Family Practice Guidelines 4th 5th Edition Cash
Glass Test Bank
abdominal pain: emergent, acute, chronic - ANSWER:emergent:
-pain that lasts 3 hours or longer, accompanied by fever and vomiting
acute:
-pain of less than a few days that has worsened progressively until presentation
chronic:
-pain lasting longer than 12 weeks (3 months)
abdominal pain: visceral, parietal, referred - ANSWER:visceral:
-usually dull and aching
-hard to localize
parietal:
-sharp pain
-well localized
,referred:
-aching pain
-perceived as originating distant from its source
most common cause of acute abdominal pain
most common cause of chronic abdominal pain - ANSWER:acute:
-gastroenteritis
-IBS
chronic:
-stool retention
"surgical" or "acute" abdomen - ANSWER:rapidly worsening prognosis in the absence of surgical
intervention
pt.'s shouldn't eat or drink while a diagnosis remains under consideration
S/S:
-rigid abdomen
-changes in VS (tachycardia, hypotension) or skin temperature
-involuntary guarding
-rebound tenderness
5 questions to specifically ask females when they have abdominal pain - ANSWER:1. when was their
LMP?
, 2. Has she has a hysterectomy or tubal ligation?
3. does she have a recent history of dyspareunia or dysmenorrhea that suggests pelvic pathology?
4. is there any history of physical abuse?
5. What contraception is used? SPECIFICALLY EVALUATE FOR AN INTRAUTERINE DEVICE (IUD)
signs that female abdominal pain may be related to endometriosis in a bimanual exam - ANSWER:-
localized tenderness in the "cul-de-sac" or uterosacral ligaments
-palpable tender nodules
-pain with uterine movement
-tenderness fixation of adnexal mass or uterus in a retroverted position
DDx for RUQ pain - ANSWER:-cholecystitis
-biliary colic
-acute hepatitis
-hepatic abscess
Glass Test Bank
abdominal pain: emergent, acute, chronic - ANSWER:emergent:
-pain that lasts 3 hours or longer, accompanied by fever and vomiting
acute:
-pain of less than a few days that has worsened progressively until presentation
chronic:
-pain lasting longer than 12 weeks (3 months)
abdominal pain: visceral, parietal, referred - ANSWER:visceral:
-usually dull and aching
-hard to localize
parietal:
-sharp pain
-well localized
,referred:
-aching pain
-perceived as originating distant from its source
most common cause of acute abdominal pain
most common cause of chronic abdominal pain - ANSWER:acute:
-gastroenteritis
-IBS
chronic:
-stool retention
"surgical" or "acute" abdomen - ANSWER:rapidly worsening prognosis in the absence of surgical
intervention
pt.'s shouldn't eat or drink while a diagnosis remains under consideration
S/S:
-rigid abdomen
-changes in VS (tachycardia, hypotension) or skin temperature
-involuntary guarding
-rebound tenderness
5 questions to specifically ask females when they have abdominal pain - ANSWER:1. when was their
LMP?
, 2. Has she has a hysterectomy or tubal ligation?
3. does she have a recent history of dyspareunia or dysmenorrhea that suggests pelvic pathology?
4. is there any history of physical abuse?
5. What contraception is used? SPECIFICALLY EVALUATE FOR AN INTRAUTERINE DEVICE (IUD)
signs that female abdominal pain may be related to endometriosis in a bimanual exam - ANSWER:-
localized tenderness in the "cul-de-sac" or uterosacral ligaments
-palpable tender nodules
-pain with uterine movement
-tenderness fixation of adnexal mass or uterus in a retroverted position
DDx for RUQ pain - ANSWER:-cholecystitis
-biliary colic
-acute hepatitis
-hepatic abscess
