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Abdominal Pain Game
http://www.learningnurse.org/games/tr-abdominalpain/game.htm
| Question | Answer |
|---|---|
| The most common cause of peritonitis is perforation of the GI tract. | TRUE |
| Most common over age of 50; upper or diffuse abdominal pain; may be accompanied by nausea, vomiting and dyspepsia. | Myocardial infarction |
| Altered voiding patterns, malodorous urine; infants present with fever, failure to thrive, irritability; toddlers complain of pain in abdomen; may not complain of dysuria or frequency. | Urinary Tract Infection |
| Typical premenstrual pain onset soon after menarche, gradually diminishing with age; normal pelvic examination. | Dysmenorrhea (painful period) |
| Localized pain; older patient with abdominal tenderness and sometimes fever. | Diverticular disease |
| Most common in elderly; constant pain in RLQ or LLQ that worsens with coughing or straining; hernia or mass that is non-reducible. | Incarcerated hernia |
| Crampy pain after drinking milk or eating milk products. | Lactose intolerance |
| Sudden onset of crampy pain usually in umbilical area of epigastrium; vomiting or diarrhea may occur. Fecal mass may be palpated; abdominal distention; empty rectum upon digital examination. | Obstruction |
| One good way to check for a hernia, is to have the patient do maneuvers or positions that increase intra-abdominal pressure. | TRUE |
| Sudden onset of pain in infant; occurs with sudden relief, then pain again; fever, vomiting, currant jelly stools. | Intussusception |
| Most likely in women of childbearing age; sudden onset of spotting and persistent cramping in lower quadrant that begins shortly after a missed period. | Ectopic pregnancy |
| This condition is found in children 5 to 10 years of age; history of environmental or psychological stress. | Recurrent abdominal pain (RAP) |
| Fever, pain in RLQ, with other symptoms suggestive of appendicitis. | Mesenteric adenitis |
| There is a sudden onset of severe intense, steady epigastric pain that radiates to sides, back or right shoulder; history of burning, gnawing pain that worsens with empty stomach. | Peptic ulcer perforation |
| Mostly Adults and females; colicky pain --> to constant pain; pain in RUQ that may radiate to right scapular area; gb pain is constant, progressively rising to plateau and falling gradually; nausea, vomiting, history of dark urine and/or light stools. | Cholecystitis / lithiasis (Gallbladder) |
| Burning, gnawing pain in mid-epigastrium that worsens with recumbency; pain occurs after eating and may be relieved with antacids; in infants: failure to thrive, irritability, postprandial spitting and vomiting. | Esophagitis /GERD |
| This condition occurs most often in patients between the ages of 10 to 20 years, although it can occur at any age. Complaints of sudden onset of colicky pain that --> to constant pain; pain begins in epigastrium or periumbilicus, later localizing in RLQ; | Appendicitis |
| Pain related to menses or intercourse; palpable myomas; no suspicion of other pelvic disorders. | Uterine fibroids |
| Vague complaints of indigestion, heartburn, gaseousness, or fullness; belching, abdominal distention, and occasionally nausea. | Functional dyspepsia |
| With irritable bowel syndrome, one common symptom is blood in the stools. | FALSE |
| Sudden onset, excruciating intermittent colicky pain that may progress to constant pain; pain in lower abdomen and flank radiates to groin; nausea, vomiting, abdominal distention, chills and fever; increased frequency of urination. | Ureterolithiasis |
| Ecchymosis around the umbilicus is associated with hemoperitoneum caused by pancreatitis. | TRUE |
| Abdominal distention, vomiting, obstipation and cramps; minimal or absent peristalsis on auscultation. | Ileus |
| Children 2 to 5 years of age may present only with abdominal pain and fever; tachypnea, retractions, pallor, nasal flaring and crackles. | Pneumonia |
| Life-long history of constipation; younger patient with normal examination and heme-negative stool. | Habitual constipation |
| Seen in children 2 to 8 years of age; rash on lower extremities / buttocks; arthralgias and hematuria. | Henoch-Schonlein purpura |
| Volvulus is the improper rotation and fixation of the duodenum and colon that can cause an artery to obstruct, and the patient experiences ischemic necrosis. | TRUE |
| Most common in elderly; constant pain in RLQ or LLQ that worsens with coughing or straining; hernia or mass that is non-reducible. | Incarcerated hernia |
| More frequent in elderly, especially if hypertensive; sudden onset of excruciating pain that may be felt in the chest or abdomen and may radiate to legs and back. | Dissection of aortic aneurysm |
| Constant burning pain in epigastric areas that may be accompanied by nausea, vomiting, diarrhea, or fever; alcohol, NSAIDs, and salicylates make pain worse. | Gastritis |
| Lower abdominal pain that becomes progressively more severe; may have irregular bleeding, vaginal discharge, and vomiting; most common in sexually active women. | Pelvic inflammatory disease |
Created by:
Amyelisabethanne
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