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43 Cards in this Set

  • Front
  • Back
noxious stimuli commonly cuased by inflammation that causes burning, cramping or gnawing pain that is difficult to localize
visceral pain
what may help relieve visceral pain
moving around
pain that is caused by inflamed abdominal lining ocming into contact with organs that is more painful when moving
parietal pain
what causes pain in RUQ
gallbladder
what causes pain in RLQ
appendix or ileum
what causes pain in LLQ
colon
what causes pain in LUQ
spleen
what cause midepigastric pain?
duodenum, stomach and mesenteric lymph nodes
what refers pain to the right scapula?
gallbladder
what refers pain to the left shoulder?
splen
what refers pain to the testicle or vagina?
kidney stones
what refers pain to the back?
pancreas or aorta
define borborygmi
loud prolonged gurgles of hyperperistalsis
how long must you listen before stating the abdominal sounds are absent?
at least two minutes - silence is an omnious sign
define tinkling
tinkling sounds heard with ileus as liquid moves passively through the intestine
define bruit
arterial turbulence that can be caused by renal iliac, femoral or abdominal aortas
what type of tissue causes dullness on percussion?
solid organs or fluid
what causes tympany on percussion?
hollow organs
what are the pre-test odds?
4, 1, .25
what is the pre-test probability?
80%, 50%, 20%
what are the post-test odds?
pre-test odds x likelihood ratio
what is the post-test probability?
post test odds/(1+ post test odds)
what causes peptic ulcer disease and reflux?
inflammation due to acid that stimulates mucosal pain receptors
where is peptic ulcer disease and reflux pain localized?
midline, epigastric difficult to localize, can be referred to the back
what aggrevates and relieves peptic ulcer disease and reflux pain?
alcohol, aspirin like drugs, fasting, worse at night. Relieved by eating
what causes acute cholecystitis?
inflammation of the gallbadder
what is characteristic of acute cholecysitis?
RUQ pain that is referred to the right scapula, comes on after meals and aggrevated by fatty foods
what is pancreatitis?
inflammation of the pancraes that is associated with alcohol use
what characterizes pancreatitis?
mid abdominal pain that is poorly localized and referred to the back and aggrevated by eating
what causes ureteral colic?
stone in the urter
what causes the pain associated with ureteral colic?
peristaltic movement proximal to the stone
what characterizes the pain associated with ureteral colic?
costovertebral angle pain that radiates to testes/vagina; if inflammation occurs may feel need to defecate, may create vomiting
what causes diverticulitis?
colon inflammation
what characterizes the pain associated with diverticulitis?
diffuse lower abdominal (visceral) pain, if inflammation transcends the colonic wall pain is localized
define ballottement
bouncing motion to determine if gallbladder is collecting fluid
define Fitz-Hugh Curtis Syndrome
inflammation outside liver capsule that ocurs in women post chlamydial infeciton
define iliopsoas sign
RLQ pain when lying flat and trying to lift leg up against physcian's hand
define obutrator sign
RLQ pain when patient flexes and rotates leg laterally
define rebound tenderness
pain worsened when examiner lets off pressure
define guarding
involuntary contractio of the anterior abdominal wall muscles when pressed on
define fluid wave
pushing fluid from one side to the other, wave will hit your hand - used to diagnose ascites
define shifting dullness
precussion in 2 positions - water will displace organs causing a shift in where dullness was heard
define scratch test
used to estimate liver span, place stethoscope in middle of liver, scratch skin above and below liver and listen for changes in sound