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19 Cards in this Set

  • Front
  • Back
Where does duodenal pain refer to?
Back and right shoulder
Where does pancreatic pain refer to?
Back and left shoulder
Type of shock that presents with:

Wide pulse pressure
Tachycardia
Septic Shock
Type of shock that presents with:

JVD
Hypotension
Tachycardia
Cardiogenic Shock
Type of shock that presents with:

Vasodilation
Hypotension
Bradycardia
Neurogenic Shock
Type of shock that presents with:

Narrow pulse pressure
Tachycardia
Hypovolemic Shock
How do you treat hypovolemic shock?
Blood
NS
Lactated Ringers(if no bleed)
Oxygen
What is the body's response to hemorrhagic shock?
< venous return
< Cardiac Output
< Systemic Arterial Pressure
This type of shock is assoc. with multisystem organ failure
Septic Shock
Septic shock is most often due to what type of infection?
gram-negative bacteria
What are some causes of Cardiogenic shock?
Ischemic - MI
Valvular - Aortic stenosis
Arrhythmias - Blocks, Fib
Trauma - Tamponade, Tension Ptx
What diagnostic test should you do for cardiogenic shock?
TEE to determine EF
Pulmonary artery cath
How do you treat Cardiogenic shock?
Increase contractility
Alter preload & afterload
Provide mechanical support
MCC of neurogenic shock?
Trauma- Norepi is released which leads to vasoconstriction
What are Extraperitoneal Diseases that cause an acute abdomen?
Pneumonia
Pericarditis
Porphyuria
Acute Pyelonephritis (uremia)
Diabetic Acidosis
Myocardial Infarction
Pulmonary Infarction
Acute Pancreatitis
Periarteritis Nodosa (collagen disease)
Polycythemia Vera
Vascular Purpura (Henoch’s)
Retoperitoneal Lymphoma
Familial Mediteranean fever
What are food related causes that cause an acute abdomen?
Various Mushrooms
E. Coli
Staphylococcal
What are characteristics of visceral pain?
Poorly localized
Begins as a dull pain, but when it becomes intense, is associated with N/V, pallor, and diaphoresis
What are characteristics of parietal pain?
Precisely localized
Severe from the onset and intensifies with movement
What is Sister Mary Joseph’s nodule?
Nodule in the umbilicus secondary to CA intra-abdominal