CMN 568, Unit 4, Differential dx of abd pain 1 & 2 QUESTIONS WITH VERIFIED ANSWERS | COMPLETE SET

CMN 568, Unit 4, Differential dx of abd pain 1 & 2 QUESTIONS WITH VERIFIED ANSWERS | COMPLETE SET when to test with stool culture for gastroenteritis (diarrhea) what is NSAP - ANSWER non-specific abdominal pain, common in pediatric patients in abdominal anatomy (look at a picture) the large intenstine begins on the ______________side of the body and then transverses and joins with rectum on ____________side of body - ANSWER right (where the appendix hangs out); left when dividing abdominal regions in quadrants what is a good "marker" - ANSWER the umbilicus is the "cross" where all regions meet transverse and vertical (I always thought lower regions were higher for serious) describe oldcarts - ANSWER is a good way to get an abdominal hx o-onset L-location D-Duration (chronic =greater than 2 weeks) C-character (sharp or dull) A-aggravating factors R-relieving factors T-timing (constant or intermittent) S-Associated symptoms (nausea vomiting) Smoking worsens symptoms of what? but may help with.... - ANSWER GERD, PUD, Chrohns may help with ulcerative colitis during abdominal exam a visible peristalsis may indicate - ANSWER blockage pulsations in the abdominal exam could indicate a - ANSWER AAA where do you hear an aortic bruit? a renal bruit? - ANSWER aortic bruit can be heard near the epigastric area, renal bruits are to the R and L of aortic bruit and slightly below in upper L and R quads. do you do a rectal exam on most patients with abdominal pain? what is a guiac stool? - ANSWER most patients presenting with abd pain u want to check the rectum for stool in the valut, guiac stool is stool for occult blood specific male and female exams for abd pain - ANSWER men: testicular tortion, hernia-lower abd pain raditiating to groin Women: PID, ovarian cysts, endometriosis Diffuse abd pain can be - ANSWER inflammatory bowel disease, IBS, gastroenteritis, AAA, bowel obstruction, ischemic bowel. Epigastric Pain - ANSWER MI, PUD, biliary disease, pancreatitis right upper quadrant pain - ANSWER hepatitis, gallbladder (biliary), renal disease (pyleo or renal stone) left upper quad pain - ANSWER spleen, or renal disease periumbilicus pain - ANSWER appendicitis or small bowel disease left lower quadrant pain - ANSWER diverticulitis (can be difficulse) PID, ovarian cyst, ectopic pregnancy right lower quadrant pain - ANSWER appedendicitis, ectopic pregnancy, PID, ovarian cyst Murphy's sign - ANSWER pain on inspiration when NP presses palpates RUQ. Sign of Gallbladder inflammation Rovsing sign - ANSWER palpation on LLQ causes pain on RLQ (this is a sign of APPENDICITIS) Cope Obturator Test - ANSWER pain in RLQ on INTERNAL rotation of the right hip. (sign of appendicitis