April 23 2022

Health Disorder Empowerment 1400H - 1500H

Course– objective - for Via Zoom
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of MANAGEMENT of
ABDOMINAL ABDOMINAL
OBSTRUCTION OBSTRUCTION.
[OVERVIEW]
Health Disorder Empowerment
Course– objective - for ROJoson PEP Talk
Fundamentals laypeople to have an
and understanding of the I have a Patient
Generalities in FUNDAMENTALS Empowerment
Medical Program in which I
and GENERALITIES in
Management like to empower the
the MEDICAL lay people or
of MANAGEMENT of patients to take
ABDOMINAL ABDOMINAL control in the
OBSTRUCTION OBSTRUCTION. management of
[OVERVIEW] their health.
 There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
 Fundamentals Contents of ABDOMINAL DISORDERS March 19, 2022
1400H - 1500H
and Generalities [OVERVIEW] Via Zoom
in Medical • What is an abdominal disorder?
Management of • What are the different types of abdominal
ABDOMINAL disorders?
OBSTRUCTION • What are the causes of abdominal disorders?
• How common are the abdominal disorders?
• Clinical diagnosis of abdominal disorders?
• Paraclinical diagnostic procedures for • Abdominal Pain
abdominal disorders? • Abdominal Mass
• Basic treatment modalities for abdominal • Abdominal Obstruction
disorders? • Abdominal Bleeding
• Jaundice
Health Disorder Empowerment My PEP TALK today
Course– objective - for is entitled:
Fundamentals laypeople to have an Fundamentals and
and Generalities in
understanding of the
Generalities in Medical
FUNDAMENTALS
Management of
Medical and GENERALITIES in ABDOMINAL
Management the MEDICAL OBSTRUCTION [AN
of MANAGEMENT of OVERVIEW]. This is
ABDOMINAL ABDOMINAL part of the Health
OBSTRUCTION OBSTRUCTION. Disorder Course.
[OVERVIEW]
 Definition of Terms in Title AND Delimitation of
Fundamentals
Coverage of Talk:
and Generalities
in Medical
Fundamentals – simplest and essential facts and
Management of
theories which can serve as a basis or foundation
ABDOMINAL
and support for advanced information
OBSTRUCTION
Generalities – general statements of info, not
covering specifics and details

Medical Management – diagnosis and treatment

by physicians
 Fundamentals Contents of PEP TALK on ABDOMINAL
and Generalities OBSTRUCTION
in Medical • What is an abdominal obstruction?
Management of • What are the different types of abdominal
ABDOMINAL obstruction?
OBSTRUCTION • What are the causes of abdominal obstruction?
• How common are the abdominal obstruction?
• Clinical diagnosis of abdominal obstruction?
• Paraclinical diagnostic procedures for
abdominal obstruction?
• Basic treatment modalities for abdominal
obstruction?
 • What is an abdominal OBSTRUCTION?
Fundamentals
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
 • What is an abdominal OBSTRUCTION?
Fundamentals
and Generalities
• Obstruction means “barado”.
in Medical
• Obstruction means there is a block or blockage
Management of
that impedes or prevents passage of
ABDOMINAL
substances (foods / fluids - water, bile, urine)
OBSTRUCTION
to pass through a usual passage way such as
the gastrointestinal tract, biliary tree, urinary
tract, etc.
 • What are the different types of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
 • What are the different types of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
• GASTROINTESTINAL TRACT OBSTRUCTION
Management of
• BILIARY TRACT OBSTRUCTION
ABDOMINAL
• URINARY TRACT OBSTRUCTION
OBSTRUCTION
 • What are the different types of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
• GASTROINTESTINAL TRACT OBSTRUCTION
Management of
• BILIARY TRACT OBSTRUCTION
ABDOMINAL
• URINARY TRACT OBSTRUCTION
OBSTRUCTION
 • What are the different types of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
• GASTROINTESTINAL TRACT OBSTRUCTION
Management of
• BILIARY TRACT OBSTRUCTION
ABDOMINAL
• URINARY TRACT OBSTRUCTION
OBSTRUCTION
 • What are the different types of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
• GASTROINTESTINAL TRACT OBSTRUCTION
Management of
• BILIARY TRACT OBSTRUCTION
ABDOMINAL
• URINARY TRACT OBSTRUCTION
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • TUMOR
Management of • Cancer
ABDOMINAL • Non-cancer
OBSTRUCTION • STONES
• ADHESIONS
• INTUSSUSCEPTION
• VOLVULUS
• STRICTURE
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
• General causes and relative frequency in the
in Medical
various tracts
Management of
ABDOMINAL General Causes GASTROINTESTINAL T. BILIARY T. URINARY T.
OBSTRUCTION
TUMORS √√√√√ √ √√√
ADHESIONS √√√√ √ √
INTUSSUSCEPTION √√√ X X
VOLVULUS √√ X X
STONES √ √√√√√ √√√√
STRICTURES √ √√ √√
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • TUMOR causing GASTROINTESTINAL TRACT
Management of obstruction
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • TUMOR causing BILIARY TRACT obstruction
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • TUMOR causing URINARY TRACT obstruction
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • STONES causing BILIARY TRACT obstruction
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • STONES causing URINARY TRACT obstruction
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • ADHESIONS
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal One segment of
Fundamentals
OBSTRUCTION? intestine “telescopes”
and Generalities
in Medical inside of another,
• INTUSSUSCEPTION causing an intestinal
Management of
ABDOMINAL obstruction (blockage)
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • VOLVULUS
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • STRICTURE IN BILE DUCTS
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical • STRICTURE IN URETER
Management of
ABDOMINAL
OBSTRUCTION
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
• General causes and relative frequency in the
in Medical
various tracts
Management of
ABDOMINAL General Causes GASTROINTESTINAL T. BILIARY T. URINARY T.
OBSTRUCTION
TUMORS √√√√√ √ √√√
ADHESIONS √√√√ √ √
INTUSSUSCEPTION √√√ X X
VOLVULUS √√ X X
STONES √ √√√√√ √√√√
STRICTURES √ √√ √√
 • How common are the abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
 • How common are the abdominal
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
Management of COMMON – VERY COMMON IN
ABDOMINAL
OBSTRUCTION
LIFE – but no definite data in PH
• Gastrointestinal tract
obstruction (probably – most
common)
• Biliary tract obstruction (2nd)
• Urinary tract obstruction (3rd)
 • What are the causes of abdominal
Fundamentals
OBSTRUCTION?
and Generalities
• General causes and relative frequency in the
in Medical
various tracts
Management of
ABDOMINAL General Causes GASTROINTESTINAL T. BILIARY T. URINARY T.
OBSTRUCTION
TUMORS √√√√√ √ √√√
ADHESIONS √√√√ √ √
INTUSSUSCEPTION √√√ X X
VOLVULUS √√ X X
STONES √ √√√√√ √√√√
STRICTURES √ √√ √√
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities Starting point in evaluation: patient has
in Medical unpleasant sensation in the abdomen or
Management of pain. No history of trauma.
ABDOMINAL
OBSTRUCTION
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities TIPS:
in Medical
Management of BASIC EVALUATION METHODS:
ABDOMINAL
OBSTRUCTION • HISTORY TAKING – TO GET SYMPTOMS
• PHYSICAL EXAMINATION – TO GET SIGNS

