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ACUTE ABDOMEN

Definition An acute intra abdominal condition of abrupt onset, associated with pain and usually requiring emergency surgical intervention. Aetiology 1. Pain originating in the abdomen a. Parietal peritoneal inflammation i. ii. Bacterial contamination Chemical irritation Physical examination 1. General a. Dehydration, febrile. 2. Abdomen a. Inspection: scars distention, nausea. b. Palpation: tenderness, guarding. c. Auscultation: bowel sound 3. Pelvis examination Investigations Clinical features 1. Abdominal pain a. Constant inflamed peritoneum b. Colic hollow organ obstruction

b. Mechanical obstruction of hollow viscera i. ii. iii. iv. v. Small intestine - adhesion Large intestine- colon CA Biliary tract Ureter Uterine tube ectopic pregnancy

c. Vascular disturbances i. ii. iii. iv. Embolism or thrombosis Vascular rupture Pressure/torsion occlusion Sickle cell anemia

1. Blood count increased WBC


inflammation 2. Serum amylase pancreatitis 3. Serum electrolyte 4. Pregnancy urine test 5. X-rays Treatment / management 1. Analgesia 2. Antipyrexia 3. Antibiotic 4. IV fluid

d. Abdomen wall i. ii. Distortion or traction of mesentry Trauma or infection of muscles

e. Distension of visceral surfaces i. Hepatic/renal capsule

5. Surgery laparostomy

2. Pain referred from extra abdominal

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