Acute abdomen Flashcards
1
Q
Presentations needing urgent intervention
A
- Acute bleeding
- Perforated viscus
- Ishchaemic bowel
2
Q
Most serious cause of intra-abdominal bleeding
A
AAA
3
Q
Other causes of intra-abdominal bleeding?
A
- Ruptured ectopic preganancy
- Bleeding peptic ulcer
- Traumatic injury
4
Q
Localised peritonism present with
A
- Localised pain
- Tachycardia
- Pyrexia
- BUT sometimes not look unwell
5
Q
Generalised peritonitis present
A
- Tachycardia +/- hypotension
- Pyrexia
- Rigid abdomen
- Look unwell
6
Q
Initial bedside and blood tests for acute abdomen
A
- Urine dipstick - infection/haematuria? - MC&S
- Pregnancy test
- ABG - assess tissue hypoperfusion and rapid Hb
- Routine bloods - FBC, U&E, LFT, CRP, amylase/lipase and G&S - crossmatch if need
- ECG - myocardial referred pain? pre-op workup
7
Q
Differentials for each region of abdomen
A
8
Q
Imaging for acute abdomen
A
- Erect CXR
- USS - renal, biliary, liver, uterus
- CT imaging - abdomen and pelvis
