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10 Cards in this Set
- Front
- Back
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Common causes of RUQ pain:
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Gallbladder diseases
Leaking Duodenal Ulcer Pulmonary disease Biliary peritonitis |
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Two key labs when working up biliary ostruction:
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Elevated bilirubin
Elevated alkaline phosphatase |
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Common causes of LUQ pain:
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Pancreatitis
Peptic Ulcer Disease Subphrenic abscess Jejunal diverticulitis Splenic rupture/ infarction Lower lobe pneumonia |
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You are caring for a sickle cell patient who presents with splenic infarction. Does this condition absolutely require surgery?
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No! Operate if patient has leukocytosis or elevated temperature
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Common causes of midepigastric pain:
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Early acute appendicitis
Acute small bowel obstruction PUD Acute pancreatitis |
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Treatment for gallstone pancreatitis
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Admit for bowel rest, IV fluids, and surgery / stone removal.
F/U with cholecystectomy. An inoperative cholangiogram may be required in order to ensure no further gallstones |
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Indication for operating on a patient with necrotizing pancreatitis:
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Hemodynamic instability.
This usually happens when patient becomes septic. |
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Sequele of necrotizing pancreatitis:
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Pancreatic pseudocysts and abscesses
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Patient with a history of PUD presents with severe pain, distress. X-Ray shows free air under the diaphragm. What happened?
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Perforated Ulcer
This is a surgical disease |
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Causes of RLQ pain:
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Appendicitis
Diverticulitis IBD Cecal volvulus Hernias UTI / Pyelonephritis Stones Gyn (mittelschmerz, ectopic pregnancy) |
