Correct Answers.
Assessment of Abdominal Cramps - Answer 1.) Obtain history
2.) Pattern
3.) Inspect / Assess
4.) Auscultate
5.) Percuss
6.) Palpate
7.) Fever?
8.) Lab values
9.) Radiography
10.) Menstrual Cycle
11.) Urinary Changes
12.) Changes in Diet
Questions to Ask if the Patient has Abdominal Complaints - Answer 1.) Nausea? Vomiting? Diarrhea?
Constipation?
2.) Rebound Tenderness?
3.) Where does it hurt? (Think Anatomy)
a.) Appendicitis
b.) Small Bowel Obstruction (SBO)
c.) Pancreatitis
d.) Cholecystitis
e.) Gynecological
Antiemetics - Answer 1.) Zofran
2.) Compazine
3.) Phenergan
, 4.) Reglan
What kind of pain do the stomach, duodenum, liver, and pancreas cause? (Foregut) - Answer upper
abdominal pain.
What kind of pain do small bowel, proximal colon, and appendix cause? (Midgut) - Answer
periumbilical pain
What kind of pain do distal colon and genitourinary tract cause? (Hindgut) - Answer lower abdominal
pain
Somatic Pain - Answer comes from the parietal peritoneum. pain is sharp and well localized.
Referred pain - Answer pain perceived distant from its source and results from convergence of nerve
fibers at the spinal cord.
Examples of Referred Pain - Answer 1.) scapular pain due to biliary colic,
2.) groin pain due to renal colic
3.) shoulder pain due to blood or infection irritating the diaphragm.
Peritonitis - Answer inflammation of the peritoneal cavity; may be due to chemical irritation or
bacterial invasion
What do you not give if a patient is suspected gastrointestinal tract perforation. - Answer Barium
because it causes severe caking and peritonitis
spontaneous bacterial peritonitis - Answer the peritoneal cavity is infected by blood-borne bacteria.
Occurs with Cirrhosis and ascites pts
Pain in the right upper quadrant is from what body parts? - Answer 1.) Appendicitis with a gravid
uterus
2.) Cholecystitis with biliary colic