Acute abdomen

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Acute abdomen

  1. 1. 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
  2. 2. <ul><li>Nontraumatic disorders </li></ul><ul><li>Sudden pain urgent surgery </li></ul><ul><li>Doctor  he must recognize Signs and Symptoms of common causes </li></ul><ul><li>Important for Dx. </li></ul><ul><li>Medical History and Physical Examination </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  3. 3. Medical History Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  4. 4. <ul><li>Other symptoms related to pain </li></ul><ul><li>vomiting </li></ul><ul><li>constipation </li></ul><ul><li>diarrhea </li></ul><ul><li>Other: jaundice , hematemesis, hematoquizia, hematuria, etc. </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  5. 5. <ul><li>Highlights </li></ul><ul><li>Gynecologic </li></ul><ul><li>Consumption of drugs </li></ul><ul><li>Family </li></ul><ul><li>Travel </li></ul><ul><li>Background Qx. </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  6. 6. Physical Examination <ul><li>General Observation </li></ul><ul><li>Systemic </li></ul><ul><li>Fever </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  7. 7. <ul><li>Acute abdomen </li></ul><ul><li>Inspection </li></ul><ul><li>Auscultation </li></ul><ul><li>Cough </li></ul><ul><li>Percussion </li></ul><ul><li>Palpation </li></ul><ul><li>Rectal examination </li></ul><ul><li>Pelvic exam: Women </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  8. 8. Studies <ul><li>L aboratory </li></ul><ul><li>Blood: leukocytosis, compatibility, gases, amylase, liver function, SE </li></ul><ul><li>Urine: color, blood </li></ul><ul><li>Stool blood </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  9. 9. Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  10. 10. <ul><li>Endoscopia </li></ul><ul><li>Paracentesis </li></ul><ul><li>Laparoscopia </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  11. 11. Diagnosis <ul><li>Age and gender </li></ul><ul><li>Surgery </li></ul><ul><li>Dx. More frequent: intestinal obstruction, appendicitis </li></ul><ul><li>Young women: difficult diagnosis </li></ul><ul><li>Atypical Manifestations: ignore a serious problem </li></ul><ul><li>Elderly and heart problems </li></ul><ul><li>Rate before laparotomy: avoid Qx. unnecessarily </li></ul><ul><li>Previously hospitalized patients </li></ul><ul><li>Surgery is not beneficial </li></ul><ul><li>Dolorinespecifico: 1 / 3 </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  12. 12. Surgical Exploration <ul><li>Dx. precise </li></ul><ul><li>Before Dx. If life threatening Surgery </li></ul><ul><li>> 65 years 33% </li></ul><ul><li>15% younger </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  13. 13. Preoperative Treatment <ul><li>IV analgesics </li></ul><ul><li>Revival </li></ul><ul><li>Antibiotics </li></ul><ul><li>N asogastric </li></ul><ul><li>Catheter </li></ul>Diagnóstico y tratamiento quirúrgicos, Doherty, LANGE, Mv Graw Hill
  14. 14. Acute Appendicitis www.Youtube.com
  15. 15. Intestinal Obstruction www.Youtube.com

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