Acute Abdo

Question 1

When do take a normal appendix out?

Answer 1

When the cause for the pain isn’t obvious during the laproscopy

Question 2

With all surgical admissions, what management factors do you think of?

Answer 2

Nil by mouth

Fluids

Analgesia

Question 3

What do you ask about periods?

Answer 3

?Regular

Pain - with period and with ovulation

OCP

Any changes

Question 4

When is a rectal exam indicated?

Answer 4

All abdo exams theoretically

But generally only

• Rectal bleeding
• Small bowel obstruction
• Change in bowel habit

Question 5

How do you perform psoas sign?

Answer 5

Flexion of the thigh while it’s in a extended position

Question 6

What is cervical excitation?

Answer 6

Sign of pelvic inflammatory disease

During bimanual exam, “blott the cervix”

Question 7

Is free fluid in the pelvis normal?

Answer 7

No

Question 8

What are some ovarian pathologies?

Answer 8

Ovarian cyst - ruptured or bleeding into

Ovarian torsion

Question 9

When can you rule a hernia as a cause of a problem?

Answer 9

If there is no lump on examination

Question 10

What causes blood in the peritoneum in women?

Answer 10

Retrograde menstration

Ruptured ovarian cyst