This document discusses the acute abdomen in pregnancy. It notes that abdominal pain is difficult to evaluate during pregnancy due to physiological changes from the enlarging uterus and effects of progesterone. It outlines potential causes of abdominal pain including miscarriage, ectopic pregnancy, preeclampsia, placental abruption, uterine rupture, and surgical conditions. It emphasizes that the goal is to identify life-threatening causes requiring intervention while discussing concerns for fetal safety during diagnosis and management. A thorough history, physical exam, lab tests, and imaging can help diagnose the source of pain.
This presentation focuses on common obstetrics emergencies. These include early pregnancy complications such as miscarriages and ectopic pregnancy. As well as abdominal pain. Other include haemorrhage, hypertensive state, and sepsis.
Case Study Report on PIH and Severe Pre eclampsiaRashmi Regmi
it is a case study report on PIH and Severe Pre eclampsia
I did when I was posted on Kist Medical TEaching Hospital for Midwifery Practicum
Prepared by:
Rashmi Regmi
B Sc Nursing
Manmohan Memorial Institute Of health Sciences
Radiology Rounds: 27 year old female with abdominal pain
This case was kindly provided by Dr. Laura Avery of Harvard Medical School, Massachusetts General Hospital to be postde on radRounds.com - Education, Social, and Professional Networking for Radiology.
This presentation focuses on common obstetrics emergencies. These include early pregnancy complications such as miscarriages and ectopic pregnancy. As well as abdominal pain. Other include haemorrhage, hypertensive state, and sepsis.
Case Study Report on PIH and Severe Pre eclampsiaRashmi Regmi
it is a case study report on PIH and Severe Pre eclampsia
I did when I was posted on Kist Medical TEaching Hospital for Midwifery Practicum
Prepared by:
Rashmi Regmi
B Sc Nursing
Manmohan Memorial Institute Of health Sciences
Radiology Rounds: 27 year old female with abdominal pain
This case was kindly provided by Dr. Laura Avery of Harvard Medical School, Massachusetts General Hospital to be postde on radRounds.com - Education, Social, and Professional Networking for Radiology.
MANAGEMENT OF LOWER ABDOMINAL PAIN IN FEMALES AND GENITAL ULCERSShiksha Choytoo
This power point is about syndromic approach - management of lower abdominal pain in females and genital ulcers. This is an easier approach to treat such conditions as it covers for numerous causative microorganisms at the same time. Moreover treatment can be started earlier and one might not wait for Culture and Sensitivity test to start treatment.
GEMC- Right Upper Quadrant Ultrasound- Resident TrainingOpen.Michigan
This is a lecture by Jeff Holmes from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Overview of Illness Scripts - based on Exercises in Clinical Reasoning Published in the Journal of General Internal Medicine. Accompany and related content available at http://sgim.org/jweb-only
Dr. Guy Nicastri, Associate Professor of Surgery and Family Medicine at the Warren Alpert School of Medicine at Brown University takes us through some of the pearls of the Acute Abdomen Examination in the Adult
this is a lecture to undergraduates and healthcare professionals in the Obstetrics and Gynecology field about an important topic which is ectopic pregnancy. in this lecture, I simply described ectopic pregnancy for beginners in the medical field of Obstetrics and Gynecology with a focus on tubal ectopic pregnancy as it is the most common type of ectopic pregnancy.
I discussed the topic about its definition, important tips about normal pregnancy at its early stages, differential diagnosis, how to reach the correct diagnosis, different lines of management, and what is the situation of Anti D in Rh-negative women
This Note is Prepared by A OBGYN resident @ SPHMMC, Addis Ababa, Ethiopia (March 2019)
For further notes, you can join us on our Telegram group @obgynsphmmc2019
Tel: +251920257863
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
1. CasAcute Abdomen in Pregnancy
Hale T., O & G Resident,
Mekelle University,
College of Health Sciences, Dep't of OB-GYN
October 27, 2016
2. • Contents
– Abdominal Pain
• Pregnancy Related Abdominal Pain
– First half of pregnancy– First half of pregnancy
– Second half of pregnancy
– Abdominal Pain
• Incidental Surgical Causes
Hale T., M.D., Resident Physician 2
3. • Objectives
– To identify those who have a serious or life
threatening etiology for their symptoms and
require urgent intervention
– To discuss the diagnostic uncertainities– To discuss the diagnostic uncertainities
related with pain in pregnancy
– To discuss concerns about fetal safety with
diagnosis and management of pain
Hale T., M.D., Resident Physician 3
4. • Introduction
– Mild to moderate pain
•Enlarging uterus, fetal position or movement,
Braxton-Hicks contraction, round ligamentBraxton-Hicks contraction, round ligament
pain
– Severe pain with associated symptoms
•Never normal in pregnancy
Hale T., M.D., Resident Physician 4
5. • Why is it diffuclt to evaluate pain in
pregnancy?
