Abdominal Pain: Signs, Examination & Diagnosis - Emergency Medicine

Abdominal Pain: Signs, Examination & Diagnosis - Emergency Medicine | Lecturio

Рет қаралды 475,170

Күн бұрын

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This video “Abdominal Pain: Signs, Examination & Diagnosis” is part of the Lecturio course “Emergency Medicine” ► WATCH the complete course on lectur.io/abdomendiagnosis
► LEARN ABOUT:
- Abdominal pain in the emergency department
- Basic ABC's
- Benign, more serious, life threats
- Extraabdominal considerations
- Visceral pain
- Parietal pain
- Referred pain
- Getting a good history
- Examination of abdominal pain
- Basic assessment steps
- Special exam maneuvers
- Laboratory testing
- Ancillary testing
- Plain films
- Ultrasound
- CT Scan
...
► THE PROF:
As an assistant professor in the Department of Emergency Medicine at the Johns Hopkins University School of Medicine, Sharon Bord, M.D. knows how to teach important skills to students. She is a member of the Committee of Emergency Medicine Residency Directors and Clerkship Directors in Emergency Medicine and on the editorial board for a board review question book.
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Study for your classes, USMLE Step 1, USMLE Step 2, MCAT or MBBS with video lectures by world-class professors, recall & USMLE-style questions and textbook articles. Create your free account now: lectur.io/abdomendiagnosis
Disclaimer: Lecturio offers educational content for healthcare students to prepare for exams and/or to review knowledge gained at a Medical School. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment suggestions. Our resources are strictly for educational purposes. Always consult healthcare professionals for medical concerns.
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Abdominal Pain - Pathophysiology, Classification and Causes
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CHAPTERS:
0:00 - Intro
0:11 - The most common chief complaint of ED visits
0:44 - ABC, Airway, Breathing, Circulation
1:27 - Possible reasons and judgement of risk
3:45 - Extraabdominal considerations
7:08 - Visceral pain
7:32 - Parietal pain
7:49 - Referred pain
8:11 - OPQRST method, analysing the problem
10:43 - How to examine abdominal pain, step by step
15:10 - Murphy's sign
15:55 - Palpate aorta
16:28 - Other special exam maneuvers, appendicitis, testicular, pelvic
17:53 - Laboratory testing, HCG, CBC, Metabolic panel, Lactic acid level
20:15 - Ancillary testing, ECG, Urinalysis
20:53 - Plain film, advantages and disadvantages
22:17 - Ultrasound, what is it good for?
24:43 - CT scan, high yield diagnosis method
25:48 - Keep high level of suspicion on special populations
26:32 - Outro

Пікірлер: 155

@lecturiomedical Жыл бұрын

Learn more about Emergency Medicine and Abdominal pain on Lecturio: ► lectur.io/yourmedicalpremium

@kokabvahidy5377 4 жыл бұрын

Very detailed coverage of probabilities for narrowing down to the correct diagnosis, very informative. A good training course session for medical students or fresh doctors.

@sushantochakraborty789 2 жыл бұрын

Thanks Dr for imparting such a wonderful diagnosis.

@nnekaa.4591 6 жыл бұрын

Doc u r sooo experienced.. thx so much.

@kristinechan9661 2 жыл бұрын

The first time I watched your videos I spent half day of my rest time lol" true". its very informative and the way you deliver is very clear.

@regchr.9403 2 жыл бұрын

Thanks for the knowledge and medical information you are sharing with us. Greetings from Manila Philippines 🌿

@josematias7001 4 жыл бұрын

Thank you!

@fredrickleo2930 3 жыл бұрын

Wow Dr Osaoji it's a great pleasure, and am so lucky l came across you on KZfaq am negative now so happy thanks so much

@nats3958 3 жыл бұрын

Great, thank you very much!

@smitasonawale2030 4 жыл бұрын

Great session

@442anand 6 жыл бұрын

Thank you!!

@augustinaewur6423 6 жыл бұрын

Thanks alot

@worldsokayestmedic4568 3 жыл бұрын

Nicely done! I can't remember if you mentioned that, but that patient with fidgeting along with a c/o back pain or poorly described abdominal pain raises a concern of aortic dissection.

@Ilovehobiii 2 жыл бұрын

it was reallyyy informative,and i really loved her and her ways in exllanation,keep going😊

@hemapiyaratna2888 2 жыл бұрын

Really enjoyed the lecture.Thank you

@IbrahimNegm 2 жыл бұрын

great lecture, thanks so much, from Egypt

@Jandirneckel 4 жыл бұрын

Its a very good lecture

@petesantana7302 4 жыл бұрын

Wonderful job! Love this lecture Thank you

@alexvidu4517 3 жыл бұрын

Excellent Video clip! Forgive me for chiming in, I am interested in your thoughts. Have you tried - Zenevad Exercise Eaglestone (erm, check it on google should be there)? It is a great one of a kind guide for unlocking the secret to saying goodbye to lipoma lumps without the normal expense. Ive heard some amazing things about it and my coo-worker at very last got excellent success with it.

