Podcast
Questions and Answers
Which structure is included in the right upper quadrant and can cause abdominal pain?
Which structure is included in the right upper quadrant and can cause abdominal pain?
In the presence of biliary ductal visualization, failure to image the gallbladder may indicate:
In the presence of biliary ductal visualization, failure to image the gallbladder may indicate:
What time frame describes early cholecystectomy?
What time frame describes early cholecystectomy?
Efficient fluid resuscitation in the management of acute pancreatitis (AP) is indicated if which parameter is observed?
Efficient fluid resuscitation in the management of acute pancreatitis (AP) is indicated if which parameter is observed?
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A sudden knifelike pain felt in the epigastric area radiating to the back is usually presented by:
A sudden knifelike pain felt in the epigastric area radiating to the back is usually presented by:
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Which condition may contribute to abdominal pain and be associated with Mittelschmerz?
Which condition may contribute to abdominal pain and be associated with Mittelschmerz?
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Which of the following is true in the history taking of a patient with abdominal pain?
Which of the following is true in the history taking of a patient with abdominal pain?
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What condition is most likely present in a patient with liver cirrhosis who prefers to lie quietly in bed, trying to avoid motion?
What condition is most likely present in a patient with liver cirrhosis who prefers to lie quietly in bed, trying to avoid motion?
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Which abdominal structure is affected in a patient with left lower quadrant pain?
Which abdominal structure is affected in a patient with left lower quadrant pain?
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How would you best describe the pain from the visceral peritoneum?
How would you best describe the pain from the visceral peritoneum?
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Which drug is commonly associated with acute pancreatitis?
Which drug is commonly associated with acute pancreatitis?
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What is the management for a patient with small gallstones but no complaints of abdominal pain?
What is the management for a patient with small gallstones but no complaints of abdominal pain?
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What is true regarding the use of sonographic studies in evaluating the gallbladder?
What is true regarding the use of sonographic studies in evaluating the gallbladder?
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Study Notes
Abdominal Pain and Associated Conditions
- The gallbladder is a structure located in the right upper quadrant that can cause abdominal pain.
- Failure to image the gallbladder in the presence of biliary ductal visualization may indicate pathology.
Cholecystectomy
- Early cholecystectomy typically occurs within 72 hours of symptom onset.
Acute Pancreatitis (AP)
- Efficient fluid resuscitation is indicated if the patient's heart rate exceeds 120 beats per minute.
- A sudden knifelike pain felt in the epigastric area radiating to the back is usually presented by AP.
Ovarian Conditions and Abdominal Pain
- Mittelschmerz is a condition that may contribute to abdominal pain, particularly in the lower abdomen.
History Taking and Abdominal Pain
- In taking a patient's history, it is essential to note the quality, timing, and radiation of the pain to accurately diagnose the underlying condition.
Liver Cirrhosis and Abdominal Pain
- Patients with liver cirrhosis often prefer to lie quietly in bed, trying to avoid motion, due to abdominal pain and discomfort.
Abdominal Structures and Pain
- The sigmoid colon is often affected in patients with left lower quadrant pain.
Visceral Peritoneum and Pain
- Pain from the visceral peritoneum is typically diffuse, vague, and poorly localized.
Drug-Induced Acute Pancreatitis
- Valproate is a drug commonly associated with acute pancreatitis.
Management of Small Gallstones
- For patients with small gallstones but no complaints of abdominal pain, observation is the recommended management.
Sonographic Studies and Gallbladder Evaluation
- Sonographic studies are highly sensitive and specific for evaluating the gallbladder, particularly for detecting gallstones.
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Description
Test your knowledge of abdominal pain with these questions related to pain origin, specific structures, and imaging. Questions are based on references from 'Harrison’s Principles of Internal Medicine 21E' and 'Bates’ Guide to Physical Examination & History Taking 12E'.
