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Flashcards in Abdominal pain Deck (14):
1

Acute abdomen =

sever abdominal pain for less than 10 days

2

Transpyloric plane lies at ___ level and splits _+_ regions

L1
epigastric and umbilical

3

board-like abdomen indicates:

general peritonitis

4

For acute abdomen which analgesics?

IV morphine/paracetamol
and anti-emetic

5

Erythema abigne =
indicates

"toasted skin" on abdomen
chronic pancreatitis
hypothyroidism
lymphoedema

6

Investigations for acute abdomen =

Bloods (AMYLASE)
ABG
CXR - firstline
AXR (overused)
CT - gold standard
US
MRI - only for preg appendices

7

In acute abdomen must always exclude __+__ first as life threatening if missed

AAA and pancreatitis

8

People with __/__ causes of acute abdomen do NOT go immediately to theatre =

diabetic ketoacidosis
pancreatitis

9

People with acute abdomen diagnosed with __/___ go immediately to theatre

faecal peritonitis
ischaemic gut

10

Treatment for colonic obstruction =

stent / operate

11

Treatment for colonic volvulus =

decompress with rigid sigmoidoscope

12

Hinchey classifications of acute diverticulitis
I->IV

I = paracolic abscess
II = pelvic abscess
III= purulent peritonitis
IV = faeculent peritonitis

13

Treatment for perforated colon

surgery
remove colon

14

Treatment for acute diverticulitis

antibiotics if not perforated
if perforated = Hartmann's =remove sigmoid, leave rectum have colostomy