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Acute abdomen
PREPARED BY : DR FARES AREF DIAB
EMAIL : BINAREFFAREES@GMAIL.COM
All the rights are not reserved and is available to every one to use it
Content :
- definition
- major causes
- Assessment
- emergency department care
- Investigation
- red flags
- case study
Definition of acute abdomen
The term 'acute abdomen' represents a
rapid onset of severe symptoms that
may indicate life-threatening intra-
abdominal pathology
Acute cholecystitis
Acute appendicitis
Meckel's diverticulitis
Acute pancreatitis
Ectopic pregnancy
Peptic ulcer disease
Pelvic inflammatory
disease
Intestinal obstruction
intestinal infarction
GIT haemorrhage
Renal colic
Acute urinary retention
Abdominal aortic
aneurysm
Testicular torsion
myocardial infarction
pericarditis
pneumonia
sickle cell crisis
hepatitis
inflammatory bowel
disease
opiate withdrawal
typhoid
acute porphyria
Adenitis
Gastroenteritis
CausesSurgical Non surgical
According to the
site
according to site of pain
according to site of pain
according to site of pain
according to site of pain
according to site of pain
according to site of pain
according to site of pain
according to site of pain
according to site of pain
according to site of pain
according to site of pain
Assessment:
History
Initial impression/observation
Examination
- ARRIVAL
- FACE
- POSITION
Initial impression/observation
History
Demographic details
Pain
Associated symptoms
medical and surgical
- CONSCIOUSNESS
- VITAL SIGN
- INSPECTION
- AUSCULTATION
- PERCUSSION
- PALPATION
- FURTHER EXAMINATION
Examination
 NPO
 O2 %100
 Intravenous fluids
 nasogastric (NG) tube
 Analgesia
 Antibiotics
 Antiemetic
 Call the senior
 Admit
- emergency department care
 Blood sugar
 CBC
 Urine analysis
 Pregnancy test
 Blood culture
 ECG
 Radiography
 Laparoscopy
Investigation
 Hypotension
 Confusion/impaired consciousness
 Signs of shock
 septic-looking
 Signs of dehydration
 Rigid abdomen
 Patient lying very still or writhing
 Absent or altered bowel sounds
 History of haematemesis/melaena
red flags
make twisting, squirming
movements of the body
Writhing meaning
Common sign in acute abdomen
 Cullen's sign
 Grey Turner's sign
 Psoas sign
 Obturator sign
 rovsing sign
 The Dunphy sign
Case 1
Case 2
Case 3
Acute Onset of Abdominal Pain in a 76-Year-Old Man
An elderly man presents with sudden-onset abdominal pain cantered in the
epigastrium that is described as deep and burning. Hyperactive bowel sounds
heard on auscultation. What is the diagnosis?
acute abdomen with sever headach in a 45-Year-Old Man
A 45-year-old man presents with severe, generalized abdominal pain. He describes acute
abdominal pain with sever headache and vision blurring ,. What's the diagnosis?
An 45-Year-Old Woman With Abdominal Pain
An 45-year-old woman presents with abdominal pain ,vomiting and constipation . She
has a history of chronic obstructive pulmonary disease, and hypertension,. What's the
diagnosis?
Acute abdomen
Acute abdomen
Acute abdomen

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Acute abdomen