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Suprapubic pain -✓✓Pain located in the lower abdomen that accompanies cystitis
and acute urinary retention
ulcerative colitis (UC) -✓✓a chronic inflammatory bowel disease (IBD)
characterized by diffuse mucosal inflammation in colon and mostly rectum; bloody
diarrhea hallmark
Crohn's disease -✓✓a chronic IBD and autoimmune disorder characterized by full
thickness inflammation and ulceration; cobblestone appearance
McBurney's point -✓✓A point on the right side of the abdomen, about two-thirds
of the distance between the umbilicus and the anterior bony prominence of the hip;
test for appendicitis
GERD -✓✓d/t relaxation or incompetence of the lower esophageal sphincter
GERD s/s -✓✓Heartburn, regurgitation. Symptoms worse lying down, and pts
complain of a bitter taste in their mouth. Hoarseness and chronic cough.
Psoas sign -✓✓RLQ pain with extension of right thigh indicative of appendicitis
Obturator sign -✓✓RLQ pain on passive internal rotation of the right flexed thigh
indicative of appendicitis
Rovsing's sign -✓✓Pain is felt in the RLQ when the left lower quadrant is deeply
palpated; may be present in appendicitis.
Murphy's sign -✓✓Increased tenderness during inspiration upon palpation of the
RUQ; seen in acute cholecystitis.
What is the primary cause of acute appendicitis? -✓✓Obstruction by fecal material
or other foreign matter.
, What are the potential complications of acute appendicitis? -✓✓Inflammation,
ischemia, perforation, and localized or generalized peritonitis.
shifting dullness test -✓✓After percussing the abdomen for suspected ascites the pt
is moved to a lat decub position and repercussed. If positive, the areas of tympany
and dullness will have shifted due to the shift of the fluid in the abdomen
Fluid wave test -✓✓A wave of fluid is felt against the fingertips pressed along the
flank as the fluid is pushed from one side of the abdomen to the other by tapping
sharply along the opposite flank; may indicate ascites
Lipoma -✓✓a benign, slow-growing fatty tumor located in the subQ tissue
between the skin and the muscle layer; soft, lobulated and non-tender
Acute appendicitis is a surgical emergency. -✓✓Acute appendicitis is a surgical
emergency.
Acute diverticulitis -✓✓Obstruction of a diverticulum can lead to inflammation
and result in the development of an abscess and perforation
Acute diverticulitis pain location -✓✓LLQ pain or epigastric pain that radiates
down the left side of the abdomen, especially after eating. May also radiate to the
back
Acute pancreatitis causes -✓✓I GET SMASHED
Idiopathic
Gallstone
Ethanol
Trauma
Steroids
Mumps
Autoimmune disease
Scorpion sting
Hypercalcemia
ERCP procedure
Drugs (sulfas, diuretics)
CF