LUQ/RUQ abdominal pain
LUQ abdominal pain is commonly associated with this organ.
What is spleen?
Burning or gnawing pain is most commonly due to this disease.
What is GERD (or peptic ulcer disease also correct)?
This lab should be ordered for females with lower abdominal pain.
What is a pregnancy test?
Shifting dullness upon percussion is commonly associated with this.
What is ascites?
3 of the words from the acronym OLDCARTS used to describe the 8 dimensions of a medical probem (HPI)
O: onset
L: location and radiation
D: duration
C: character
A: aggravating factors
R: relieving factors/radiation
T: timing/treatments tried
S: severity
RUQ abdominal pain is most commonly related to this organ structure.
What is the biliary tree?
Cramping pain (commonly associated with gastroenteritis or obstruction) can be described with this word which is related to biliary anatomy.
What is colicky?
Acute left lower quadrant pain with fever and high white blood count is commonly associated with this condition.
What is diverticulitis?
Rebound tenderness/guarding may reflect this surgical abdomen.
What is peritonitis?
Name two classes of drugs that can cause constipation.
- Anticholinergics
- Opioids
- NSAIDs
- etc...
Acute onset epigastric pain radiating to the back is most commonly associated with this.
What is pancreatitis?
Fever, jaundice, and acute RUQ pain (Charcow's triad), and high LFTs are commonly associated with this.
What is acute cholangitis?
The most common extrauterine site for ectopic pregnancy.
What are the fallopian tubes?
Point tenderness at McBurney's point (RUQ 1/3 distance from ASIS to umbilicus) is indicative of this.
What is appendicitis?
High levels of this cation can cause diffuse abdominal pain, and may be etiologically associated with pancreatitis or constipation.
What is calcium?
A 55 y.o. woman presents with intense, constant RUQ pain that worsened after she ate fois gras. Labs (CBC, LFTs, bilirubin, AP, amylase, and lipase) are normal. Multiple echogenic foci with shadowing artifact are noted on ultrasonography. This patient likely has this.
What is uncomplicated gallstone disease/ biliary colic/ symptomatic cholelithiasis?
Name at least 3 labs that should be ordered for the patient with concerning epigastric abdominal pain.
- CBC with differential
- Electrolytes, BUN, creatinine, glucose
- Aminotransferases, alkaline phosphatase, and bilirubin
- Lipase and/or amylase
Name at least three additional labs to order for patients with concerning lower abdominal pain.
- CBC w/ differential
- Urinalysis
- Basic metabolic panel
- Pregnancy test (if female)
- STI panel
Inspiratory arrest secondary to pain with RUQ palpation (elicited during ultrasonography) is called this.
What is Murphy's sign?
A 34 y.o. bro dude is suffering from severe cramps and loose stool. He enjoys pickling and canning his own goods and recently enjoyed some home-canned peaches with vanilla ice cream for last night's dessert. He is likely suffering from this foodborne disease.
What is clostridium botulinum?
Painless jaundice (Courvoisier's sign) in a 64 y.o. male former smoker (37 pack years) should be concerning for this.
What is pancreatic adenocarcinoma?
A 63 y.o. male diabetic patient presents with nausea, vomiting, abdominal pain, postprandial fullness, and bloating. This patient is likely suffering from this.
What is gastroparesis?
Pain from an ulcer of this region can be relieved by eating.
What is a duodenal ulcer?
A 46 y.o. female patient presents with an enlarged liver, massive ascites, and portal hypertension. Thickening and dilation of the hepatic veins is noted on Doppler ultrasonography, as well as a spider-web appearance of the hepatic vein ostia. This patient is likely suffering from this.
What is Budd-Chiari syndrome?
Supplements of this element is a common iatrogenic cause of constipation.
What is iron?