– Enlarged Uterus
•Impedes physical exam•Impedes physical exam
•Affect location of pelvic and abdominal
organs
•Mask or delay peritoneal signs
•May cause hydroureter and hydronephrosis
•May cause aortocaval compression
Hale T., M.D., Resident Physician 5
6. – Progesterone
•Decreases lower esophageal sphincter tone,
small bowel and colonic motility, gallbladder
emptying, and ureteral tone
•These physiologic changes are important in•These physiologic changes are important in
the pathogenesis and diagnosis of conditions
such as gastroesophageal reflux, constipation,
cholelithiasis, and nephrolithiasis, all of which
may be associated with abdominal pain
Hale T., M.D., Resident Physician 6
7. – WBC counts increase to a normal range
of 10,000 to 14,000 cells/mm 3 during
pregnancy, and in labor the white blood
cell count may be as high as 20,000 to
30,000 cells/mm 3 ,30,000 cells/mm 3 ,
– However, bandemia is not a normal
variant of pregnancy and its presence
suggests infection until proven otherwise
Hale T., M.D., Resident Physician 7
8. – Decrease in hemoglobin concentration
(normal hemoglobin ≥10.5 to 11.0 g/dL)
coupled with the normal modest increase
in heart rate (by 10 to 15 beats per
minute) can be mistaken for signs of mildminute) can be mistaken for signs of mild
hemorrhage
Hale T., M.D., Resident Physician 8
9. – Uterine tenderness or rigidity is abnormal,
and may be due to
•Labor,
•Abruptio placenta,
•Uterine rupture, or
•Intrauterine infection
Hale T., M.D., Resident Physician 9
10. • Lab
– Complete blood count with differential
– Urinalysis
– Liver and pancreatic function tests– Liver and pancreatic function tests
(aminotransferases, bilirubin, amylase,
lipase)
– Blood and urine cultures
– Serum electrolytes
– Coagulation studies
– Blood group and RhHale T., M.D., Resident Physician 10
11. • Imaging
– Ultrasound is first-line
•Widely available
•Portable•Portable
•Nonionizing
•Adequate diagnostic performance
Hale T., M.D., Resident Physician 11
12. • Use the best available modality
regardless of concerns on fetal safety
– Chest X-Ray: 0.001 rad
– Abdominal X-Ray: 0.1 – 0.42 rad– Abdominal X-Ray: 0.1 – 0.42 rad
Hale T., M.D., Resident Physician 12
13. • Laparascopy
– As safe as laparatomy
– Indicated in
•Potentially life-threatening or organ-•Potentially life-threatening or organ-
threatening disorders
•Diagnosis not clear after less invasive tools
Hale T., M.D., Resident Physician 13
14. • Pregnancy related abdominal pain
– First half of Pregnancy
•Miscarriage
•Ectopic Pregnancy•Ectopic Pregnancy
– Second Half of Pregnancy
•Labor
•Placental abruption
•Uterine rupture
Hale T., M.D., Resident Physician 14
15. – Second half of pregnancy cont’d
•Pregnancy related liver disease
– Severe preeclampsia
– HELLP Syndrome
– Acute Fatty Liver of Pregnancy– Acute Fatty Liver of Pregnancy
•Acute hepatitis
•Pneumonia
•Intraamniotic infection
•Spontaneous hemoperitoneum
•Uterine incarceration
•Arterial disection and rupture
Hale T., M.D., Resident Physician 15
16. – Gynecologic Causes
•Ovarian torsion
•Ruptured or hemorrhagic ovarian cyst
•Fibroid degeneration or torsion
•PID
Hale T., M.D., Resident Physician 16
17. Obstetric Causes of Acute Abdomen
• Miscarriage
– Signs and Symptoms
•Mild to moderate midline crampy pelvic pain
•Mild to moderate vaginal bleeding•Mild to moderate vaginal bleeding
– Speculum and pelvic exams
– HSG and Ultrasound
Hale T., M.D., Resident Physician 17
18. • Ectopic Pregnancy
– Pain, ammenorrhea, vaginal bleeding,
nausea, vomiting, chest pain, fainting and
LOCLOC
– Ultrasound
•Extrauterine pregnancy
•Free blood in the peritoneum
– Heterotopic pregnancy
Hale T., M.D., Resident Physician 18
19. – Heterotopic pregnancy
•Incidence: 1 in 10,000-30,000
•After IVF: 1%
•Average time for diagnosis: 7.5 weeks
•Diagnosis delays as late as 20 weeks are
possible
•Management
– Non-surgical
– Surgical
Hale T., M.D., Resident Physician 19
20. • Labor
– Uterine contractions of increasing
frequency, intensity, and duration that
cause cervical dilation and/orcause cervical dilation and/or
effacement
– Light vaginal bleeding and/or rupture of
membranes increase diagnostic certainty
in women with mild cervical dilation or
effacement
Hale T., M.D., Resident Physician 20
21. • Placental abruption
– Classically presents with
•Vaginal bleeding,
•Abdominal and/or back pain,•Abdominal and/or back pain,
•Uterine tenderness,
•Uterine rigidity, and
•Uterine contractions;
•DIC
•The fetal heart rate pattern may be
nonreassuring
Hale T., M.D., Resident Physician 21
22. • Uterine Rapture
– Signs and symptoms include
•Nonreassuring fetal heart rate tracing or fetal
death,death,
•Uterine tenderness,
•Peritoneal irritation,
•Vaginal bleeding,
• Loss of fetal station, and
• Shock
– Can It occur before labor?
