20.3 Acute Abdomen Flashcards
1
Q
Acute abdomen 3 general classes?
A
- generalised illness: mesenteric adenitis
- localised: appendic, ovarian, small bowel, meckel’s, intuss
- referred: testicular, pyelo, pneumonia, septic arthritis hip
2
Q
commonest age for appendicitis?
A
age 14
3
Q
meckel’s diverticulum, key history question?
A
blood in the stool
4
Q
appendicitis pain description?
A
usually constant, background
5
Q
course of the disease?
A
when were you last perfectly well?
6
Q
observation of appendicitis?
A
- coated tongue
- walking/posture
7
Q
appendicitis examination?
A
- tachycardia
- fever
8
Q
appendicitis in boys examination?
A
testes first
9
Q
commonest cause of small bowel obstruction in a child with no prev. abdo history?
A
appendicitis
10
Q
appendicitis in the under 5s, watch out for?
A
- short history, perf likely
- difficult examination
- morbidity/mortality
11
Q
appendicitis in older girls, need to ask about?
A
- menstrual cycle
- past history
- sexual history
- laparoscopy
12
Q
chronic recurrent abdominal pain
A
- usually just abdo pain without associated fever, tachy
- time with patient to explain nothing sinister for now
13
Q
peak incidence of testicular torsion?
A
12-14
same as appendicitis
