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Cards In This Set
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What is the definition of an acute abdomen?
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1. Any condition in which prompt surgical treatment is necessary to prevent perforation, peritonitis, shock and death.2. Any abdominal condition causing tenderness and rigidity, and requiring urgent surgical intervention
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Does an acute abdomen have an acute or gradual onset?
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Acute onset
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Signs and symptoms of acute abdomen are mild/moderate/severe.
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Severe.
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T/F. Acute abdomen signs/symptoms are associated with changes in vital signs.
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TRUE.
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T/F. Acute abdomens typically have a normal metabolic profile.
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FALSE. Deranged metabolic profile.
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Name the intra-abdominal hollow viscera disease processes that can cause acute abdomen
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Inflammation = cholecystitis, appendicitis, diverticulitisPerforation = ulcer, diverticulitisBowel obstructionIschemia
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Name the intra-abdominal solid organ disease processes that can cause acute abdomen
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Splenic infarctRuptured hepatic hemangioma
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Name the retroperitoneal disease processes that can cause acute abdomen
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PancreatitisSymptomatic/ruptured AAAKidney stonePyelonephritis
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Name the pelvic disease processes that can cause an acute abdomen
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Pelvic inflammatory diseaseectopic, ovarian torsionhemorrhagic corpus luteal cyst
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Name 6 conditions that are NOT acute abdomens.
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Intra-abdominal and/or enterocutaneous fistulasBiliary colicincarcerated hernia without obstructionacute MIpneumonia/pleuritisNeed for feeding tube
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What does the visceral peritoneum cover?
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The GI tract, including the liver, gallbladder, and spleen
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What innervates the visceral peritoneum?
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The autonomic nervous system
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What does pain feel like from the structures lined with visceral peritoneum?
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Dull, aching, cramping, poorly localized, associated with nausea and diaphoresis
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What is parietal peritoneum?
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Lines the abdominal cavity wall
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What innervates the parietal peritoneum?
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The somatic nervous system and spinal nerves
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