CLINICAL DIAGNOSIS
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities TIPS:
in Medical Basic data needed in
Management of BASIC EVALUATION METHODS: HISTORY:
ABDOMINAL • When initial
OBSTRUCTION • HISTORY TAKING – TO GET SYMPTOMS symptoms noted
• PHYSICAL EXAMINATION – TO GET SIGNS • Subsequent
course
• Associated
symptoms
CLINICAL DIAGNOSIS
 Basic data needed in
• Clinical diagnosis of abdominal OBSTRUCTION? EXAMINATION:
Fundamentals
and Generalities TIPS:
in Medical LOOK and PALPATE
Management of BASIC EVALUATION METHODS: • Look for bulge
ABDOMINAL • Look for
OBSTRUCTION • HISTORY TAKING – TO GET SYMPTOMS distention
• PHYSICAL EXAMINATION – TO GET SIGNS • Palpate for mass
• Palpate for
tenderness

CLINICAL DIAGNOSIS
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities CUES:
in Medical
Management of GASTROINTESTINAL OBSTRUCTION –
ABDOMINAL gastrointestinal symptoms – pain; vomiting;
OBSTRUCTION abdominal distention; no bowel movement

BILIARY TRACT OBSTRUCTION – jaundice; pain

URINARY TRACT OBSTRUCTION – pain; urinary

symptoms
 • Clinical diagnosis of abdominal OBSTRUCTION? Analyze further
Fundamentals
through more data
and Generalities CUES:
gathering –
in Medical
symptoms, signs
Management of GASTROINTESTINAL OBSTRUCTION –
and repeated
ABDOMINAL gastrointestinal symptoms – pain; vomiting;
questioning and
OBSTRUCTION abdominal distention; no bowel movement
physical
examination until
BILIARY TRACT OBSTRUCTION – jaundice; pain
diagnosis is quite
certain that there is
URINARY TRACT OBSTRUCTION – pain; urinary
really obstruction,
symptoms
type, and specific
cause.
 • Clinical diagnosis of abdominal disorders?
Fundamentals
and Generalities TIPS:
in Medical Look for cues for a SPECIFIC CAUSE or DISEASE DISORDER
Management of causing the ABDOMINAL OBSTRUCTION.
ABDOMINAL
OBSTRUCTION Use PATTERN RECOGNITION of a particular SPECIFIC CAUSE
disease and PREVALENCE process in those with
similar presentation of symptoms and signs.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities TIPS:
in Medical GASTROINTESTINAL OBSTRUCTION –
Management of CUES: abdominal pain, vomiting, abdominal
ABDOMINAL distention, and no bowel movement
OBSTRUCTION
• Palpate for a MASS as a possible cause and
location of obstruction
• If no MASS, consider adhesions in patients
with history of abdominal operation
• Use color of vomitus as cues for site of
obstruction – not yellow/green = stomach level
and up; yellow/green = below the stomach
 • Clinical diagnosis of abdominal disorders?
Fundamentals
and Generalities TIPS:
in Medical BILIARY TRACT OBSTRUCTION
Management of CUE: JAUNDICE - yellowing of the eyes (the white
ABDOMINAL part)
OBSTRUCTION • Palpate for a MASS in the LIVER as a possible
cause.
• If no mass, look for symptoms suggestive of,
gallbladder disease (with stones in the biliary
passage) or pancreatic tumor.
 • Clinical diagnosis of abdominal disorders?
Fundamentals
and Generalities TIPS:
in Medical URINARY TRACT OBSTRUCTION
Management of CUE: urinary disturbance, particulary, no urine
ABDOMINAL output
OBSTRUCTION • Palpate for a MASS in the flank and hypogastric
mass (pusod) as a possible cause.
• If no mass, look for symptoms suggestive of
mass or stone causing obstruction.
• Look for associated symptoms that may give
clue to urinary tract obstruction.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
CASE ILLUSTRATIONS
Starting point in evaluation: patient has
unpleasant sensation in the abdomen or
pain. No history of trauma.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals Starting point in
and Generalities Case Illustration: evaluation: patient
in Medical A patient presenting with PERSISTENT abdominal has unpleasant
