Chapter 22 - Abdominal Emergencies

Front 1

The membrane that lines the abdominal cavity and covers the organs within it.

Back 1

Peritoneum

Front 2

What are the 4 solid organs?

Back 2

- Spleen

- Liver

- Pancreas

- Kidneys

Front 3

What are 6 hollow organs?

Back 3

- Stomach

- Gallbladder

- Duodenum

- Large Intestines

- Small Intestines

- Bladder

Front 4

The area posterior to the peritoneum, between the back (spinal cord).

Back 4

Retro-peritoneal Space

Front 5

A poorly localized, dull, or diffuse pain that arises from the abdominal organs, or viscera.

Back 5

Visceral Pain

Front 6

A localized, intense pain that arises from the parietal peritoneum, the lining of the abdominal cavity.

Back 6

Parietal Pain

Front 7

Sharp pain that feels as if body tissues are being torn apart.

Back 7

Tearing pain.

Front 8

Pain that is felt in a location other than where the pain originates.

Back 8

Referred Pain

Front 9

_____________ pain is often described as dull and achey; this pain cannot be pointed to and is usually in a general location.

Back 9

Visceral

Front 10

Visceral Pain usually involves ____________ organs. An example is _____________ pain.

Back 10

Hollow

PMS

Front 11

______________ pain can be described as sharp or constant and localized to a particular area.

Back 11

Parietal Pain

Front 12

______________ pain can be caused by internal bleeding or infection/inflammation.

Back 12

Parietal Pain

Front 13

________________ pain can be felt somewhere other than where it originates.

Back 13

Referred

Front 14

Symptoms of _________________ include nausea, vomiting, pain in the area of the umbilicus (initially), followed by persistent pain in the RLQ of the abdomen.

Back 14

Appendicitis

Front 15

Symptoms of _________________ include an extremely painful and rigid abdomen, fever, and other signs of infection.

Back 15

Peritonitis

Front 16

Symptoms of ___________________ include pain in the RUQ radiating to the shoulder. This can be confused with chest pain. Pain will be worsened by ingestion of fatty foods and can abruptly end.

Back 16

Gallstones/ Cholecystitis

Front 17

Symptoms of ________________ include pain radiating from the abdomen to the back and/or shoulders. Advanced cases can be present with signs of shock.

Back 17

Pancreatitis

Front 18

Symptoms of ____________________ include dark black stool (tarry), bleeding from the rectum, vomiting frank blood or "coffee grounds", pale skin, weak.

Back 18

GI Bleeding

Front 19

Symptoms of ____________________ include sharp or tearing pain that may radiate to the back, signs or shock may be present, may be inequality between the femoral or pedal pulses.

Back 19

Abdominal Aortic Aneurysm (AAA)

Front 20

Symptoms of ________________ include a mass or lump on the abdominal wall.

Back 20

Hernia

Front 21

Symptoms of _________________ include nausea and vomiting, and the patient may seem to be "writhing" around trying to unsuccessfully find a position of comfort.

Back 21

Renal Colic/ "Kidney Stones"

Front 22

What are the 6 steps of assessing a patient with abdominal pain?

Back 22

1. Perform a scene size up.

2. Primary Assessment & consider oxygen.

3. Patient History.

4. Expose the site.

5. Palpate the abdomen.

6. Transport the patient if needed.