Abdominal pain and tenesmus

Question 1

DD of Abd pain

Answer 1

ischemic bowel, AAA rupture, Diverticulitis, 直腸炎、腹膜出血、Tumor rupture

Question 2

AAA ruptured RR and symptoms

Answer 2

高血壓、粥狀動脈硬化、抽菸、六十歲以上、男性
腹痛、背痛、腰痛
Acute heart failure
間歇性跛行
ischemic limbs

Question 3

AAA ruptured classic triad

Answer 3

搏動性腹部腫塊、強烈腹痛、低血壓

Question 4

AAA ruptured PE

Answer 4

JVD, 水腫腳、腹主動脈血管嘈音、搏動性腫塊、Cullen’s sign, Grey Turner’s sign

Question 5

Fever DD記得要問

Answer 5

皮膚病灶、腎臟尿液顏色、結膜炎？