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Acute abdominal conditions

Acute abdominal conditions. Z. Rozkydal. Acute abdominal conditions Usually acute onset Quick progression Most of them need surgery. Causes 1. Inflammation 2. Ileus 3. Bleeding into GI 4. Trauma Food poisoning Strain of muscles. 1. Inflammation

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Acute abdominal conditions

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  1. Acute abdominal conditions Z. Rozkydal

  2. Acute abdominal conditions Usually acute onset Quick progression Most of them need surgery

  3. Causes 1. Inflammation 2. Ileus 3. Bleeding into GI 4. Trauma Food poisoning Strain of muscles

  4. 1. Inflammation Appendicitis, cholecystitis, pancreatitis, peritonitis 2. Ileus – distension of the intestine Mechanical simple, obstruction strangulation Neurogenic paralytic spastic Vascular trombosis of GI vessels

  5. 3. Bleeding into GI Peptic ulcer, peptic errosions, cancer 4. Trauma of the abdomen Blunt or open injury Abdominal wound

  6. Bleeding into GI Haematemesis – vomiting of blood Causes Stomach errosions, peptic ulcer, carcinoma of stomach, varices of oesophagus Signs Anemia, hypovolemia melaena, shock

  7. Bleeding in the stools Melaena Enterorhagia Rectorhagia Causes: tumors, colitis ulcerosa, Crohn disease hemorhoids Signs Anemia, hypovolemia

  8. Signs Intense pain Nausea and vomiting Obstipation, flatulence Inflation of the abdomen Dehydration, paleness, sweating Fever, tachycardia, flatbreathing Muscularspams of theabdominalwall No signs of GI function

  9. First aid Rest, warm, nothing to eat or drink Container for vomiting Avoid aspiration of stomach content Positioning Sterile dressing of the wound Transport

  10. Colic pain The pain that comes and goes in waves Renal colic Gall bladder colic Incarcerated abdominal hernia

  11. Renalcolic • Blockage of urine flowfromkidney pelvis • most often by urolithiasis • Firstaid • Warm, hot bath, spasmolytics

  12. Gall bladder colic Causes cholecystitis acuta, cholelithiasis choledocholithiasis Signs Intense pain, nausea, vomiting, shock First aid Positioning, spasmolytics Transport .

  13. Incarcerated abdominal hernia Signs Intense pain Nausea and vomiting Obstipation, flatulence Inflation of the abdomen First aid To minimise the shock Transport

  14. Abdominal wound Stub wound, gunshot, crush injury Organs or blood vessels can be punctured lacerted or ruptured External bleeding Internal bleeding Protrusion of abdominal content First aid Cover the area with plastic bag or kitchen film Cover the wound with sterile dressing No eat or drink Positioning, minimise the shock Transport

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