Professional Documents
Culture Documents
Acute Abdomen
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
5. Surgery laparostomy