What is NOT a s/s of acute abdomen?

What is NOT a s/s of acute abdomen?

What is NOT a s/s of benign abdomen?

Vascular accident or rupture of a hollow viscus would correlate with what onset of pain?

Urolithiasis, acute pancreatitis, mesenteric thrombosis, small-bowel strangulation, ruptured ectopic pregnancy, ruptured ovarian cyst would correlate with what onset of pain?

Peritoneal inflammation or infection (appendicitis or diverticulitis) would correlate with what onset of pain?

Vascular condition (MI, mesenteric ischemia, AAA), acute pancreatitis, perforation of hollow viscus, peritonitis, renal colic, and biliary colic would correlate with what characteristic of pain?

Vague, sometimes poorly localized and gradual onset suggest an inflammatory process or low-grade infection (appendicitis or diverticulitis) would correlate with what characteristic of pain?

Gastroenteritis, mechanical small bowel obstruction, ovarian torsion would correlate with what characteristic of pain?

Also known as "gas stoppage sign." Pain beginning at midline of abd, accompanied by urge downward, and persisting despite defecation would correlate with what characteristic of pain?

Shoulder pain to ipsilateral diaphragmatic irritation by air, blood, or infection in the peritoneal cavity as pattern of radiation or shift in location would correlate with what?

Flank pain to groin or genitalia as pattern of radiation or shift in location would correlate with what?

What symptoms with abd pain might suggest infection of the urinary or biliary system, such as pyelonephritis and cholangitis?

What symptoms with abd pain might suggest suppurative cholangitis surgical emergency?

What symptoms with abd pain might suggest acute salpingitis with pelvic peritonitis when accompanied by no apparent systemic illness?

What do high pitch and/or hyperactive bowel sounds suggest?

What of the following is NOT correctly matched?

All of the following are radiologic studies for acute abdomen, but what is the most commonly used?

What of the following abd x-ray finding is NOT correctly matched with the diagnosis?

What imaging study is most useful for gallbladder, biliary ducts, pancreas, appendix, abd aorta, renal tract (hydronephrosis w/ urolithiasis in pregnant women), and reproductive tract?

What type of CT a/p is best to assess for urolithiasis or in those with kidney failure?

What type of CT a/p is best to assess for infection, bleeding, masses, necrosis (appendicitis, diverticulitis, pancreatitis, spleen rupture, ischemic colitis, and retroperitoneal hemorrhage)?

What imaging study is most useful for evaluation of PE, thoracic/abd aneurysm or dissection, solid viscus injury, or massive lower GI bleed?

What is NOT possible management for acute abdomen?

All of the following are IV ABX choices for mild/mod acute abdominal disease, EXCEPT one that is for severe disease.

All of the following are IV ABX choices for severe acute abdominal disease, EXCEPT one that is for mild/mod disease.

A 42 yo WF with no significatn PMH comes to the ER with c/o abdominal pain for 3 days. She also c/o low fever and pain that is worse after eating. On exam, her temp is 100 F, she is mildly tachycardic, appears uncomfortable, and is tender with guarding in the RUQ. She has a positive Murphy's sign. Does this describe a likely acute or benign abdominal process?

A 42 yo WF with no significatn PMH comes to the ER with c/o abdominal pain for 3 days. She also c/o low fever and pain that is worse after eating. On exam, her temp is 100 F, she is mildly tachycardic, appears uncomfortable, and is tender with guarding in the RUQ. She has a positive Murphy's sign. Labs were done. US gallbladder with stones and wall thickening. What is NOT part of the treatment?

A 34 yo WM with no significant PMH presents to the ER with a CC of abd pain for 3 months. He states the pain comes and goes. He states "it hurts all over" when it does. On exam, vitals are stable, he is in no acute distress, laughing with his friend that is also in the room. He has mild TTP in the epigastric region but no guarding or rebound tenderness. Rectal exam is negative for occult or gross blood. Does this describe a likely acute or benign abdominal process?

A 34 yo WM with no significant PMH presents to the ER with a CC of abd pain for 3 months. He states the pain comes and goes. He states "it hurts all over" when it does. On exam, vitals are stable, he is in no acute distress, laughing with his friend that is also in the room. He has mild TTP in the epigastric region but no guarding or rebound tenderness. Rectal exam is negative for occult or gross blood. Labs were done. What is NOT part of the workup and tx?

A 29 yo female presents to the ER complaining of sudden onset of severe, intermittent pain originating in the right flank and radiating to the right groin. She also complains of N/V. She exhibits tenderness in the right flank with no rebound tenderness. UA reveals microscopic hematuria. What is the imaging and most likely diagnosis? (choose 3)

A 14 yo male presents to the ED with abd pain which began diffusely and settled in the RLQ. Examination reveals tenderness, rigidity, and rebound tenderness. What is the imaging would provide the highest accuracy and most likely diagnosis? (choose 2)

A 54 yo WM presents to the ER via EMS with sudden onset of excruciating pain in the epigastric region approx 30 min ago. Pt describes the pain as a "tearing" that goes through to his back. On exam, BP 212/110, HR 110, pale, diaphoretic, and in severe distress. EKG with no STEMI. What is the imaging would provide the highest accuracy and most likely diagnosis? (choose 2)