Abdominal Emergencies Flashcards
Appendicitis
Right lower quadrant pain
Sick +++
Rebound tenderness
From umbelicus
Pancreatitis
Sick +++
Pain no matter what they eat
nausea and vomiting +++
History of alcohol/gall stones
Centre of a abdominal
Cholecystitis
Right upper pain
Worse with fatty foods
Pain +
colicky pain
Shoots to right shoulder pain
Biliary colic “ gall stone “
Right upper pain
Worse with fatty foods
Colicky pain
Pain +
Renal colic “ kidney stones “
Flank pain
Pain +++
Shoots to crotch
Blood in urine
Peritionititis
Across hold abdomen
Hepatitis
Jaundice
ABCDE
Abdominal aortic aneurysm AAA
Shock +++
Tearing sensation
Lowered the bp
Abdo and chest pain
Pulsating mass
Put in trendenlenburg
Upper G.I. problems
Bright, red puke
Melena stool
Coffee ground emesis
Lower gi
Pooping, bright red blood
Read, tarry stool
Soild oragan injuries
Injury to solid organs usually results in rapid and significant blood loss
Liver and spleen, or both primary sources
Liver injury should be expected for any patient with steering wheel trauma
Hollow organ
Results in septa’s wound infection, and absence formation
Injuries to hollow organs, recent, and symptoms from spillage of their contacts resulting in Peritonitis
Eviscreation
The presence of abdominal contents protruding through a lacerations for puncture
MCVs are the most common cause of trauma during pregnancy due to the seatbelt and sudden increase in pressure that can cause
Untrie rupture, placenta abruption and foetal death
Treatment for pregnancy trauma
once patient is fully immobilize till the back porch approximately 10 to 15° to the left the pressure will take pressure off the inferior Venna cava assist with blood back to the heart
Umbillicus
Goes towards the belly button
Two places that most blood accumulate
Abdomen
Pelvis
BRUE
Unexplained event with one or more of the following
Changing colour
Changing breathing
Change in tone
Altered LLC/responsiveness
And no alternate cause
Events usually current infants under year with peek at 10 to 12 weeks
Duration is one minute or less
SIDS
Sudden infant death syndrome
A decrease when no coalbed sharing
Number one cause of death along infants, one month one year remains unpredictable
baby has an on July abnormally that makes them unable to respond to low O2 or high CO2 levels in the blood
usually within the first six months of life
respecters include smoking drug use overheating, sleeping on soft surfaces or extra bedding, fall and winter months, young mothers, low birth weight, no prenatal care
Pat
Appearance mental position, muscle tone
Breathing effort, visible movement
Circulation, skin colour
You’ve done every call
After scene size up, an initial assessment before ABC’s
What are pediatrics?
Anyone under 18
Neonate
0 to 28 days
Infants
1 month to 1yr
Toddlers
1-2yrs
Preschoolers
3-5yrs
School-aged
6-10
Adolescence
11-18
Infant breathing
30-53
Toddler breathing
22-37
Preschool breathing
20-28
School-age breathing
18-25
Normal systolic BP
90+2 (age of pt )
Minimum systolic blood pressure
70+2 (age of pt)
How to treat feber seizures
Tempt water passive cooling
