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Flashcards in Acute abdomen Deck (18)
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1

What is an acute abdomen

Rapid onset of severe symptoms that may indicate potentially life threatening intra abdominal- normally a 1 day history but can be up to a week

2

Normal history of acute abdomen

Backgroud of previous surgery or intra abdominal pathology
Associated symptoms of nausea, vomiting, diarrorhoea, jaundice, fever and PR bleeding

3

Systemtatic first step to dealing with acute abdomen

ABCDE
Airway- is patient speaking, groaning
Breathing- O2 sats, RR, auscultation of lung fields
Circulation- BP, HR, ECG, heart sounds
Disability- GCS, pupillary reflex, glucose
Exposure

4

Second step to dealing with acute abdomen

Take history

5

What to ask if presenting complaint abdo pain

SOCRATES

6

What to ask if presenting complaing nausea and vomiting

Triggers
Amount
Frequency
Colour

7

What are red flags in abdo history

A norexia
L oss of weight/ Lump
A naemia- may mention tiredness, think of other symptoms
R ecent progressive history
M alaena/haematemesis
S wallowing difficulty

8

Third step to dealing with abdo exam

Examination

9

What will you hear on auscultation for obstruction

Tingling/reduced

10

What can trick you about upper flank pain

Pneumonia
Heart attack

11

What is called when feel right lower quadrant pain when palpating left lower quadrant

Rosvings sign- appendicitis

12

Step 4 dealing with acute abdomen

Bedside investigation bloods- everything
Orifices- urine dipstick. pregnancy test, stool culture
Xray
ECG
Specialist scanning

13

What can cause small bowel obstruction

Crohns
Tumours
Hernias
Adhesions
Radiation enteritis
Ileus- gallstone
Bezoar
Volvulus

14

What is ileus gallstone

Fistula between gall bladder and bowel

15

What is bezoar

When psych patients eat their hair which can block small bowel

16

How to treat small bowel obstruction

Drip and suck

17

Scoring system for pancreatitis prognosis

Glasgow scoring system

18

Glasgow scoring system

PaO2
Age
Neutrophils
Calcium
Renal function
Enzymes
Albumin
Sugar