@sagarbhatti7190 2 жыл бұрын

Great video Can u plz include emergency management of andominal pain Becoz lab ix , imaging take time

@JHWV601 2 жыл бұрын

Brilliantly explained keeping this video

@tariqhassan7306 6 жыл бұрын

Very informative. Please keep it up.

@genboa3107 5 жыл бұрын

Shooting pain ft upper quad

@hasannamibi1208 Жыл бұрын

great information; thanks a lot

@mrgrumpy5116 2 жыл бұрын

very informative, thank you, sadly now in Europe even an utra-sound scan is commonly a 4 week wait, it makes it very difficult to get timely treatment. No patient wants to raise a false alarm, so typically it could be 3-5 months from requesting a doctor appointment to having a scan, it never used to be like this.

@ksg568 9 ай бұрын

You mean when you present to the doctors office right? Because this lecture series is based on Emergency Medicine and if u have pain and present to emergency you might have to wait a few hours to be seen but they do x-rays and ultrasound and everything else they think you need there and then before discharge. But yes you are right going to the GP feels like a waste of time now with all the waiting lists

@g.annasmith9834 3 жыл бұрын

Brilliant👍

@rajivdas8185 4 жыл бұрын

Excellent

@yamikanisipolo9559 3 жыл бұрын

Thank you :)

@michaelvance1838 3 жыл бұрын

Thank you! I leave the doctor without feeling like my issue was addressed. Now I might have a chance of communicating what I am experiencing and what diagnostics we can explore if they are missing from the list.

@samanthers 5 жыл бұрын

This was a good and complete lecture. Thanks doc :)

@user-mr3iv7bj6n 3 жыл бұрын

its great alot of luv

@SURESH-ni7wc 2 жыл бұрын

Am suffering with abdominal pain on right side from 2 years...., All reports are normal, CECT can't identify it....

@shibunow 5 жыл бұрын

thanks a lot, very informative!!!!

@aqalzada2811 28 күн бұрын

Thanks

@tommymihalenko Жыл бұрын

Addisons Disease signs can be severe abdominal Epi gastric pain and back pain. I didnt see you mention Adrenal Insuffiency??

@mohammadayash8825 6 жыл бұрын

Thx... Pls keep going

@qasimkhan-qv9hi 6 жыл бұрын

Nice lecture

@lillfocker345 6 жыл бұрын

Very good lecture

@Marie-pw8dl 2 жыл бұрын

Those r good infos. Tnx for your videos

@dedggen2419 4 жыл бұрын

But theirs no explanation on how the diseases cause pain in those body parts a brief description of that wud be helpful

@md.alamgirhossain6435 5 жыл бұрын

thanks

@mahdisjahanbakhsh4759 5 жыл бұрын

Really helpful

@behnamzadeh1936 3 жыл бұрын

she is very good because I did lay on left side for many hours and strach my lower left side abdimal and eating tomuch sunflower seeds and lots of oxicodan pill so I am glad she is there

@hkohen 2 жыл бұрын

Any written endoscopic report for injection treatment stomach bleeding ulcer plz

@acousticnext2564 5 жыл бұрын

Good content, good focus on practical, high yield.

@realtruth7944 3 жыл бұрын

I've never had a doctor in the er cover a third of what you cover I believe doctors can be lazy or too busy they depend way too much on blood test 🤔 great video 📹👍

@glaucomflecken 3 жыл бұрын

That's some Real Truth. ✔️✔️

@glaucomflecken 3 жыл бұрын

Blood tests are overrated.

@baselhusseini6639 2 жыл бұрын

Gregory House tfpain af

@baselhusseini6639 2 жыл бұрын

P Aik

@brendaschoonover3951 2 жыл бұрын

A Dr. is like a mechanic… they guess until they figure it out. Lol

@olgaconway9131 Жыл бұрын

Excellent podcast , it makes me feel like going back to school , too bad I’m not young enough, politely said.

@OswaldDigestiveClinic 3 жыл бұрын

Thanks for sharing this video! Here's a Fun digestive fact: what you eat can change your gut microbiome in just 2 days!!

@mrs.c5022 3 жыл бұрын

Kaiser ER sent me home on back-to-back days with pneumonia. If one is not mangled, they act as if you’re wasting their time.

@georgedaltonbailanis4232 3 жыл бұрын

This was very helpful 👍 What was meant by “surgical process”?

@VyVy-ks5qj 3 жыл бұрын

In medicine, we divided the causes of abdominal pain into surgical causes which means you need some kinds of surgery to get rid of that pain or internal causes such as gastritis which can be treated by medicine.

