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
