(Built strictly from your Quiz 3 Study Guide upload)
🧭 GENERAL APPROACH TO ABDOMINAL PAIN
Assessment Priorities
Location (RUQ, LUQ, RLQ, LLQ)
Onset & progression
Character (sharp, dull, cramping, burning)
Associated symptoms: fever, vomiting, diarrhea, constipation,
urinary symptoms
Red flags
o GI bleeding
o Severe dehydration
o Guarding/rebound
o Hypotension
o Persistent vomiting
o Weight loss
o Age >50 with new symptoms
o Pregnancy concerns (ectopic, ovarian torsion)
When testing is needed
Red flags
Suspected surgical abdomen
Persistent vomiting
Suspected obstruction
Suspected appendicitis, diverticulitis, cholecystitis, pancreatitis
Chronic diarrhea or alarm symptoms → colonoscopy
⭐ VOMITING & DIARRHEA
Vomiting — Key Causes
, GI obstruction
Infection
Pregnancy
Medication-induced
Metabolic causes
Pancreatitis
Cholecystitis
Gastritis/PUD
Diarrhea — Key Causes
Viral (norovirus, rotavirus)
Bacterial (Salmonella, Campylobacter, E. coli)
C. difficile
IBS
IBD
Medications
Malabsorption (celiac)
When to test
Fever + bloody diarrhea
Severe dehydration
Immunocompromised
Recent antibiotics → test for C. difficile
Chronic diarrhea → stool studies + colonoscopy
Treatment
Hydration
Antiemetics
Antibiotics ONLY when indicated (Campylobacter, Shigella, traveler’s
diarrhea, C. difficile)