UW acute abdominal pain algorithm 02-18 (1) Flashcards
Rapid preliminary evaluation. 3
Focused H&P
Vital signs
Overall clinical status
Rapid preliminary evaluation (3points) -> next evaluation?
HD stability.
Rapid preliminary evaluation (3points) -> HD instable –> next step?
RESUSCITATION
Immediate surgical consultation
Pregnancy test, CBC, type and match
Rapid preliminary evaluation (3points) -> HD stable –> next step?
evaluate wheather pregnant.
Rapid preliminary evaluation (3points) -> HD stable –> if pregnant –> next step?
TVUS
Rapid preliminary evaluation (3points) -> HD stable –> if NON-pregnant –>what evaluate?
is there any alarming findings? (eg peritoneal signs, tachycardia,fever)
Rapid preliminary evaluation (3points) -> HD stable –> if NON-pregnant –> yra alarming findings -> next step?
EVALUATE FOR LIFE THREATENING CONDITIONS
EVALUATE FOR LIFE THREATENING CONDITIONS
….
GI: apendicitis, diverticulitis, bowel obstruction/perforation
Urologic: complicated UTI, ureteral onstruction
Vascular: ruptured AAA
Gyn: ovarian torsion, PID/tuboovarian abcess
EVALUATE FOR LIFE THREATENING CONDITIONS
Gyn: ovarian torsion, PID/tuboovarian abcess
….
Urologic: complicated UTI, ureteral onstruction
Vascular: ruptured AAA
GI: apendicitis, diverticulitis, bowel obstruction/perforation
EVALUATE FOR LIFE THREATENING CONDITIONS
Gyn: ovarian torsion, PID/tuboovarian abcess
GI: apendicitis, diverticulitis, bowel obstruction/perforation
….
Vascular: ruptured AAA
Urologic: complicated UTI, ureteral onstruction
EVALUATE FOR LIFE THREATENING CONDITIONS
Gyn: ovarian torsion, PID/tuboovarian abcess
GI: apendicitis, diverticulitis, bowel obstruction/perforation
Urologic: complicated UTI, ureteral onstruction
…..
Vascular: ruptured AAA
Rapid preliminary evaluation (3points) -> HD stable –> if NON-pregnant –> NERA alarming findings -> ??
EVALUATE FOR COMMON CONDITIONS
EVALUATE FOR COMMON CONDITIONS
…
GI: gastroenteritis, Irritable bowel syndrome
Urologic: uncomplicated UTI, nephrolithiasis
Gyn: STIs, ovarian cyst, endometriosis
EVALUATE FOR COMMON CONDITIONS
Gyn: STIs, ovarian cyst, endometriosis
…
Urologic: uncomplicated UTI, nephrolithiasis
GI: gastroenteritis, Irritable bowel syndrome
EVALUATE FOR COMMON CONDITIONS
Gyn: STIs, ovarian cyst, endometriosis
GI: gastroenteritis, Irritable bowel syndrome
….
Urologic: uncomplicated UTI, nephrolithiasis