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ABDOMINAL PAIN

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ABDOMINAL PAIN Referred Pain - CORRECT ANSWER -Referred pain produces symptoms, but not signs (i.e. localized tenderness) Radiation to distant sites sharing spinal cord segments Patterns of pain are based on embryologic sharing of dermatomes Abdominal Findings - CORRECT ANSWER -Guarding Rebound Pain referred to the point of maximum tenderness when palpating an adjacent quadrant is suggestive of peritonitis Rectal exam Acute Abdominal Pain Most Common Causes in the ED - CORRECT ANSWER -Non-specific abd pain 34% Appendicitis 28% Biliary tract dz 10% vAppendicitis - CORRECT ANSWER -Pain usually periumbilical or epigastric initially Right lower quadrant abdominal pain. ANOREXIA, nausea and vomiting, diarrhea Physical: Right lower abdominal rebound tenderness McBurney sign Psoas sign Obturator sign Fever (Generally low grade)

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