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Abdominal Pain Game


The most common cause of peritonitis is perforation of the GI tract. TRUE
Most common over age of 50; upper or diffuse abdominal pain; may be accompanied by nausea, vomiting and dyspepsia. Myocardial infarction
Altered voiding patterns, malodorous urine; infants present with fever, failure to thrive, irritability; toddlers complain of pain in abdomen; may not complain of dysuria or frequency. Urinary Tract Infection
Typical premenstrual pain onset soon after menarche, gradually diminishing with age; normal pelvic examination. Dysmenorrhea (painful period)
Localized pain; older patient with abdominal tenderness and sometimes fever. Diverticular disease
Most common in elderly; constant pain in RLQ or LLQ that worsens with coughing or straining; hernia or mass that is non-reducible. Incarcerated hernia
Crampy pain after drinking milk or eating milk products. Lactose intolerance
Sudden onset of crampy pain usually in umbilical area of epigastrium; vomiting or diarrhea may occur. Fecal mass may be palpated; abdominal distention; empty rectum upon digital examination. Obstruction
One good way to check for a hernia, is to have the patient do maneuvers or positions that increase intra-abdominal pressure. TRUE
Sudden onset of pain in infant; occurs with sudden relief, then pain again; fever, vomiting, currant jelly stools. Intussusception
Most likely in women of childbearing age; sudden onset of spotting and persistent cramping in lower quadrant that begins shortly after a missed period. Ectopic pregnancy
This condition is found in children 5 to 10 years of age; history of environmental or psychological stress. Recurrent abdominal pain (RAP)
Fever, pain in RLQ, with other symptoms suggestive of appendicitis. Mesenteric adenitis
There is a sudden onset of severe intense, steady epigastric pain that radiates to sides, back or right shoulder; history of burning, gnawing pain that worsens with empty stomach. Peptic ulcer perforation
Mostly Adults and females; colicky pain --> to constant pain; pain in RUQ that may radiate to right scapular area; gb pain is constant, progressively rising to plateau and falling gradually; nausea, vomiting, history of dark urine and/or light stools. Cholecystitis / lithiasis (Gallbladder)
Burning, gnawing pain in mid-epigastrium that worsens with recumbency; pain occurs after eating and may be relieved with antacids; in infants: failure to thrive, irritability, postprandial spitting and vomiting. Esophagitis /GERD
This condition occurs most often in patients between the ages of 10 to 20 years, although it can occur at any age. Complaints of sudden onset of colicky pain that --> to constant pain; pain begins in epigastrium or periumbilicus, later localizing in RLQ; Appendicitis
Pain related to menses or intercourse; palpable myomas; no suspicion of other pelvic disorders. Uterine fibroids
Vague complaints of indigestion, heartburn, gaseousness, or fullness; belching, abdominal distention, and occasionally nausea. Functional dyspepsia
With irritable bowel syndrome, one common symptom is blood in the stools. FALSE
Sudden onset, excruciating intermittent colicky pain that may progress to constant pain; pain in lower abdomen and flank radiates to groin; nausea, vomiting, abdominal distention, chills and fever; increased frequency of urination. Ureterolithiasis
Ecchymosis around the umbilicus is associated with hemoperitoneum caused by pancreatitis. TRUE
Abdominal distention, vomiting, obstipation and cramps; minimal or absent peristalsis on auscultation. Ileus
Children 2 to 5 years of age may present only with abdominal pain and fever; tachypnea, retractions, pallor, nasal flaring and crackles. Pneumonia
Life-long history of constipation; younger patient with normal examination and heme-negative stool. Habitual constipation
Seen in children 2 to 8 years of age; rash on lower extremities / buttocks; arthralgias and hematuria. Henoch-Schonlein purpura
Volvulus is the improper rotation and fixation of the duodenum and colon that can cause an artery to obstruct, and the patient experiences ischemic necrosis. TRUE
Most common in elderly; constant pain in RLQ or LLQ that worsens with coughing or straining; hernia or mass that is non-reducible. Incarcerated hernia
More frequent in elderly, especially if hypertensive; sudden onset of excruciating pain that may be felt in the chest or abdomen and may radiate to legs and back. Dissection of aortic aneurysm
Constant burning pain in epigastric areas that may be accompanied by nausea, vomiting, diarrhea, or fever; alcohol, NSAIDs, and salicylates make pain worse. Gastritis
Lower abdominal pain that becomes progressively more severe; may have irregular bleeding, vaginal discharge, and vomiting; most common in sexually active women. Pelvic inflammatory disease
Created by: Amyelisabethanne