Centralised and Generalised Abdominal Pain Flashcards
What is the difficulty with diagnosing ischaemic bowel?
The severity of the symptoms don’t collerate with the signs
Why might someone by hypovolaemic in the setting of a bowel obstruction?
Fluid loss via vomitus
Third spacing into the peritoneum
What are some DDx for sudden onset abdominal pain?
Burst/perforation of gut
AAA
Ischaemic bowel
What is a Kocher incision?
R subcostal incision for cholecystectomy
How long is it suitable to wait for a bowel obstruction to spontaneously resolve?
24hours with regular check ups
What pathology can cause irritative symptoms of diarrhoea, dysuria, and frequency?
Pelvic abscess
How does the management of small and large bowel ischaemia differ?
Small bowel - always resect
Large bowel - often manage conservatively without resection
What is a succussion splash? What can cause it?
Splashing of fluid against the pylorus
Pyloric stenosis
Gastric cancer
What must be present for vomiting to occur in a large bowel obstruction?
Incompetent iliocaecal valve
Which Xray are used for bowel obstructions?
AP Abdominal
- Erect and supine
CXR
What initial management should be provided for a patient with a bowel obstruction?
Analgesia
Fluid resusitation
NGT
Catheter
