UW acute abdominal pain algorithm 02-18 (1) Flashcards

1
Q

Rapid preliminary evaluation. 3

A

Focused H&P
Vital signs
Overall clinical status

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2
Q

Rapid preliminary evaluation (3points) -> next evaluation?

A

HD stability.

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3
Q

Rapid preliminary evaluation (3points) -> HD instable –> next step?

A

RESUSCITATION
Immediate surgical consultation
Pregnancy test, CBC, type and match

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4
Q

Rapid preliminary evaluation (3points) -> HD stable –> next step?

A

evaluate wheather pregnant.

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5
Q

Rapid preliminary evaluation (3points) -> HD stable –> if pregnant –> next step?

A

TVUS

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6
Q

Rapid preliminary evaluation (3points) -> HD stable –> if NON-pregnant –>what evaluate?

A

is there any alarming findings? (eg peritoneal signs, tachycardia,fever)

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7
Q

Rapid preliminary evaluation (3points) -> HD stable –> if NON-pregnant –> yra alarming findings -> next step?

A

EVALUATE FOR LIFE THREATENING CONDITIONS

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8
Q

EVALUATE FOR LIFE THREATENING CONDITIONS
….
GI: apendicitis, diverticulitis, bowel obstruction/perforation
Urologic: complicated UTI, ureteral onstruction
Vascular: ruptured AAA

A

Gyn: ovarian torsion, PID/tuboovarian abcess

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9
Q

EVALUATE FOR LIFE THREATENING CONDITIONS
Gyn: ovarian torsion, PID/tuboovarian abcess
….
Urologic: complicated UTI, ureteral onstruction
Vascular: ruptured AAA

A

GI: apendicitis, diverticulitis, bowel obstruction/perforation

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10
Q

EVALUATE FOR LIFE THREATENING CONDITIONS
Gyn: ovarian torsion, PID/tuboovarian abcess
GI: apendicitis, diverticulitis, bowel obstruction/perforation
….
Vascular: ruptured AAA

A

Urologic: complicated UTI, ureteral onstruction

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11
Q

EVALUATE FOR LIFE THREATENING CONDITIONS
Gyn: ovarian torsion, PID/tuboovarian abcess
GI: apendicitis, diverticulitis, bowel obstruction/perforation
Urologic: complicated UTI, ureteral onstruction
…..

A

Vascular: ruptured AAA

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12
Q

Rapid preliminary evaluation (3points) -> HD stable –> if NON-pregnant –> NERA alarming findings -> ??

A

EVALUATE FOR COMMON CONDITIONS

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13
Q

EVALUATE FOR COMMON CONDITIONS

GI: gastroenteritis, Irritable bowel syndrome
Urologic: uncomplicated UTI, nephrolithiasis

A

Gyn: STIs, ovarian cyst, endometriosis

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14
Q

EVALUATE FOR COMMON CONDITIONS
Gyn: STIs, ovarian cyst, endometriosis

Urologic: uncomplicated UTI, nephrolithiasis

A

GI: gastroenteritis, Irritable bowel syndrome

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15
Q

EVALUATE FOR COMMON CONDITIONS
Gyn: STIs, ovarian cyst, endometriosis
GI: gastroenteritis, Irritable bowel syndrome
….

A

Urologic: uncomplicated UTI, nephrolithiasis

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