Approach to Abdominal Complaint I

Question 1

what are the three types of abdominal pain?

Answer 1

visceral, parietal, and referred pain

Question 2

where is duodenal and pancreatic pain commonly felt?

Answer 2

the back

Question 3

where is gallbladder/ billiary tree pain commonly felt?

Answer 3

right shoulder

Question 4

what are the landmarks you should look for on the abdomen?

Answer 4

xiphoid process of sternum, costal margins, umbilicus, ASIS

Question 5

what part of the stethoscope do you use to listen for bowel sounds?

Answer 5

the diaphragm

Question 6

what part of the stethoscope do you use to listen for bruits?

Answer 6

the bell

Question 7

what are bruits indicative of?

Answer 7

vascular obstruction

Question 8

what is friction rub and what is it indicative of?

Answer 8

grating sounds with respiratory variation; inflammation of the peritoneal surface of an organ

Question 9

what are some causes of splenomegaly?

Answer 9

portal hypertension, blood malignancies, HIV, splenic infarct, mononucleosis

Question 10

what would the diagnosis of a stone in the neck of the gallbladder be?

Answer 10

cholelithiasis