Acute Abdomen Flashcards
Acute abdomen def
Severe abdominal pain lasting less than 5 or equal days
Approachcto acute abdomen
1st survey abcde
Perfrom
Adminster
12nd survy
1st survey descipe
And to support
To support shock or bleeding
ABCDE survey
• IV access with two large-bore peripheral IVs
• Hemodynamic and respiratory support
• NPO status
Perform to ——
Rule out life -threatining conditions
Vby foucsed histroy
Targeted tests
Earls]y surgical consultation
Administer supportive care
Analgesics
Antibiotics
Anti emetics
NG tube
2nd survey
Head to toe examinatiom
Detailed history and examination to narrow differential diagnosis
Treat underlying cause
Red flags for abdominal pain
RUQ pain dd
Liver
Gb
Lung
Kidney
Retrocecal appendicitis
Epigastric
Dudneum
Gastric
Pancreatic
Esophageal
Luq
Lung splenn
Pancreas
Kidney
Sntral umbilical
Aortic aneuresm
Meckles diverticulum
Bowel dx
Supra pubic
Ub
Utreus ovary tubes
Diverticulitis
Pelvic appendicitis
Lif
Diverticulitis
Ovary tube
Kidney
Sigmoid coloc
Rif
Acute appendicitis
Meckles diverticulim
Ovary tubes Diverticulitis
Ceacum
Diverticulitis site
Central rif lif supra pubic
Acute pancreTitis
Symptoms
Diagnistic labss
Ttt
Rapid onset abdominal pain,
constant radiating to back
• Alcohol
• Diagnosis
Amylase and lipase
CT
• TTT: NPO, Nasogastric suction
and IV fluids
Alcohol effect on stomach
Gastritis
Diect action of alcholol on pancreas
Acinary cells (oxidant stress, mitochondrial dysfunction,
Ca2* overload, autophagy and enzyme secretion impairment)
• Ductal epithelium (precipitation of pancreatic juice, formation of calculi)
• Pancreatic stellate cells (activation and fibrosis)
Evaluation of letf lower q abdominal pain
Evaluation of right lower quad
Evaluation of abdominal pain of female in child bearing
Evaluation older patient or frail
Acute diverticulitis
Symp
Diagnitic labs
Ttt
Inflammation in the left lower quadrant
• Guarding and rebound guarding
• Fever and leukocytosis
• Possible abdominal mass
• Diagnosis: abd. CT
• TTT:
Mild cases , clear liquid diet
Moderate cases: NPO, IV fluids, antibiotics
then after improvement, colonoscopy to
exclude cancer colon
Severe cases: Surgical intervention
Acute appendicitis symp
Diagnosis
Dull aching pain in rt quadrant
Pain inc in intensity
Fever
With nausea vomiting
Positive psoas obturstor signs
