Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
Most common cause of acute abdominal pain in adults? |
NSAP -40% |
|
|
2nd most common cause of acute abdominal pain in adults? |
Appendicitis (32%) |
|
|
Most common cause of abdominal pain in elderly? |
Biliary disease (21%) |
|
|
What are immediate life threatening differentials of acute abdomen? (within 1 hour death) |
AAA, haemorrhage, MI, ruptured ectopic |
|
|
Rapid life threatening differentials of acute abdomen? (1h-1d) |
mesenteric ischaemia, peritonitis, volvulus, complicated hernia, DKA |
|
|
Serious threat to life differentials of acute abdominal pain? |
itis- pancrea, appendix, cholecst, bowel obstruction, rupture/torision of ovarian cyst, intra abdo abcess |
|
|
Mild to moderate morbidity differentials of acute abdominal pain? |
Diverticulitis, PUD, biliary/renal colic, endometriosis, IBD, UTI |
|
|
No morbidity differentials of acute abdominal pain? |
gastrotentritis, mittelschemrz, constipation, IBS |
|
|
What is the differntial if the pain is sudden? what is it if its gradual? |
Sudden: perf, haemorrhage, infarct gradual: peritoneal irritatiion, hollow organ distension |
|
|
What are some associated symptoms of acute abdominal pain? |
Vomitting/nausea bowel symptoms- diarrhoea/constipation change in bowel habit change in colour of faeces jaundice - onset, duration, obstructive pale stools and dark urine pruritis others: weight loss, appetitie loss, malaise, lethargy |
|
|
Other associated symptoms which could help with differentials? |
Urinary - frequency, urgency, incontinence, nocturia, dysuria, post micturition driblling, incomplete voiding gynae- menorrhagia, abdo/pelvic pain, vaginal discharge, delayed/absent period, dyspareunia |
|
|
Questions which you can ask about blood to help get differentials? |
Type - macro or micro Colour of blood - bright, dark, clot, malaena Relationship to defecation - on paper, in pan, mixed in, on surface Quantatiity - drops? tea spoons? cup? |
|
|
In distension, what are the 5 Fs? |
fluid, fat, flatus, fetus, faeces |
