Acute abdomen Flashcards
Give four differentials of acute generalised abdominal pain
- Peritonitis
- Ruptured AAA
- Bowel obstruction
- Ischaemic colitis
Give three differentials of acute right upper quadrant pain
- Biliary colic
- Acute cholecystitis
- Acute cholangitis
Give two differentials of acute epigastric pain
- Pancreatitis
- Peptic ulcer
Give five differentials of acute right lower quadrant pain
- Acute appendicitis
- Meckel’s diverticulitis
- Gynae: ectopic pregnancy, ovarian torsion, ruptured ovarian cyst
Give four differentials of acute left lower quadrant pain
- Diverticulitis
- Gynae: ectopic pregnancy, ovarian torsion, ruptured ovarian cyst
Give two differentials of acute suprapubic pain
- Lower UTI
- Acute urinary retention
Give two differentials for acute loin to groin pain
- Renal colic
- Pyelonephritis
Give two differentials for acute testicular pain
- Testicular torsion
- Epididymo-orchitis
What is meant by “peritonitis”?
Peritonitis refers to inflammation of the peritoneum
What are the signs of peritonitis?
- Rigidity
- Guarding
- Rebound tenderness
- Percussion tenderness
What is spontaneous bacterial peritonitis?
Spontaneous infection of ascites in patients with liver disease
What is the first step in managing ANY acute abdomen?
ABCDE approach!
