Questions to Ask if the Patient has Abdominal Complaints correct answers 1.) Nausea?
Vomiting? Diarrhea? Constipation?
2.) Rebound Tenderness?
3.) Where does it hurt? (Think Anatomy)
a.) Appendicitis
b.) Small Bowel Obstruction (SBO)
c.) Pancreatitis
d.) Cholecystitis
e.) Gynecological
What kind of pain do the stomach, duodenum, liver, and pancreas cause? (Foregut) correct
answers upper abdominal pain.
What kind of pain do small bowel, proximal colon, and appendix cause? (Midgut) correct
answers periumbilical pain
What kind of pain do distal colon and genitourinary tract cause? (Hindgut) correct answers lower
abdominal pain
Somatic Pain correct answers comes from the parietal peritoneum. pain is sharp and well
localized.
Referred pain correct answers pain perceived distant from its source and results from
convergence of nerve fibers at the spinal cord.
Examples of Referred Pain correct answers 1.) scapular pain due to biliary colic,
, 2.) groin pain due to renal colic
3.) shoulder pain due to blood or infection irritating the diaphragm.
Peritonitis correct answers inflammation of the peritoneal cavity; may be due to chemical
irritation or bacterial invasion
What do you not give if a patient is suspected gastrointestinal tract perforation. correct answers
Barium because it causes severe caking and peritonitis
spontaneous bacterial peritonitis correct answers the peritoneal cavity is infected by blood-borne
bacteria. Occurs with Cirrhosis and ascites pts
Pain in the right upper quadrant is from what body parts? correct answers 1.) Appendicitis with a
gravid uterus
2.) Cholecystitis with biliary colic
3.) Congestive Heptomegally
4.) Hepatitis or Hepatic abscess
5.) Perforated duodenal ulcer
Pain in the epigastric (right or left upper quadrants) is from what body parts? correct answers 1.)
Acute pancreatitis
2.) Herpes Zoster
3.) Lower lobe pneumonia
4.) MI
5.) Radiculitis
Pain in the Left Upper quadrant is from what body parts? correct answers 1.) Gastritis
2.) Splenic disorders (rupture or abscess)
Pain in the Right Lower quadrant is from what body parts? correct answers 1.) Appendicitis
2.) Cecal Diverticulitis
3.) Meckel Diverticulitis
4.) Mesenteric adenitis
Pain in the Left Lower Quadrant is from what body parts? correct answers 1.) Ischemic Colitis
2.) Sigmoid Diverticulitis
Pain from the right and left lower quadrant pain are from which body parts? correct answers 1.)
Abdominal or psoas abscess
2.) Abdominal wall hematoma
3.) Cystitis
4.) Endometriosis
5.) Incarcerated or strangulated hernia
6.) Inflammatory bowel disease
7.) Pelvic inflammatory disease
8.) Renal Stones
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