Hale T., M.D., Resident Physician 22
23. • Uterine rupture before labor
– Scared uterus
– Cornual pregnancy
– Abdominal trauma– Abdominal trauma
– Pregnancy in rudimentary uterine horn
Hale T., M.D., Resident Physician 23
24. • Abdominal trauma
– Pregnant mothers more likely to sustain
trauma
– Enlarged uterus renders protection of the– Enlarged uterus renders protection of the
viscera
– Shields the retroperitoneal structures
– Rebound tenderness and guarding less
prominent
– Direct fetal trauma and indirect
consequencesHale T., M.D., Resident Physician 24
25. • Perimorteum Cesarean Delivery
– The Five Minute Rule
•Normal neonatal neurological outcome was
most likely when delivery occurred within fivemost likely when delivery occurred within five
minutes of maternal cardiac arrest
– Indications
•Maternal resuscitative efforts have not been
successful within four minutes
Hale T., M.D., Resident Physician 25
26. • Severe Preeclampsia
– Proteinuric hypertension after 20 weeks of
gestation
– Clinical manifestations– Clinical manifestations
•RUQ or epigastric pain
•Elivated liver enzymes
•Subcupsular hemorrhage or hepatic rupture
Hale T., M.D., Resident Physician 26
27. • HELLP Syndrome
– Most common clinical presentation is
abdominal pain and tenderness in the
midepigastrium, right upper quadrant, ormidepigastrium, right upper quadrant, or
below the sternum
– HBP and proteinuria: Only in 85% of cases
– Hepatic rupture rare
– Ultrasound, MRI, CT Scan
Hale T., M.D., Resident Physician 27
28. • Acute Fatty Liver
– Common in 3rd trimester
– Diagnosis is clinical
– Common symptoms– Common symptoms
•N & V – 75% of patients
•Abdominal pain – 50%
•Anorexia
•Jaundice
– Lab
– Ultrasound, CT, MRI (Infarct or hematoma)
Hale T., M.D., Resident Physician 28
29. • Intraamniotic Infection
– Signs and symptos
•Fever
•Abdominal pain•Abdominal pain
•Uterine tenderness
•Leukocytosis
•Maternal and fetal tachycardia
•Uterine contractions
Hale T., M.D., Resident Physician 29
30. • Spontaneous Hemoperitoneum
– 25 cases reported in the past 2 decades
– Sing and symptom
•Suden onset of abdominal pain in the second•Suden onset of abdominal pain in the second
half of pregnancy with hypovolemic shock
and/or abnormal fetal heart rate
•Exploratory laparatomy: 500-4000 mL of blood
•Risk facotrs: nulliparity and history of
endometriosis
Hale T., M.D., Resident Physician 30
31. – Source of bleeding
•Superficial veins/Varicosities on the superior
surface of uterus or the parametrium
– Biopsy in 5 of 25 cases
•Endometriosis
– Outcome
•50% continued pregnancy
•50 % Still birth or neonatal death
Hale T., M.D., Resident Physician 31
32. • Uterine incarceration
– Rare: 1/3000 pregnancies
– Present at 14-16 weeks of gestation
– Symptoms– Symptoms
•Related to adjacent anatomic structures to
the entraped enlarging uterus
•Pain and progressive difficulty voiding
•Frequency, dysuria, sensation of incompelete
emptying, voiding small volume, urinary
retention
Hale T., M.D., Resident Physician 32
33. – Risk Factors
•Retroverted uterus
•Previous pelvic Surgery
•PID
•Endometriosis
•Leiomyoma
Hale T., M.D., Resident Physician 33
34. • Arterial dissection and rupture
– Rupture of arterial aneurysms (splenic,
renal, uterine, ovarian, aorta)
– Related to the physiologic and– Related to the physiologic and
hemodynamic changes of pregnancy
– At risk population
•Marfan syndrome
•Ehler’s Danlos syndrome
•Turner syndrome
Hale T., M.D., Resident Physician 34
35. – Presenting complaints
