Emergency Care Chapter 18 Flashcards

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Questions and Answers

The __________ lies in the retroperitoneal space.

  • Pancreas (correct)
  • Small intestine
  • Liver
  • Stomach

Which of the following is NOT a solid organ?

  • Gallbladder (correct)
  • Kidney
  • Spleen
  • Liver

Based on your findings, you should suspect:

  • Appendicitis
  • Cholecystitis
  • Pancreatitis
  • Peritonitis (correct)

Most patients with an acute abdomen present with:

<p>Tachycardia</p> Signup and view all the answers

Which of the following signs or symptoms would you be LEAST likely to find in a patient with an acute abdomen?

<p>Soft, nondistended abdomen (C)</p> Signup and view all the answers

A condition in which a person experiences a loss of appetite is called:

<p>Anorexia</p> Signup and view all the answers

The medical term for inflammation of the urinary bladder is:

<p>Cystitis</p> Signup and view all the answers

If a hernia is incarcerated and the contents are so greatly compressed that circulation is compromised, the hernia is said to be:

<p>Strangulated</p> Signup and view all the answers

Treatment for a patient with severe, tearing abdominal pain that radiates to the back should include:

<p>Rapid transport to the hospital (D)</p> Signup and view all the answers

In which position do most patients with acute abdominal pain prefer to be transported?

<p>On their side, with their knees flexed (C)</p> Signup and view all the answers

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Study Notes

Retroperitoneal Space

  • The pancreas lies in the retroperitoneal space, behind the peritoneum.
  • Other organs in this space include the kidneys and ovaries.
  • Acute abdominal pain may arise from conditions affecting retroperitoneal organs.

Solid vs. Hollow Organs

  • The gallbladder is a hollow organ responsible for storing and concentrating bile.
  • In contrast, the liver, kidney, and spleen are classified as solid organs.
  • Understanding organ classification is essential for assessing abdominal conditions.

Peritonitis

  • Peritonitis is the inflammation of the membrane lining the abdominal cavity, causing diffuse abdominal pain.
  • Common causes include infections and abdominal trauma.
  • This condition differs from appendicitis, pancreatitis, and cholecystitis, which typically present with localized pain.

Acute Abdomen Presentation

  • Tachycardia is a common symptom among patients presenting with an acute abdomen.
  • Distress signals include rapid heart rate in response to pain or shock.

Signs and Symptoms of Acute Abdomen

  • A soft, nondistended abdomen is least likely to be found in acute abdomen cases, often indicating non-serious conditions.
  • Other common symptoms include tachycardia, rapid shallow breathing, and restlessness.

Loss of Appetite

  • Anorexia is the medical term for a loss of appetite, impacting patients with various conditions.

Urinary Bladder Inflammation

  • Cystitis refers to the inflammation of the urinary bladder, while nephritis pertains to kidney inflammation.

Hernia Complications

  • An incarcerated hernia with compromised circulation is termed strangulated.
  • Prompt medical intervention is necessary to prevent further complications.

Suspected Abdominal Aortic Aneurysm (AAA)

  • Severe, tearing abdominal pain radiating to the back is characteristic of AAA, particularly in older patients with a history of hypertension.
  • Immediate treatment includes rapid transport to medical facilities and administration of high-flow oxygen.
  • Avoid firm abdominal palpation to prevent risk of aneurysm rupture.

Position Preference for Acute Abdominal Pain

  • Patients with acute abdominal pain often prefer to be transported on their side with knees flexed to alleviate discomfort.

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