecystitis/lithiasis ureterolithiasis uti- pyelonephritis PID ileus intussuseption malrotation/volvulus hernia (incarcerated) pneumonia |
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Chronic conditions that cause upper abdominal pain
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GERD
Peptic ulcer gastritis gastroenteritis functional dyspepsia recurrent abdominal pain |
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Chronic Conditions that Cause Lower abdominal Pain
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Irritable bowel syndrome
Lactose intolerance diverticular disease simple constipation habitual constipation dysmenorrhea uterine fibroids hernia ovarian cyst abdominal wall disorder |
