• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/24

Click to flip

24 Cards in this Set

  • Front
  • Back
**MCC of LLQ acute abd?
sigmoid colon
**MCC of suprapubic acute abd?
distended bladder
LUQ
**stomach
**spleen (infarction)
GIT (diverticula)
pancreas (pancreatitis)
LLL of lung (PNA)
epigastrium
**stomach (PUD, gastritis, carcinoma)
**pancreas (pancreatitis)
heart (MI)
gallbladder
esophagus (hernia, GERD)
RUQ
**gallbladder (cholic/cholycystitis/ dyskinesia)
**liver (abscess, hepatitis)
appendix (unusualy position)
kidney (acute pyelonephritis)
RLL of lung (PNA)
LLQ
sigmoid colon (stricture)
colon (diverticula)
testicles/ovaries
central
small bowel (ischemia, IBD)
appendix (early appendicitis)
**abd aorta (AAA)
suprapubic
**bladder
appendix
**sigmoid colon (diverticula)
RLQ
appendix (appendicitis)
**colon (IBD)
mesentary (adenitis)
kidneys (renal colic/infxn)
testicles/ovaries (torision,cysts)
herniations
what are types of emergencies encountered w/ an acute abd?

when are they treated?
- AAAs, perforations, ischemic bowel, hemorrhage

- tx'd first
what are some types of labs/work ups ordered by the ER?

what do they help distinguish?
**lactic acid levels: r/o ischemic bowels (ischemia inc lactic acid)
**plain films: r/o pneumoperitoneum (free air in belly)
- CT: r/o//dx: PUD, bowel perforations, AAA, gallbladder obstructions, appendicitis
what should women always be screened for?
pregnancy
AAA
- >3cm dilatation of aorta
- infrarenal (easy to tx), asymptomatic, occur in older men
what are the criteria that call for surgical resections or minor surgical procedures w/ AAAs?***
- increase in size >5cm
+
- onset of pain, hypotension, anemia, pulsatile abd mass
pneumoperitoneum
- air in peritoneum
- caused by:
--perforated peptic ulcer, colon, SI, appendix (less common)
how is pneumoperitoneum tx'd?
- laparotomy plus closure of appropriate organ
abd hemorrhage
- caused by bleed from mesentery, some solid organ (liver/spleen), portal HTN, ruptured ovarian cysts/ectopic pregs
tx of abd hemorrhage

what if caused by ectopic prego
closure

- salpingectomy (sx removal of Fallopian tube)
mesenteric ischemia caused by:
- dec blood supply
- hematological causes like:
--venous occlusion
--thrombosis
--hypotension
what are symptoms of mesenteric ischemia?
**disproportionally intense abd p
- inc wbc count
- acidosis
- dec blood pressure
what is mesenteric ischemia a/w?

what population does this occur in?
- arrhythmias (a-fib)
- vascular ds

- older pts w/ vasc/heart ds and DM
what type of imaging may be helpful w/ mesenteric ischemia?

- tx?
- CT

- laparotomy plus tx of underlying cause
**pelvic inflammatory ds w/ significant infarction results in?
- Fitz-Hugh-Curtis syndrome
**definition of pelvic inflamm ds

- acute cases involve?
- pelvic infxn w/ involvement of RUQ
- peritoneum