The Acute Abdomen 1 Flashcards Preview

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Flashcards in The Acute Abdomen 1 Deck (14):
1

Common diagnoses?

Acute cholecystitis
Perforated peptic ulcer
Appendicitis
Diverticulitis

2

Add pic of quadrants and organs

G

3

Investigation?

Blood = FBC, U&E, LFT, amylase

Urine = dipstick for nitrite, blood protein, WCC

X-ray= erect chest, abdomen

4

Causes of acute abdominal pain?

Gastritis
Biliary colic
Gastroenteritis
Inflammatory bowel disease
Non specific abdominal pain

5

Acute cholecystitis?

Pyrexia, tachycardia, RUQ peritonitis

6

Murphy's sign?

Positive for cholecystitis

Negative for choledocholithiasis, pyelonephritis, ascending cholangitis

7

Differential diagnosis for RUQ pain

Duodenal ulcer
Biliary colic
Hepatitis
Right basal pneumonia
NSAP

8

Perforated peptic ulcer?

Shock
Fever
Tachycardia
Rigidity + guarding

9

Diff diagnosis for peptic ulcer?

Pancreatitis
Gastritis
Cholecystitis
Leaking aortic aneurysm

10

Perforated peptic ulcer management

Resuscitation
-oxygen, iv, ng tube, antibiotics, analgesia

Emergency surgery
-laparotomy & repair

H pylori eradication

11

Appendicitis signs

Nausea, vomiting, RIF pain, anorexia

Pyrexic, tachycardia, foetor, RIF peritonitis (mcburney's point) rovsings sign, PR tenderness

12

Diff diagnosis for appendicitis

Uti
Mesenteric adenitis
Ovarian Cust
Pid/tuboovarian abscess
Crohns
Nsap(non specific abdo pain)

13

Investigations

Urine - negative dipstick

Blood - raised WCc in 90%

Ultrasound

Lap

14

Appendicitis management

Iv
Analgesia
Appendicectomy