Acute Abdomen Flashcards
Perforation of hollow viscus
Hint:”TiP”
Typhoid perforation
Perforated duodenal ulcer
Perforated Gi carcinoma
Traumatic perforations
Perforated amoebic colitis
Perforated diverticular disease
Intestinal obstruction
Volvulus
Intussception
BNds and adhesions
Strangulated internal and external hernia
Tumors,structures or foreign body
Normal GIT features
Frequency
Quantity
Color
Content
Nature
Resuscitation
IVF therapy
Nasogastric aspiration
Urethral catherization
1/2hrly pulse and B.P
Antibiotics/analgesics
Urinary symptoms
Frequency
Dysuria
Haematuria
Urethral discharge
Scanty comc urine
Gynae symptoms
LMP
Vaginal bleeding
Vaginal discharge
Physical examination
Acutely I’ll
Painful distress
Dehydrated with sunken eyes and cheeks
Pale and jaundice
Febrile
Dry furred tongue
4-quadrnt Tap
Deposition of large volumes of dilute local anaesthetic into tran versus abdominus plane
TAP is between
Tranversus abdominus and internal oblique
Chest X ray
Air under the right hemi-diaphragm
Elevation of diaphragm
Pulmonary or cardiac disease
Decision to operate
Signs of peritonitis
Severe or increasing localized tenderness
Abd pain and unexplained signs of sepsis
Suspected acute intestinal ischemia
Pneumoperitoneum
Vascular occlusion
And USS
Hepato-biliary MASS
Renal MASS
Tubo-ovarian MASS
Splenic MASS
Pancreatic MASS
calculi
Intra -abdominal masses
Ascites
Inflamed appendix
Dilated loops of bowel
Abdominal anatomy
Quadrant planes
Median plane -from xiphoid process to pubic symphysis
Trans umbilical plane
Where do the abd organs start
4th intercoastal space
Hypogastric aka
Suprapubic
Lumbar region of abd aka
Right/left flank
Abd anatomy
Left hypochondriac region
Stomach
Pancreas
Spleen
Right hypoC region
Liver
Gall bladder
Biliary
Epigastric region
Liver
Stomach
Pancreas
Left flank
Colon
Small int
L.kidney
Right flank
Colon
Small int
Kidney
Umbilical region
Colon
Small int
Aorta
Right lilac
Appendix
Colon
Ovary
Hypogastric
Bladder
Uterus
Left lilac
Colon
Ovary
Abd pain
L.Hypo
Pancreatitis
Splenic infarct
Splenic rupture
Splenic abscess
Epigastric region
Abd pain
Gastritis
GERD
PUD
Gastric Perf
Gastroparesis
Pancreatitis
Abd pain R.Hypo
Hepatitis
Hepatic abscess
Cholecystitis
Cholangitis
Gallstones
R.lumbar Abd pain
Kidney stones
Pyelonephritis
Colitis
Umbilical abd pain
SBO
Gastroenteritis
Mesen ischemia
Rupture AA
L.umbar abd pain
Kidney stones
Pyelonephritis
Colitis
Suprapubic and pain
Cystitis
PID
STI
Preg
Ectopic
Left lilac
Colitis
Diverticulitis
Ovarian torsion
TOAB
Ovarian cyst
Right lilac region and pain
Appendicitis
Colitis
Ovarian torsion
TOA
Ovarian cyst
Referred pain
From thorax
R.hypo
RLL pneumonia
PE
Pleural effusion
Referred pain
From thorax
Epigastric
ACS/Cardiac
Referred pain
from thorax
L.hypo
PE
Pleural effusion
LLL pneumonia
Umbilical region
From endocrine,autoimmune , psychiatric
DKA
IBD
ANXIETY
From Pelvic/hip +referred pain
R.illac
Hip fracture
Testicular torsion orchitis
Pelvic/hip
Suprapubic
Hip fracture
Testicular torsion
L.illac
Referred pain
Hip fracture
Testicular torsion
Orchitis
