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Junior Posting > Acute Abdomen > Flashcards

Acute Abdomen Flashcards

1
Q

Perforation of hollow viscus
Hint:”TiP”

A

Typhoid perforation
Perforated duodenal ulcer
Perforated Gi carcinoma
Traumatic perforations
Perforated amoebic colitis
Perforated diverticular disease

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2
Q

Intestinal obstruction

A

Volvulus
Intussception
BNds and adhesions
Strangulated internal and external hernia
Tumors,structures or foreign body

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3
Q

Normal GIT features

A

Frequency
Quantity
Color
Content
Nature

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4
Q

Resuscitation

A

IVF therapy
Nasogastric aspiration
Urethral catherization
1/2hrly pulse and B.P
Antibiotics/analgesics

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5
Q

Urinary symptoms

A

Frequency
Dysuria
Haematuria
Urethral discharge
Scanty comc urine

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6
Q

Gynae symptoms

A

LMP
Vaginal bleeding
Vaginal discharge

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7
Q

Physical examination

A

Acutely I’ll
Painful distress
Dehydrated with sunken eyes and cheeks
Pale and jaundice
Febrile
Dry furred tongue

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8
Q

4-quadrnt Tap

A

Deposition of large volumes of dilute local anaesthetic into tran versus abdominus plane

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9
Q

TAP is between

A

Tranversus abdominus and internal oblique

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10
Q

Chest X ray

A

Air under the right hemi-diaphragm
Elevation of diaphragm
Pulmonary or cardiac disease

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11
Q

Decision to operate

A

Signs of peritonitis
Severe or increasing localized tenderness
Abd pain and unexplained signs of sepsis
Suspected acute intestinal ischemia
Pneumoperitoneum
Vascular occlusion

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12
Q

And USS

A

Hepato-biliary MASS
Renal MASS
Tubo-ovarian MASS
Splenic MASS
Pancreatic MASS
calculi
Intra -abdominal masses
Ascites
Inflamed appendix
Dilated loops of bowel

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13
Q

Abdominal anatomy
Quadrant planes

A

Median plane -from xiphoid process to pubic symphysis
Trans umbilical plane

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14
Q

Where do the abd organs start

A

4th intercoastal space

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15
Q

Hypogastric aka

A

Suprapubic

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16
Q

Lumbar region of abd aka

A

Right/left flank

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17
Q

Abd anatomy
Left hypochondriac region

A

Stomach
Pancreas
Spleen

18
Q

Right hypoC region

A

Liver
Gall bladder
Biliary

19
Q

Epigastric region

A

Liver
Stomach
Pancreas

20
Q

Left flank

A

Colon
Small int
L.kidney

21
Q

Right flank

A

Colon
Small int
Kidney

22
Q

Umbilical region

A

Colon
Small int
Aorta

23
Q

Right lilac

A

Appendix
Colon
Ovary

24
Q

Hypogastric

A

Bladder
Uterus

25
Q

Left lilac

A

Colon
Ovary

26
Q

Abd pain
L.Hypo

A

Pancreatitis
Splenic infarct
Splenic rupture
Splenic abscess

27
Q

Epigastric region
Abd pain

A

Gastritis
GERD
PUD
Gastric Perf
Gastroparesis
Pancreatitis

28
Q

Abd pain R.Hypo

A

Hepatitis
Hepatic abscess
Cholecystitis
Cholangitis
Gallstones

29
Q

R.lumbar Abd pain

A

Kidney stones
Pyelonephritis
Colitis

30
Q

Umbilical abd pain

A

SBO
Gastroenteritis
Mesen ischemia
Rupture AA

31
Q

L.umbar abd pain

A

Kidney stones
Pyelonephritis
Colitis

32
Q

Suprapubic and pain

A

Cystitis
PID
STI
Preg
Ectopic

33
Q

Left lilac

A

Colitis
Diverticulitis
Ovarian torsion
TOAB
Ovarian cyst

34
Q

Right lilac region and pain

A

Appendicitis
Colitis
Ovarian torsion
TOA
Ovarian cyst

35
Q

Referred pain
From thorax
R.hypo

A

RLL pneumonia
PE
Pleural effusion

36
Q

Referred pain
From thorax
Epigastric

A

ACS/Cardiac

37
Q

Referred pain
from thorax
L.hypo

A

PE
Pleural effusion
LLL pneumonia

38
Q

Umbilical region
From endocrine,autoimmune , psychiatric

A

DKA
IBD
ANXIETY

39
Q

From Pelvic/hip +referred pain
R.illac

A

Hip fracture
Testicular torsion orchitis

40
Q

Pelvic/hip
Suprapubic

A

Hip fracture
Testicular torsion

41
Q

L.illac
Referred pain

A

Hip fracture
Testicular torsion
Orchitis

Junior Posting (35 decks)

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