The Acute Abdomen 1 Flashcards

1
Q

Common diagnoses?

A

Acute cholecystitis
Perforated peptic ulcer
Appendicitis
Diverticulitis

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2
Q

Add pic of quadrants and organs

A

G

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3
Q

Investigation?

A

Blood = FBC, U&E, LFT, amylase

Urine = dipstick for nitrite, blood protein, WCC

X-ray= erect chest, abdomen

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4
Q

Causes of acute abdominal pain?

A
Gastritis
Biliary colic
Gastroenteritis
Inflammatory bowel disease
Non specific abdominal pain
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5
Q

Acute cholecystitis?

A

Pyrexia, tachycardia, RUQ peritonitis

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6
Q

Murphy’s sign?

A

Positive for cholecystitis

Negative for choledocholithiasis, pyelonephritis, ascending cholangitis

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7
Q

Differential diagnosis for RUQ pain

A
Duodenal ulcer
Biliary colic
Hepatitis
Right basal pneumonia
NSAP
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8
Q

Perforated peptic ulcer?

A

Shock
Fever
Tachycardia
Rigidity + guarding

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9
Q

Diff diagnosis for peptic ulcer?

A

Pancreatitis
Gastritis
Cholecystitis
Leaking aortic aneurysm

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10
Q

Perforated peptic ulcer management

A

Resuscitation
-oxygen, iv, ng tube, antibiotics, analgesia

Emergency surgery
-laparotomy & repair

H pylori eradication

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11
Q

Appendicitis signs

A

Nausea, vomiting, RIF pain, anorexia

Pyrexic, tachycardia, foetor, RIF peritonitis (mcburney’s point) rovsings sign, PR tenderness

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12
Q

Diff diagnosis for appendicitis

A
Uti
Mesenteric adenitis
Ovarian Cust
Pid/tuboovarian abscess
Crohns
Nsap(non specific abdo pain)
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13
Q

Investigations

A

Urine - negative dipstick

Blood - raised WCc in 90%

Ultrasound

Lap

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14
Q

Appendicitis management

A

Iv
Analgesia
Appendicectomy

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