Abdo Pain (objective)
#fm
General inspection
-
Change in mental status (infection - UTI)
-
Shock (perforated viscera, GI hemorrhage, severe pancreatitis, MI, sepsis)
If you want to change selection, open original toplevel document below and click on "Move attachment"
Parent (intermediate) annotation
Open itObjective
General inspection
Change in mental status (infection - UTI)
Shock (perforated viscera, GI hemorrhage, severe pancreatitis, MI, sepsis)
Vitals
Upper abdo pain - pay attention to Cardiac (ischemia) & lung (pneumonia) exams
Tachypneic (pneumonia)

Original toplevel document
Abdo Pain
Cholecystitis (highest to lowest PPV)
RUQ pain, fever, jaundice
IBS algorithm
<span>Objective
General inspection
Change in mental status (infection - UTI)
Shock (perforated viscera, GI hemorrhage, severe pancreatitis, MI, sepsis)
Vitals
Upper abdo pain - pay attention to Cardiac (ischemia) & lung (pneumonia) exams
Tachypneic (pneumonia)
Abdo
peritoneal signs
Carnett’s sign (high ppv for abdo wall pain)
↑ pain when supine pt raises head & shoulder, tensing abdo wall
Murphy’s sign (high ppv for choleycystitis)
Psoas sign (high ppv for appendicitis)
Sever pain out of proportion (ischemic bowel, pancreatitis)
restless/writhing (biliary/renal colic, testicular torsion)
LLQ tenderness (diverticulitis)
Rectal & pelvic exams if lower abdo & pelvic pain
DRE - fecal impaction, palpable mass, occult blood in stool
Tenderness & fullness on R of rectum suggests retrocecal appendix
Pelvic - vaginal discharge (vaginitis), cervical motion tenderness & peritoneal signs (ectopic pregnancy or other gyne complications e.g. tubo-ovarian abscess)
S&S of surgical abdo
Fever
Protracted (prolonged) vomiting
syncope/pre-syncope
Evidence of GI blood loss
Summary
| status | not read | | reprioritisations | |
|---|
| last reprioritisation on | | | suggested re-reading day | |
|---|
| started reading on | | | finished reading on | |
|---|
Details