ABDOMINAL PAIN TEST QUESTIONS WITH COMPLETE ANSWERS { GRADED A+}

ABDOMINAL PAIN TEST QUESTIONS

WITH COMPLETE ANSWERS { GRADED

A+}




differential dx for upper/epigastrium pain - ✔✔- gastritis/PUD


- cholecystitis

- pancreatitis

- early appendicitis

- myocardial infarction


differential dx for central/middle pain around umbilicus region - ✔✔-

AAA

- dissection

,- peritonitis

- mesenteric ischemia


differential dx for RUQ pain - ✔✔- cholelithiasis


- cholecystitis

- hepatitis

- renal colic

- RLL PNA


differential dx for LUQ pain - ✔✔- gastritis/PUD


- renal colic

- LLL PNA

- splenic infarct/injury


differential dx for RLQ pain - ✔✔- appendicitis


- renal colic

- testicular torsion

,- PID

- ovarian torsion


differential dx for for LLQ pain - ✔✔- diverticulitis


- renal colic

- testicular torsion

- PID

- ovarian torsion


types of abdominal pain - ✔✔- visceral


- parietal

- referred


describe visceral pain - ✔✔- unmyelinated fibers


- dull, achy, crampy

- constant or intermittent

, - organs are innervated from both sides of spinal cord so pain is often

poorly localized - may be midline


describe parietal pain - ✔✔- myelinated fibers


- parietal peritoneum

- localized, sharp

- tenderness, guarding

- rigidity, rebound


describe referred pain - ✔✔- pain originating from another site


- basis in embryology

- ureters/testes, gallbladder

- pain is typically ipsilateral (does not cross midline)


questions to ask if abdominal pain - ✔✔- location & radiation


- duration

- quality