Abdominal Pain Test
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| A. Patient to be Pale/White, Waxy & Cold. Blood Pressure goes Up, Boarding (hard to the touch) & Guarding (recoils when touched), Rebound Tenderness (pain on removal of touch).B. 1.Peritonitis (Infection of the lining of an Organ).
2.Appendicitis.
3.Bowel Obstruction (whats regular for that person).
4.Gallstones.
5.Blunt & Penetrating Trauma.C. 1.Safety.
2.Primary Survey.
3.Oxygen Therapy, Be Prepared to Assist Ventilations or CPR (60-100% for triple A)
4.Secondary Survey.
5.Nil By Mouth (incase they need Surgery).D. 1.Any Nausea/Vomiting ?
2.Frequency (How many times/often), Taste, Type of Vomit ?
3.Did Pain Occur Before or After Vomit ?
4.Menstrual History?
5.Any Urinary Tract Problems ?
6.Any Changes in Bowel Habits ?
7.Any Chest Pain / Dyspnoea ?E. 1.Gastro - Intestinal.
2.Urinary.
3.Reproductive.
4.Vascular.F. 6.Anticipate Vomiting.
7.Treat Abdominal Injury.
8.Do not Remove Impailed Objects.
9.Do not Replace Eviscerated Organs, Cover with a Dressing (try to use a warm moist dressing with a dry 1 over the top).
G. 5.Mottled Skin (blue/grey)over Abdomen.
6.Legs Paler in colour to body (less blood getting through).
7.If Dissection occurs, may complain of Tearing Sensation in Abdomen.
8.Hypertension(high blood pressure) & Severe Shock.
9.Breathing & Pulse Rate up.H. 1.Kidneys.
2.Ureters.
3.Bladder.
4.Urethra.I. 1.Aorta & all its branches.
2.Inferior Vena Cava & all its sources.J. 10.Constant Observations (RR,BP,PR,Cap refill,Temp, Pain score,AVPU etc.
11.Request Help without Delay if Patient Problem is thought to be Serious.
12.Fowler Position (Sitting with knees curled up), if Conscious.
13.Stable Side Position if Unconscious.K. 1.Stomach.
2.Small & Large Bowel.
3.Gall Blader.
4.Liver.
5.Pancreas.L. 1.This is when the Fotus Develops Outside the Uterine Cavity, most commonly in the Fallopian Tubes.
2.As the Foetus grows it will Rupture the Tube causing Acute Abdominal Pain, Tnederness & signs of Shock.
M. 1.Internal Bleeding.
2.Peptic Ulcer.
3.Diverticus.
4.Kidney Stone (renal colic).
5.Abdominal Aortic Aneurysm.
6.Ectopic Pregnancy.N. Ectopic Pregnancy should be suspected in any woman of child bearing age who presents with the above signs, (always ask women with abdo pain if their is a chance of them being pregnant.O. 1.Cramp like pain that varies in it's intensity.
2.Stone moves down Ureter & Stretches the Wall.
3.Pain usually in the Side, Raidiating to the Groin.
4.Often with Nausea & Vomiting.
P. 1.Ovaries.
2.Fallopian Tubes.
3.Uterus.
4.Prostate (male).
5.Seminal Ducts.
6.Testies.Q. 14.Anticipate Shock.
15. Consider Entonox.
16.Get Vomit Sample, if safe to do so.
17.Reassurance for Patient/Relatives.R. 1.Pain: Onset, Duration, Location, Type, Severity, Movement.
2.Mechanism of Injury, if any.
3.History of Problem.
4.Prior Medical History.
5.Associated Symptoms.
6.Physical Assessment.
7.Abdominal Assessment.S. 1.A ballon like swelling in the wall of an Artery.
2.Sudden Onset of Severe,Constant Pain that Peaks soon after onset, often will Radiate to Sides or Sholder Blades,
3.Lower Back & Buttocks.
4.Pulsatile mass with decreased femoral pulses(do not touch) |
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Created by:
Paul Wakefield
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