@IBader-vi9br 3 жыл бұрын

I just got over peritonitis regarding surgery they were going to cut me wide open from my sternum to my belly button I think this is what she is suggesting not sure though

@leighsirvent654 3 жыл бұрын

You also need to be aware of chronic pain where patient can’t eat, vomits has epigastric pain, weight loss as there could be Mesenteric Artery Ligament Syndrome and/or Superior Mesenteric Artery Syndrome. Ct needs to be done on inspiration and expiration. I had this and it was not diagnosed for 16 years. Please don’t rule out bc its not common.

@Smossicanz 3 жыл бұрын

How can I speak with someone this smart over the phone. My daughter has been in pain for so long and nobody has answers just pain meds that also don’t work !!!!

@rubym420 3 жыл бұрын

You're so cool. I wish my parents believed me

@thenewdrhorror1748 3 жыл бұрын

this helped me also i have crons desise so i get a pain and i've been to so many hospitals ones i got took to a hospital in a emergency van just by moving hospitals and it allways hurts please get a cure or a cure for my pains please ceep trying :)

@chaverim5189 3 жыл бұрын

I am so sorry to hear that. All the best I very much hope that you will find a solution. Get well soon and best wishes from Switzerland, Alice

@thenewdrhorror1748 3 жыл бұрын

yea im trying my best in hospital to also get people to get a cure i was allways in pain :( thanks for the luck :D ceep trying cures

@sonnywolf383 4 жыл бұрын

I'm a doctor now lol

@azadjm3742 5 жыл бұрын

what does she mean by a patient having a "SURGICAL PROCESS"?

@zarianprenatt58 5 жыл бұрын

when the pt is exhibiting peritoneal signs (rebound tenderness), urgent surgical treatment is needed

@narot1000 5 жыл бұрын

excellant

@Saad-ul6py Жыл бұрын

Good

@zkriatunyar6091 6 жыл бұрын

plz may i get the notes as pdf

@sarmadbaloch432 Жыл бұрын

8:12 you can use SOCRATES mnemonic for pain as well, Site, Onset , Character, Radiation, Relieving factors , Associated symptoms , Time (Duration) , Exacerbating factors , Severity

@joankalema5565 3 жыл бұрын

Please I need your help. I have pain in my right lower abdomen ever since I gave birth, ts now two years but I have done all the tests like x_ray, all types of blood tests, and all scans but they all came out normal and the pain is just increasing and I have started having blood discharge

@notheon2117 3 жыл бұрын

I did bloodwork test, urine test x-ray test they all came out fine except there is leftover stool in colon that can be seen on x-ray... Plz the pain is still there but not always. Lower right side... I need to be carful how i lie down in bed and can only rest on back... They said its no apendicitis either... Plz help me... What could this be...

@starkeymorgan4142 2 жыл бұрын

You make it?

@DR-nh6oo Жыл бұрын

I was just a “junkie looking for drugs” according to the Nurse, and they weren’t able to see the signs of my obstruction in the CT they claimed to have taken, and despite observing my waves of pain, like contractions in the late stage of labour, coming every five minutes and lasting for three, for five days, thrown out of the A&E twice before a kind doctor found me unconscious from sepsis after I had been left on a gurney for more than twelve hours and I had the first emergency surgery that left me in and out of life support in hospital for over six months, an ileostomy bag and renal failure, and several doctors and a few nurses committed fraud to slander me with lies about me abusing and assaulting a nurse to say I was too difficult to examine and blame me for my own injury. No one will consider what I say might be true, even now when I found obvious signs of cut and paste fraud in the paper medical records. I am apparently expendable because I live in a regional area that needs doctors, and I am expected to assume it must have been something I did, despite being polite and compliant at presentation, and that the medical professionals who stigmatised, neglected to treat, and committed fraud against the government to say they did nothing wrong, are not going to make anyone else suffer from their prejudice and distain, the mental distress of not being believed is almost worse than the disabilities I have gained, but I am just a druggie and have no right to any human rights apparently. Please try to weed these kind of people out of the medical profession, it is a false economy to keep covering up abuse of patients.

@moragmacgregor6792 Жыл бұрын

Many perfectly ordinary people equate drug use to "not human." Terrible

@Joeythegoats Жыл бұрын

💀

@ddiand5969 3 жыл бұрын

Id love a doctor!?

@benderrodman1097 5 жыл бұрын

Very informative. Mabey add some clouds to explain certain medical terms for us simple folk that are not fully fluent in Doctor linguistics lol

@phoenixfire4923 5 жыл бұрын

Bam

@CleanestIveBeen 4 жыл бұрын

A medical lecture video is not meant for “simple folk.”

