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Questions and Answers
What is the first step in evaluating a patient with abdominal pain?
What is the first step in evaluating a patient with abdominal pain?
- Ask about previous episodes of similar pain
- Determine patient acuity (correct)
- Perform imaging
- Obtain a social history
What are some markers of high acuity in a patient with abdominal pain?
What are some markers of high acuity in a patient with abdominal pain?
- Location of pain
- Pallor and diaphoresis (correct)
- Type of pain
- Previous medical history
What should be included in the resuscitation of a critically ill patient with abdominal pain?
What should be included in the resuscitation of a critically ill patient with abdominal pain?
- Isotonic fluid bolus (correct)
- Small-bore IV access
- Blood glucose monitoring
- Cardiac catheterization
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Study Notes
Evaluating a Patient with Abdominal Pain
- The first step in evaluating a patient with abdominal pain is to take a detailed history, focusing on the onset, location, quality, and radiation of the pain, as well as any exacerbating or alleviating factors.
Markers of High Acuity
- High acuity in a patient with abdominal pain may be indicated by the presence of tachycardia, hypotension, or fever.
- Other markers of high acuity include peritoneal signs, such as guarding, rebound tenderness, or abdominal rigidity.
- Patients with a history of trauma, coagulopathy, or anticoagulant use may also be considered high acuity.
Resuscitation of a Critically Ill Patient
- Resuscitation of a critically ill patient with abdominal pain should include aggressive fluid administration, with a goal of achieving euvolemia.
- Patients with signs of shock or hypoperfusion may require vasopressor support.
- Oxygen therapy and pain management should also be initiated as needed.
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