acute abdomen conditions in radiology and their evaluation
acute pancreatitis, cholicystitis, pelvic pathology, mri evaluation , intra abdominal abcess, plain radiography evaluation of acute abdomen, vascular causes of acute abdomen, causes of acute abdomen.
Please find the power point on Gastric Outlet Obstruction. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
SMALL BOWEL OBSTRUCTION- GENERALISED ABDOMINAL PAIN
#surgicaleducator #epigastricabdominalpain #pepticulcerdisease #usmle #babysurgeon #surgicaltutor
• Dear Viewers,
• Greetings from “Surgical Educator”
• Today I have uploaded a video on Small Bowel Obstruction- a didactic lecture.
• It is one of the common surgical problems you see in surgical wards.
• I have discussed the various causes for Generalised Abdominal Pain, epidemiology, etiology,pathology, clinical features, investigations, and treatment of Small Bowel Obstruction.
• I have also included a mind map, diagnostic algorithm and a treatment algorithm for Small Bowel Obstruction.
• I hope the video will be very useful and you will enjoy it.
• You can watch all my surgical teaching videos in the following link:
• youtube.com/c/surgicaleducator
• Thank you for watching the video.
acute abdomen conditions in radiology and their evaluation
acute pancreatitis, cholicystitis, pelvic pathology, mri evaluation , intra abdominal abcess, plain radiography evaluation of acute abdomen, vascular causes of acute abdomen, causes of acute abdomen.
Please find the power point on Gastric Outlet Obstruction. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
SMALL BOWEL OBSTRUCTION- GENERALISED ABDOMINAL PAIN
#surgicaleducator #epigastricabdominalpain #pepticulcerdisease #usmle #babysurgeon #surgicaltutor
• Dear Viewers,
• Greetings from “Surgical Educator”
• Today I have uploaded a video on Small Bowel Obstruction- a didactic lecture.
• It is one of the common surgical problems you see in surgical wards.
• I have discussed the various causes for Generalised Abdominal Pain, epidemiology, etiology,pathology, clinical features, investigations, and treatment of Small Bowel Obstruction.
• I have also included a mind map, diagnostic algorithm and a treatment algorithm for Small Bowel Obstruction.
• I hope the video will be very useful and you will enjoy it.
• You can watch all my surgical teaching videos in the following link:
• youtube.com/c/surgicaleducator
• Thank you for watching the video.
Initially in my lectures you can see that I have talked about Approach to Pain in abdomen, now we will learn what imaging should be done and why as per case to case basis. CT or USG or X-ray !!
In these slides we will go through the surgical anatomy of the gut,pathophysiology of intestinal obstruction, clinical presentation and management. Also we will discuss specific types of intestinal obstruction.
Annular pancreas is an uncommon condition in adults.
The ring formation generally originates from the failure of
normal clockwise rotation of ventral pancreas. First
described by Tiedmann in 1818, its incidence is
1:20,000 population. It has bimodal presentation i.e is seen
either in Infants or in 4th & 5th decade of life.
2. 78 year old white female T: 99.0 P 115 R 16 BP 110/75
presents from nursing Gen: Elderly white female with
chronic debilitation, actively
home with increasing
vomiting in room.
abdominal HEENT: PERRL, NC/AT,
distention, vomiting, cra Oropharynx clear,
mping abdominal CV: mildly tachycardic, no m/r/g
pain, and 3 days of Pulm: CTAB
constipation. Pt has a Abd: abdominal distention,
decreased bowel sounds,
history of chronic diffuse TTP, hyperressonance to
constipation. percussion
Ext: 2+ pulses, no c/c/e
3.
4. What is Diagnosis?
(1) Dilated Colon >6cm
(2) Effacement of Haustrae
Peripherally located
(3) Multiple Air Fluid Levels
Large Bowel Obstruction
5. IV & IVFs
Analgesics & Antiemetics
NG decompression
Antibiotics for Gram (-) Aerobes & Anaerobes (ie.
Flagyl, Cipro, Zosyn, Clindamycin)
Surgery Consult
Admission for all LBO
Emergency Laparotomy if:
(1) Peritonitis (2) Peritoneal Free Air (3) Sepsis (4)
Cecal Distention >12cm
6. How to Differentiate Large from Small Bowel
Obstruction:
Gas in the Large Bowel is usually situated peripherally.
Gas in the small bowel is usually centrally located.
Large intestine has haustrae, which are
blunter, thicker, and do not completely transverse
intestine.
Small Intestine has valvulae conniventes that transverse
width of intestine, giving it a ribbed appearance.
Feces are only found in Large Intestine.
7. Rule of 3,6,9:
suspect obstruction if small bowel dilated >3cm; large bowel
>6cm, cecum >9cm.
Causes of LBO:
Carcinoma (60%), Diverticulitis (20%), Volvulus (10%)
8. String of Pearls Sign = obstruction
Small Bowel: air pockets trapped in valvulae of small
intestine, smaller, rounder
Large Bowel: air pockets trapped in haustra, larger, and have flat
underside
Large Small
Bowel Bowel
9. Greenberg, Michael. Greenberg’s Atlas of Emergency
Medicine.
Ginzberg, Leon. “X-Ray Diagnosis of Acute Intestinal
Instruction Without the Use of Contrast Media”
Annals of Surgery
Lifeinthefastlane.com “Abdominal X-Ray
Interpretation”
Schwartz, David. Emergency Radiology. 2000. pg 527-
529.
Tintanelli’s Emergency Medicine: A Comprehensive
Study Guide. Chapter 79 Intestinal Obstruction
