Term
|
Definition
Passive extension of patient’s thigh as they lie on their side with their
knees extended, or asking the patient to actively flex their thigh and hip causes abdominal pain, often indicative of appendicitis. |
|
|
Term
| What is the obturator sign? |
|
Definition
Examiner has patient supine with right hip flexed to 90 degreestakes
patients right ankle in his right hand as he uses his left hand to
externally/internally rotate patients hip by moving the knee back and forth.
Elicitation of pain in the abdomen implies acute appendicitis. |
|
|
Term
|
Definition
Cholecystitis: inflam of gall bladder wall, persistent pain
Biliary colic: stones in gall bladder, 4-6 hrs pain, radiates to back and R shoulder blade, worse after heavy meal.
Pancreatitis: alcohol or gallstones,grey turner (flank ecchymosis), cullens sign (periumb ecchymosis)
Hepatitis: malaise, jaundice, elevated transamenases
Duodenal Ulcer: relieved w food
Other: pneumonia, MI, renal pain, pyelonephritis, herpes, appendicitis |
|
|
Term
|
Definition
| CBC, electrolytes, LFT, EKG, troponin I, Amylase/Lipase, Urinalysis, Abd. ultrasound |
|
|
Term
| Management of Biliary colic and acute cholecystitis |
|
Definition
Biliary colic: Surgical consultation w/in the month
Acute cholecystitis: Urgent cholecystectomy |
|
|