•Suden onset abdominal pain
•Free peritoneal fluid
•Sudden hemodynamic collapse
•Failure to identify the cause prior to
laparatomy
Hale T., M.D., Resident Physician 35
40. – Presumptive Diagnosis
•Acute pelvic pain +
•Adnexal mass +
– Masses related to endometriosis, tuboovarian
abscess, malignancy – less likely to torseabscess, malignancy – less likely to torse
– The larger the mass - torsion more frequent
» Till the mass becomes large enough to be fixed
in the pelvis
•Sonographic features consistent with torsion
Hale T., M.D., Resident Physician 40
43. – Defintive diagnosis
•Direct visualization of rotated ovary at the
time of surgery
Hale T., M.D., Resident Physician 43
44. • Can ovarian torsion happen in normal
ovaries?
– In premenarchal girls
•Elongated utero-ovarian ligament•Elongated utero-ovarian ligament
– Right ovary – more likely to torse
•More longer utero-ovarian ligament
•Presence of sigmoid colon in the left prevents
torsion of the left ovary
Hale T., M.D., Resident Physician 44
45. • Checking viability of torsed ovary
– Inspection
•Blue or black – nonviable
– Ovarian bivalving– Ovarian bivalving
Hale T., M.D., Resident Physician 45
47. • Ruptured or Hemorrhagic Ovarian Cyst
– Presenting complaints
•Sudden onset of unilateral lower abdominal
painpain
•Pain begins during strenous physical activity or
sexual intercourse
•Hemodynamic instability and pelvic collection
– Bradycardia (paradoxically)
Hale T., M.D., Resident Physician 47
48. – Asymptomatic: Serous or mucinous fluid
– Severe pain: Spillage of sebaceous
material upon rupture of a dermoid cyst
•Granulomatous reaction•Granulomatous reaction
•Chemical peritonitis
Hale T., M.D., Resident Physician 48
49. – Ultrasound
•First-line imaging study for
– identification and characterization of the ovarian
mass or cyst
– to look for fluid in the cul-de-sac– to look for fluid in the cul-de-sac
Hale T., M.D., Resident Physician 49
50. – Management
•Uncomplicated
– Outpatient management with oral analgesia
•Complicated
– Inpatient,– Inpatient,
– Fluid
– Follow vitals
– Surgery to control hemorrhage if hemodynamically
unstable or if dermoid cyst rupture is suspected
Hale T., M.D., Resident Physician 50
51. • Fibroid degeneration or torsion
– Most remain asymptomatic in pregnancy
•Degeneration: myomas > 5 cms in size
•Torsion: Pedunculated myomas
– Presenting complaints– Presenting complaints
•Localized pain
•Mild leucocytosis, fever, peritoneal signs, N & V
•Miscarriage
•Premature labor and delivery
•Abnormal fetal position
•Placental abruption
Hale T., M.D., Resident Physician 51
52. – Other rare complications
•DIC
•Spontaneous hemoperitoneum
•Uterine inversion
•Uterine incarceration
•ARF
•Urinary retention
•Pyomyoma
– Fever, leukocytosis, tachycardia, Pelvic pain
– Ultrasound: Heterogenous mass with gas
Hale T., M.D., Resident Physician 52
53. – Ultrasound
•To see the mass
•Pain after ballottement by the abdominal
ultrasound probe directly over the fibroid
supports the diagnosissupports the diagnosis
Hale T., M.D., Resident Physician 53
54. • Pelvic Inflammatory Disease
– Rare because of barrier formed by
•Cervical mucus plug
•Decidua•Decidua
– Diagnosis
•Fever with lower abdominal pain
•Rule out other causes first
Hale T., M.D., Resident Physician 54
55. • Medical causes of abdominal pain in
pregnancy
– Mesentric venous thrombosis
– Pancreatitis– Pancreatitis
– Pneumonia
– Inflammatory bowel disease
– Gastroenteritis
– Sickle cell crisis
Hale T., M.D., Resident Physician 55