Buttaro Chapter 127 Abdominal Pain & Infections EXAM WITH ANSWERS [100% verified]

Buttaro Chapter 127 Abdominal Pain & Infections EXAM WITH ANSWERS [100% verified] First Priority of Provider in abdominal pain patient *Ans* Rule out acute (surgical) abdomen Major mechanisms of abdominal pain *Ans* obstruction , capsular distension, peritoneal irritation, mucosal alteration, vascular insufficiency, altered motility, nerve injury, abdominal wall injury, pain referred from extra abdominal site Visceral pain *Ans* Arises from hollow viscous. Result of distention or spasm. Dull and crampy, poorly localized. Parietal pain *Ans* Arises from irritation of parietal peritoneum (i.e. appendicitis). Sharp, localized. Referred pain *Ans* Arises from shared afferent neurons from different locations. RUQ pain emanates from *Ans* Chest cavity, liver, gallbladder, stomach, bowel, right kidney, ureter. Most common diagnosis of pain in RUQ *Ans* Cholecystitis and liver Most common dx of LUQ pain *Ans* Heart, chcest, spleen, stomach , pancreas (esp acute pancreatitis) or left kidney or ureter. Most common dx for LLQ pain *Ans* Bowel, left ureter, pelvis, diverticulitis Most common dx for RLQ pain *Ans* Appendix, bowel, right ureter. Most commonly, appendix. Cholecystitis or peptic ulcer perforation must also be considered. Pain that migrates across several quadrants is most commonly associated with the *Ans* bowel. Or trauma or inflammation. Older patients are less likely to mount a fever or pain response but more likely to exhibit *Ans* lethargy or mental status changes In women of childbearing age, which condition should should be ruled out? *Ans* ectopic pregnancy Which cardiovascular condition could cause abdominal pain? *Ans* Ruptured aortic aneurysm In sexually active females, which inflammatory condition should be ruled out? *Ans* Pelvi