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Title:

Acute Abdomen

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Cecal Diverticulitis. Perf PUD. Perforated Cecal Ca. Acute Abdomen. Acute Cholecystitis ... Diverticulitis. Acute Abdomen. Acute Diverticulitis. Inflammation ... – PowerPoint PPT presentation

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Title: Acute Abdomen


1
Acute Abdomen
The Role of the Physician
2
Acute Abdomen Triage
Surgical Emergent Urgent Semi-urgent Non-operativ
e
Medical Medical Therapy Elective Surgery
3
Acute Abdomen Bleeding
External Internal-
Ectopic Ruptured Aneurysm Ruptured Spleen/Liver
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Acute Abdomen Diagnosis
History 65 Physical Examination 15 Special
Investigations 10 Autopsy 5 G.O.K.
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9
Acute Abdomen 1952-2007
CT Scan of Abdomen and Pelvis The most
significant advance in the diagnosis of the acute
abdomen
10
Acute Abdomen Extra-Abdominal Causes of Pain
  • Cardiopulmonary
  • Neurogenic
  • Metabolic- Toxic
  • Miscellaneous

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The Senses Common Sense Sight Touch Hearing Smell
Taste
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Acute Abdomen
Not only must you listen but you must hear. Not
only must you look but you must see. Not only
must you touch but you must feel.
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Acute Abdomen Surgical Pathology
Functional Organic In the lumen In the wall
(C,T,I,N,V, etc.) Outside the
wall Displacements
17
Acute Abdomen Surgical Causes
Block-Pain, vomiting, distension and
obstipation Bleed Burst
18
Acute Abdomen History
Pain Appetite Vomiting Bowels Micturition Menses
19
Acute Abdomen History
PMH Medications Allergies
20
Acute Abdomen Signs
Observe patient Vital signs Bowel
sounds Tenderness, guarding and rigidity Masses
and visceromegaly Hernial orfices and genitalia PR
21
Acute Abdomen Special Investigations
  • CBC and Urine
  • Blood Chemistry and HCG
  • Chest X-ray
  • KUB
  • Scans
  • Contrast Studies
  • Endoscopy

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Acute Abdomen D/D Acute Appendicitis
Gyn (PID, Ovarian cysts, Ectopic) IBD (Crohns
and Yersinia) Gastroenteritis Kidney stone and
Pyelonephritis Meckels Divert Cecal
Diverticulitis Perf PUD Perforated Cecal Ca
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Acute Abdomen Acute Cholecystitis
Biliary Colic Empyema or Hydrops Gangrene W/U ?
US and HIDA
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Acute Abdomen Stone in CBD


Pain Jaundice Charcots Reynolds Fever Triad
Pentad Septic Shock Change in Mental Status
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Acute Abdomen Acute Pancreatitis The Great
Mimicker
MI Perf PUD Acute Cholecystitis S.B.O. Ruptured
Aneurysm Ischemic Bowed Disease
38
Acute Abdomen Small Bowel Obstruction
Adhesions Hernia
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Acute Abdomen Large Bowel Obstruction
Carcinoma Volvulus Diverticulitis
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Acute Abdomen Acute Diverticulitis
Inflammation Abscess Perforation
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