Acute Abdomen - Week 8 Flashcards
What is meant by an acute abdomen?
Less than 10 days
Progressive intra-abdominal condition
Causing severe morbidity or threat to life
What is meant by Rovsing’s Sign?
palpation of the left lower quadrant of a person’s abdomen increases the pain felt in the right lower quadrant
Rovsing’s Sign suggests…
Appendicitis
Bowel sounds are absent in…
Ileus
What is the treatment for acute abdomen?
IV Morphine
IV Paracetamol
IV Anti-emetic
ABCDE
Blood/bruising around the umbillicus is called…
Cullen’s Sign
Cullen’s Sign suggests…
Acute Pancreatitis
Ruptured AAA
Ruptured Ectoptic pregnanct
What is meant by Grey Turner’s Sign?
Blood/bruising around flanks
Grey Turner’s Sign suggests…
Acute Pancreatitis
Haemorrhage
Rupture AAA
What is meant by Erythema ab igne?
Rash due to application of heat, also found in chronic pancreatitis
What is meant by caput medusae?
Symptom of portal hypertension in which veins become distended
Which scan is gold standard in acute abdomen?
CT
Why may ultrasound be used?
Children
Women with Pelvic pain
RUQ or RIF pain
Which conditions must be excluded in acute abdomen?
Acute Pancreatitis
Abdominal Aortic Aneurysm
Which conditions require urgent surgical intervention?
Faecal peritonitis
Ischaemic gut