@TorontoIam 4 жыл бұрын

@@CleanestIveBeen I agree :}

@pradyumna1982 5 жыл бұрын

One objection as the appendicitis pain feel on right side lower abdomen not in left side

@mohammedaljahdali9069 5 жыл бұрын

just amazing yes but rovsing sign is just a modified rebound test U palpate the LLQ if the pts feel pain on the RLQ its a positive sign and its indicate appendicitis

@pradyumna1982 5 жыл бұрын

@@mohammedaljahdali9069 thanks for ur guidance......

@LORDNAG1 4 жыл бұрын

@@mohammedaljahdali9069 he just needs to fart

@HafizahHoshni 5 жыл бұрын

Thank you so much for your freaking absolutely amazing videos. 21/11/2018 😃😃

@waleedahmed9979 4 жыл бұрын

Hi my son had typhoid after that has a continuously abdominal pain not releafe from pain killers Dr don't digo what is Des they also performed blood test .x-rays. ct scean. U/s. Endoscopy.biospy

@mayafred6524 4 жыл бұрын

I have been having the same problem

@mayafred6524 4 жыл бұрын

How’s he feeling now

@petramajernikova3260 3 жыл бұрын

👍

@tylabarley6680 Жыл бұрын

You forgot ACNES (anterior cutaneous nerve entrapment syndrome)

@madeleinjay3631 4 жыл бұрын

What's a "Triple A"?

@rnshi 4 жыл бұрын

Abdominal Aortic Aneuyrism

@6TypoS9 10 ай бұрын

drag that voice for 26 min straight i love it

@lecturiomedical 5 ай бұрын

Thank you for your comment! If you enjoyed the video, don't forget to subscribe and turn on notifications to stay updated with all our KZfaq videos. 🤗 Additionally, for more learning opportunities, we invite you to sign up here and explore even more of our free content, along with all the study features that can help you ace your exams: lectur.io/freecontentyt

@OPTIC23100 2 жыл бұрын

I have a weird stomach pain that i’ve never felt before but no other symptoms! It’s been 3 days now. The pain comes and goes but i’m a little concerned. Should i be worried? Any help?

@Melanyroyal 2 жыл бұрын

Same omg🥺

@wildhunt2235 2 жыл бұрын

You still having pain ?

@OPTIC23100 2 жыл бұрын

@@wildhunt2235 nah. Sometimes

@mynamenotgiven5717 Жыл бұрын

Did you ever find out what it was? Stress, constipation, or something else more immediately serious?

@savannahkelsey9530 2 жыл бұрын

Why is it I get stomach pain after taking painkillers 🤷🏽

@hkohen 2 жыл бұрын

@hooh1644 4 жыл бұрын

Why is abdominal pain increasing?

@OswaldDigestiveClinic 4 жыл бұрын

Great questions. We see clients improve their pain with adjusting nutrition and lifestyle factors, so I believe increased prevalence might be due to the standard foods and lifestyle, at least partially, and stress of course

@samuelbobadillal8373 5 жыл бұрын

kzfaq.info/get/bejne/qNNoh9GTu86doH0.html Is it me or she refers to the US image as aortic aneurysm? I think is a gallblader with some stone in it? min 22:24 lol

@LORDNAG1 4 жыл бұрын

I'm be a doctor now

@ralphfurley404 4 жыл бұрын

Gotta learn sentence structure first

@ralphfurley404 4 жыл бұрын

Gotta learn sentence structure first

@dr.maysaaalharbi.5480 2 жыл бұрын

❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️

@ddiand5969 3 жыл бұрын

Its that panchateteris 911

@LuisRodriguez-vm8lw 5 жыл бұрын

22:28 that's not the aorta, it's the galdbladder

@milflowers767 5 жыл бұрын

What is EKG....J?....hear beat monitor?

@arthuroliveira864 4 жыл бұрын

It is the aorta!

@puregold1725 2 жыл бұрын

Forgot gastroparesis.

@itzsakrina6449 2 жыл бұрын

@tenminutetokyo2643 2 жыл бұрын

Poisoned food supply.

@Sportliveonline 4 жыл бұрын

cancer

@jkw24691 5 жыл бұрын

i dont think anyone knows what the hell your talking about. maybee you could break the language down some

@FrancisAbuJ 5 жыл бұрын

JOHN WILCOXEN you are not a medical student or doctor that’s why.

@Jan96106 4 жыл бұрын

@@FrancisAbuJ I'm not a medical student, and I found it very interesting and easy to understand. But I have abdominal pain. I agree with her that it is tricky to figure out the cause of abdominal pain.

@billtaylor7959 5 жыл бұрын

Good video, but are you taking thought your noise, you sound terrible and annoying. Get someone else to explain your information, such an annoying voice and takes away from the content, just telling the truth.

@Putri_NK 8 ай бұрын

4:41 epigastric pain can potentially be an MI, espescially in the appropriate patient population, espescially if the patient appears ill, if he/she is diaphoretic, sweaty, or pale -> need to get EKG more rapidly