pneumoperitoneum

Question 1

pneumoperitoneum xray; how might the patient present

Answer 1

dispeptic symtoms
abd pain

fever tachycardia hypotension
shoulder pain from irritation of phrenic nerve

Question 2

ddx for pneumoperitoneum

Answer 2

perforated peptic ulcer, perf duodenal ulcer, diverticulitis, appendix, anastamotic leak

Question 3

physical signs from someone with pneumoperitoneum

Answer 3

rigid abd
generalized tenderness
guarding

Question 4

as intern how would u prep patient for surgery with pneumoperitoneum

Answer 4

informed consent, cbc, u/e, fluid resus

Question 5

what would u look for to see if they are adequately resuscitated

Answer 5

urine output 0.5-1ml/kg/hr