Notes in acute abdominal pain

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Published	09/08/2024	appencitis typically has  {{c1::Periumbilical}} pain → that localizes to {{c2::RLQ}}
Published	09/08/2024	symptoms of {{c2::appendicitis}} are: {{c1::Anorexia, N/VAbd tendernessFever (late)}}
Published	09/08/2024	appendicitis can {{c1::mimic}} other etiologies of abdominal pain because not everyone’s appendix is in the same place
Published	09/08/2024	Most common age affected by {{c1::appendcitis}} is 10-30 yo
Published	09/08/2024	diagnostics for appendicitis is: {{c1::CT + contrast}}: dilated appendix, wall thickening, appendicolith, stranding
Published	09/08/2024	PE of {{c1::appendicitis}}: {{c2::Rovsing’s SignObturator SignPsoas SignMcBurney’s Point TendernessHeel Jar}}
Published	09/08/2024	{{c1::Acute cholecystitis}} is most common in obese females around 40
Published	09/08/2024	Inflammation and infection of the gallbladder, can be caused by gallstone is {{c1::acute cholecystitis }}
Published	09/08/2024	{{c3::Acute Cholecystitis}} will have constant pain in {{c4::epigastrium}} or {{c5::RUQ}} that may radiate to {{c1::righ…
Published	09/08/2024	{{c1::Antibiotics}} and {{c1::Cholecystectomy}} are used to treat acute cholecystitis
Published	09/08/2024	acute {{c2::cholecystitis}} will have elevated  {{c1::ALT, AST, ALP}}
Published	09/08/2024	{{c2::Cholelithiasis}} most commonly affects {{c1::4 F’s: fat, female, forty, fertile}}
Published	09/08/2024	{{c1::Cholelithiasis}} is the presence of one or more {{c2::calculi (gallstones)}} in the gallbladder.
Published	09/08/2024	Gallstones in the biliary tract without inflammation, can result in {{c1::cholecystitis}} or acute {{c2::pancreatitis}}
Published	09/08/2024	Cholelithiasis clinical presentation: {{c1::Biliary colic}}: episodic, abrupt {{c2::RUQ pain}} that may be precipitated by {{c3::f…
Published	09/08/2024	{{c2::Ultrasound}} (preferred imaging for gallbladder pathologies) for {{c1::Cholelithiasis}}
Published	09/08/2024	Pain {{c2::worsened}} when lying supine and {{c2::relieved}} when leaning forward in {{c1::acute pancreatitis }}
Published	09/08/2024	N/VFeverTachycardia are symptoms of {{c1::acute pancreatitis}}
Published	09/08/2024	acute pancreatitis is described as a “{{c1::Stabbing, penetrating}} pain”
Published	09/08/2024	{{c2::acute pancreatitis}} will have a positive {{c1::grey turner's}} sign
Published	09/08/2024	US may be used but is often limited d/t large amounts of surrounding {{c2::adipose}} or overlying {{c2::bowel loops}} in {{c3…
Published	09/08/2024	Most cases of pancreatitis are treated with {{c1::supportive care}} onlypt will be {{c2::NPO}} IV fluids, correct electrolyte imbalancesPain cont…
Published	09/08/2024	Median age 70 yo (starts increasing > 50 yo) of those with {{c1::pancreatic carcinoma}}
Published	09/08/2024	symptoms of {{c1::pancreatic cancer}} are:FatigueWeight LossEpigastric painDark UrineDiarrheaSteatorrheaPainless jaundice
Published	09/08/2024	in {{c1::chronic pancreatitis}}: ERCP / MRCP: ductal dilation with stricturing, blunting of side branches, pancreatolithiasis
Published	09/08/2024	CT will show calcifications and gland atrophy +/- dilated pancreatic duct or pseudocyst in {{c1::chornic pancreatitis}}
Published	09/08/2024	treatment for {{c1::chronic pancreatitis}}:EtOH abstinencePain controlOral pancreatic enzyme replacement (Lipase)
Published	09/08/2024	{{c1::Small Bowel Obstruction}}  should be expected in pts with N/V, abdominal pain, and *history of abdominal surgeries (adhesions!)
Published	09/08/2024	{{c1::Ovarian Torsion}} should be considered in the female patient with unexplained and undifferentiated lower abdominal pain
Published	09/08/2024	PID is most commonly caused by by {{c1::N. gonorrhoeae}} and {{c2::C. trachomatis}} but also can be from  normal {{…
Published	09/08/2024	Minimum Diagnostic Criteria of {{c1::Pelvic inflammatory disease}}:Lower abdominal tendernessAdnexal tendernessTenderness with cervical motion
Published	09/08/2024	Perform {{c1::pelvic exam}} in women with undifferentiated lower abdominal pain
Published	09/08/2024	Consider {{c1::US}} test in patients with severe unilateral pelvic tenderness
Published	09/08/2024	Consider other STD testing of patient and partners of women with {{c1::PID}} (RPR, HIV, hepatitis)
Published	09/08/2024	PID can be treated inpatient or outpatient with {{c1::antibiotics}} depending on criteria.
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