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Abdominal Pain

Abdominal Pain. For Medical Assistants By Shaun Grammer, PA-C. Objectives. 1. Understand the complexity of abdominal pain 2. Be able to break down the abdomen into quadrants with appropriate anatomy 3. Know medical terms related to common abdominal problems

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Abdominal Pain

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  1. Abdominal Pain For Medical Assistants By Shaun Grammer, PA-C

  2. Objectives • 1. Understand the complexity of abdominal pain • 2. Be able to break down the abdomen into quadrants with appropriate anatomy • 3. Know medical terms related to common abdominal problems • 4. Know how to appropriately perform the initial evaluation of an abdominal complaint

  3. Anatomy Review • RUQ • Epigastric • LUQ • Right Flank • Umbilical area • Left Flank • RLQ • Hypogastric (Suprapubic) • LLQ

  4. RUQ • Lung • Diaphragm • Liver • Gallbladder • Duodenum • Pancreas • Right Kidney • Colon

  5. Epigastric • Heart • Lungs • Diaphragm • Esophagus • Stomach • Duodenum • Pancreas • Colon

  6. LUQ • Lung • Heart • Diaphragm • Stomach • Tail of pancreas • Spleen • Left kidney • Colon

  7. Right Flank • Ascending colon • Ureter

  8. Umbilical Area • Small intestine

  9. Left Flank • Descending colon • Ureter

  10. RLQ • Cecum • Appendix • Adnexal (ovary and tube) • Ureter

  11. Hypogastric • Rectum • Uterus • Bladder • Prostate

  12. LLQ • Adnexal • Ureter • Sigmoid colon

  13. Differential Diagnosis • Pneumonia • Hepatitis • Cholecystitis • Ulcer • Pancreatitis • Nephrolithiasis • Pyelonephritis • Diverticulitis • Myocardial infarction

  14. Differential Diagnosis • GERD • UTI • Crohn’s disease • Ulcerative colitis • Irritable bowel syndrome • Appendicitis • Ovarian cyst • Bowel obstruction • Prostatitis • Pelvic inflammatory disease (PID)

  15. MA Evaluation • Basics • Vitals • Medications • Allergies • PMH • PSH • Family Hx • Social Hx

  16. MA Evaluation • Onset • When did the abd pain begin? • Prior, progressing • What makes it better? What makes it worse? • Quantify • How would you describe the pain? • Radiate • Does it radiate anywhere? • Severity • How would you rate the pain from 1-10 • Timing • When does it usually occur?

  17. MA Evaluation • Associated symptoms • Nausea, emesis (vomiting), diarrhea, constipation, melena (black stools), hematochezia (red blood in stool) • Chest pain, SOB, cough, fever, back pain, acid reflux • Urinary frequency/burning, hematuria (blood in urine)

  18. Summary • Abdominal pain is a general complaint with several possibilities. • It is important to consider heart and lungs in the evaluation. • Separating the abdomen into quadrants and remembering anatomy can make the evaluation much simpler. • It is important as an MA to ask the appropriate questions to initially evaluate the patient to help the medical team correctly treat the patient.

  19. References • None for this presentation

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