1 / 37

The Acute Abdomen

The Acute Abdomen. Mr P Vaughan-Shaw December 2010. definition. Sudden, acute, severe abdominal pain. Abdominal pain. Visceral From viscera Vague Poorly localised Fore-gut  epigastrium Mid-gut  peri -umbilical Hind-gut lower abdomen Somatic

makana
Download Presentation

The Acute Abdomen

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Acute Abdomen Mr P Vaughan-Shaw December 2010

  2. definition • Sudden, acute, severe abdominal pain

  3. Abdominal pain • Visceral • From viscera • Vague • Poorly localised • Fore-gut epigastrium • Mid-gut peri-umbilical • Hind-gut lower abdomen • Somatic • From surface structures e.g. Parietal peritoneum • Accurately localised • Eased by lying still, worse with movement

  4. Mechanism • Haemorrhage • Perforation • Obstruction • Inflammation • Infarction

  5. haemorrhage • AAA • Aortic dissection • Ruptured ovarian cysts • Ruptured ectopic • Rectus sheath haematoma • Abdominal trauma

  6. Case 1 • 75 year old male. Abdominal Pain • You have 10 questions • What are you differentials? • You have 1 investigation • You have 3 phone calls

  7. Perforation • Peptic ulcer • Diverticular disease • CRC • UC • Perforated cholecystitis • Perforated appendicitis • Perforated obstructed bowel

  8. Case 2 58 year old, unkempt man You have 8 questions You have 1 investigation

  9. http://www.youtube.com/watch?v=XU0__kgLWFc&feature=related

  10. obstruction • Renal colic • Biliary colic • SBO • Adhesional • Hernias – internal, inguinal, incisional, femoral • LBO • CRC • Inflammatory stricture • Volvulus • Sigmoid • Caecal

  11. Case 3 • 69 year old lady with abdominal pain and distention • You have 6 questions • You have 2 investigations • You have 2 phone calls

  12. http://www.youtube.com/watch?v=07xcVlEoidU

  13. Case 4 • 85 year old demented man with distention • You have 5 questions • You have 1 investigation • You have 1 intervention

  14. Treatment

  15. inflammation • Appendicitis • Cholecystitis • Pancreatitis • Salpingitis • Mesenteric adenitis • Crohn’s disease • Ulcerative colitis • Meckel’s diverticulitis

  16. Case 5 • 27 year old Southampton FC supporter • Under the medics for 1 week with abdominal pain, bloody diarrhoea • You have 4 questions • You have 1 investigation

  17. You have 2 options You have 1 more investigation You have 1 treatment

  18. infarction • Torsion of viscus • Ischaemic bowel

  19. Case 6 • 74 year old man • Abdominal pain, distention • You have 5 questions • You have 2 investigations • You have 1 treatment

More Related