Acute abdomen
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Universidad de Guadalajara Centro Universitario de Ciencias de la Salud Clínicas Quirúrgicas Dr. Virgen Ayala Hector Manuel Dr. Robles Mariscal Benjamin Saldivar Bernal Karen Pamela Acute Abdomen
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Transcript of Acute abdomen
Universidad de GuadalajaraCentro Universitario de Ciencias de la Salud
Clínicas Quirúrgicas
Dr. Virgen Ayala Hector Manuel
Dr. Robles Mariscal Benjamin
Saldivar Bernal Karen Pamela
Acute Abdomen
Nontraumatic disordersSudden pain urgent surgery
Doctor he must recognize Signs and Symptoms of common causes
Important for Dx.Medical History and Physical Examination
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Medical History
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Other symptoms related to pain
vomiting
constipation
diarrhea
Other: jaundice, hematemesis, hematoquizia, hematuria, etc.
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Highlights
Gynecologic
Consumption of drugs
Family
Travel
Background Qx.
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Physical Examination
General Observation
Systemic
Fever
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Acute abdomen
InspectionAuscultationCoughPercussionPalpationRectal examinationPelvic exam: Women
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Studies
Laboratory
Blood: leukocytosis, compatibility, gases, amylase, liver function, SE
Urine: color, blood
Stool blood
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Endoscopia
Paracentesis
Laparoscopia
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Diagnosis
Age and gender
1.Surgery2.Dx. More frequent: intestinal obstruction, appendicitis3.Young women: difficult diagnosis4.Atypical Manifestations: ignore a serious problem5.Elderly and heart problems6.Rate before laparotomy: avoid Qx. unnecessarily7.Previously hospitalized patients8.Surgery is not beneficial9.Dolorinespecifico: 1 / 3
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Surgical Exploration
Dx. preciseBefore Dx. If life threatening Surgery
> 65 years 33%15% younger
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
Preoperative Treatment
IV analgesics
Revival
Antibiotics
Nasogastric
Catheter
Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
