Introducing The acute abdomen

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The Acute Abdomen is emergency case. We should know and do what we can do for the patient

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Introducing The acute abdomen

  1. 1. INTRODUCING THE ACUTE ABDOMEN Abdul Mughni Rozy Surgery Dept.- Medical Faculty of Diponegoro University www.undip.ac.id
  2. 2. Objective : Define the acute abdomen. Describe the cause and pathophysiology of the following acute abdominal diseases: a. acute appendicitis - inflammatory b. acute small bowel obstruction - mechanical c. mesenteric vascular occlusion vascular d. perforated duodenal ulcer perforated viscus e. peritonitis Identify and describe the symptoms, signs, clinical course and laboratory and x-ray findings for the acute abdominal diseases listed under Objective 2. Identify the clinical features that help to distinguish the surgical from the non-surgical acute abdomen. Construct an approach to evaluation and management of the acute abdomen.
  3. 3. Definition of the Acute Abdomen as an intraabdominal process causing severe pain and often requiring surgical intervention. It is a condition that requires a fairly immediate judgment or decision as to management.
  4. 4. Causes of the acute abdomen : a. inflammatory b. mechanical c. neoplastic d. vascular e. congenital defects f. traumatic
  5. 5. inflammatory 1) Bacterial Acute appendicitis Diverticulitis Pelvic inflammatory disease 2) Chemical. perforation of a peptic ulcer
  6. 6. Mechanical obstructive conditions incarcerated hernia, post-operative adhesions, intussusception, malrotation of the gut with volvulus, congenital atresia or stenosis of the gut. carcinoma of the colon.
  7. 7. Vascular mesenteric arterial thrombosis or embolism.  blood supply is cut off, necrosis of tissue results, with gangrene of the bowel.
  8. 8. Congenital duodenal atresia, omphalocele diaphragmatic hernia chronic malrotation of the intestine.
  9. 9. Traumatic stab and gunshot wounds blunt abdominal injuries splenic rupture. Liver Rupture Perforation of GI Track
  10. 10. Reference The Acute Abdomen : available in : http://www.ece.ncsu.edu/imaging/MedImg/SIMS/Mod ule2/GE2_4.html

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