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17 Cards in this Set
- Front
- Back
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Q. Abdominal Aortic Aneurysm
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ER!
Constant upper abd pain, aortic diameter >3 cm. Pain < lying down, > leaning forward or sitting up Bruits (prior to rupture), palpable pulsating abd mass Abdominal tenderness, guarding, rigidity, hypotension indicate rupture |
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Q. Abdominal Cancer
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Mass in abdomen/rectum
Anorexia, Wt loss, fever, fatigue, anemia Constipation, blood in stools Jaundice (possible liver CA) Ascites (liver CA), Hepatomegaly (metastasis) |
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Q. Appendicitis
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ER!
RLQ pain (may originate periumbilical) Anorexia, N/V Fever, Chills Rebound tenderness (+McBurney's, Rosving's, Psoas or Obturator sign) |
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Q. Celiac's Disease
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Diarrhea, weight loss, abd distention
Floating, oily, loose stools Fatigue, Anemia Growth retardation (children) |
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Q. Cholelithiasis
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Sharp, paroxysmal pain in RUQ
Anorexia, N/V May radiate to back or R shoulder Hx of Rapid Weight Loss |
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Q. Cholecystitis
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ER!!
Sharp or aching RUQ or epigastric pain May radiate to back or R shoulder N/V, fever, chills RUQ tenderness, rigidity, or mass Associated with cholelithiasis 90% |
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Q. Cirrhosis
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Dull abdominal discomfort
Leads to RUQ pain < sitting or leaning forward Hepatomegaly Jaundice Fever Ascites, edema Pruritis |
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Q. Crohn's Disease
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Mild to severe abdominal cramping (usu LRQ)
Abdominal tenderness w/guarding Hyperactive bowel sounds Diarrhea or constipation Possible palpable mass Fever, Anorexia, Weight loss Apththous stomatitis |
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Q. Diverticulitis
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Refer to ED!!
Abdominal mass and rigidity Constipation, Gross/Occult blood, Loose stools LLQ pain Fever N/V |
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Q. Gastritis
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Burning abd pain, N/V
Belching, Bloating |
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Q. Hepatitis
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Hepatomegaly
RUQ discomfort or dull pain Jaundice, Scleral icterus Anorexia, N/V, malaise Pruritis |
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Q. Irritable Bowel Syndrome
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Lower abdominal pain
Cramping Constipation/Diarrhea Mucus in stool Excessive gas and bloating Nausea |
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Q. Intestinal Obstruction
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ER!!
Short episodes intense, cramping pain Distention, tenderness, guarding Increased bowel sounds proximal to obstruction Decreased or absent bowel sounds distal to obstruction Vomiting Fever, tachycardia |
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Q. Pancreatitis
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ER!!
Severe, steady, boring epigastic pain Radiates to Back < Supine, >Leaning forward N/V, Fever Mild jaundice |
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Q. Peptic Ulcer Disease
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Sharp, buring pain in epigastric or chest pain
Weight loss, early satiety Relieved by food or antacids (Duodenal) Worse by eating (Gastric) Pt wakes up during night from pain N/V, Melena, Hematemesis, "Coffee grounds" emesis |
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Q. Peritonitis
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Abdominal distention
Abdominal tenderness, guarding, rigidity, distention N/V, fever Decreased or absent bowel sounds |
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Q. 16 DDx for Abdominal Pain
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Abdominal Aortic Aneurysm, Abdominal Cancer, Appendicitis, Celiac's Disease, Cholelithiasis,
Cholecystitis, Cirrhosis, Crohn's Disease, Diverticulitis, Gastritis, Hepatitis, Irritable Bowel Syndrome, Intestinal Obstruction, Pancreatitis, Peptic Ulcer Disease, Peritonitis |
