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33 Cards in this Set
- Front
- Back
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Dx: pt lying perfectly still
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peritonitis
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Dx: pt writhing in agony
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biliary or renal colic
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abd emergencies in children (4)
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appendicitis, intussusception, gastroenteritis, volvulus
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abd emergencies in adults (2)
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pancreatitis, gynecological
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abd emergencies in elderly (2)
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vascular (AAA, ischemia, thrombosis), perforated large bowel
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Dx: epigastric pain radiating to back (3)
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gastric, pancreatitis, leaking AAA
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Dx: RUQ pain (2)
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gallbladder, gastric
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Dx: RLQ pain (2)
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appendicitis, perforated colon CA
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Dx: LLQ pain (2)
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diverticulitis, perforated colon CA
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Dx: dramatic onset of sx (2)
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perforation, rupture
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Dx: prolonged onset of sx (2)
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pancreatitis, inflammatory process
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what test should you run for undx abd pain?
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amylase for pancreatitis
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non-abd etiologies of abd pain (2)
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pulmonary or cardiac
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3 types of abd emergencies
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bleeding, ischemic, infectious
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4 causes of bleeding emergency
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lacerated organ, ruptured AAA, laceration of major vessel, ruptured ectopic preg
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is anterior, lateral or posterior most common type of AAA?
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anterior
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Dx: back pain and hypotension
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AAA
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Dx: engorgement of pelvic vasculature, pain associated with irregular vaginal bleeding, abd tenderness on cervical motion, adnesal tenderness on bimanual exam
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ruptured ectopic preg
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who is most at risk for ruptured ectopic preg?
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those in last 10 yr of reproductive life
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3 causes of infectous abd emergency
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ruptured appendix, perforated bowel (stomach, sm intestine, lg intestine), gallbladder
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what is most common cause of stomach perforation?
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PUD
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what is most common cause of duodenum perforation?
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trauma
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what is most common cause of jejunum/ileum perforation?
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strangulation
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what is most common cause of perforation colon?
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diverticulitis
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highest rates of ruptured appendix in what age groups?
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< 5 yo and > 65 yo
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5 causes of ischemic emergency
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mesenteric artery thrombosis, small bowel obstruction, intussusception, volvulus, strangulated hernia
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Dx: severity of pain is out of proportion to tenderness on palpation
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mesenteric artery thrombosis
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MAT causes mucosal sloughing after __ hr and full thickness infarction after __ hr
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3; 6
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most common cause of sm bowel obstruction
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mechanical due to adhesions
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where does intussusception usually begin? what is likely cause?
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terminal ileus; hypertrophy of Peyer's patches from virus
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air-filled segment of colon twists about its mesentery
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volvulus
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most common location of volvulus
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sigmoid colon
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Dx: reddish/bluish overlying skin, fever, shock, sx of obstruction
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strangulated hernia
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