Management of pain, PERSISTENT vomiting, PROGRESSIVE sensation in the
ABDOMINAL abdominal distention and PROGRESSIVE difficulty abdomen or pain.
OBSTRUCTION in bowel movement. No history of
trauma.
START THINKING OF POSSIBLE
GASTROINTESTINAL TRACT OBSTRUCTION. But it
may be due to NON-GASTROINTESTINAL TRACT
OBSTRUCTION.

CUE FOR OBSTRUCTION: PALPABLE MASS!

 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals Starting point in
and Generalities Case Illustration: evaluation: patient
in Medical MASS AS A CUE FOR GASTROINTESTINAL has unpleasant
Management of OBSTRUCTION sensation in the
ABDOMINAL abdomen or pain.
OBSTRUCTION LOCATION OF THE MASS! No history of
trauma.
EPIGASTRIC – STOMACH / PANCREAS
RUQ – STOMACH, PANCREAS, SMALL INTESTINE,
LARGE INSTESTINE
RLQ, LUQ, LLQ, PERIUMBICAL – SMALL AND
LARGE INTESTINES
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
CASE ILLUSTRATIONS
Starting point in evaluation: patient has
unpleasant sensation in the abdomen or
pain. No history of trauma.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals Starting point in
and Generalities Case Illustration: evaluation: patient
in Medical A patient presenting with jaundice. has unpleasant
Management of sensation in the
ABDOMINAL START THINKING OF BILIARY TRACT abdomen or pain.
OBSTRUCTION OBSTRUCTION. But it may be due to non- No history of
obstructive jaundice like hepatitis. trauma.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals Starting point in
and Generalities Case Illustration: evaluation: patient
in Medical A patient presenting with jaundice. has unpleasant
Management of sensation in the
ABDOMINAL START THINKING OF BILIARY TRACT abdomen or pain.
OBSTRUCTION OBSTRUCTION. Evaluate first for possible No history of
obstruction before settling for non-obstructive trauma.
cause.

CUES for biliary tract obstruction: presence of a

MASS in the right upper quadrant and history of
gallbladder stones; and colicky abdominal pain.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
CASE ILLUSTRATIONS
Starting point in evaluation: patient has
unpleasant sensation in the abdomen or
pain. No history of trauma.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals Starting point in
and Generalities Case Illustration: evaluation: patient
in Medical A male elderly patient presenting with urinary has unpleasant
Management of difficulty – small amount of urine coming out. sensation in the
ABDOMINAL abdomen or pain.
OBSTRUCTION START THINKING OF URINARY TRACT No history of
OBSTRUCTION. trauma.

• Male patient – common cause based on

prevalence – PROSTATE DISORDER / DISEASE
• Palpate the abdomen – if NO MASS – think of
PROSTATE as the most probable cause – benign
prostatic hypertrophy or prostatic cancer.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals Starting point in
and Generalities Case Illustration: evaluation: patient
in Medical A male elderly patient presenting with urinary has unpleasant
Management of difficulty – small amount of urine coming out. sensation in the
ABDOMINAL abdomen or pain.
OBSTRUCTION START THINKING OF URINARY TRACT No history of
OBSTRUCTION. trauma.

• Male patient – common cause based on

prevalence – PROSTATE DISORDER / DISEASE
• Palpate the abdomen – if there is a MASS in
the hypogastric area – think of URINARY
BLADDER CANCER as the most probable cause.
 • Clinical diagnosis of abdominal OBSTRUCTION?
Fundamentals Starting point in
and Generalities Case Illustration: evaluation: patient
in Medical A female elderly patient presenting with urinary has unpleasant
Management of difficulty – small amount of urine coming out. sensation in the
ABDOMINAL abdomen or pain.
OBSTRUCTION START THINKING OF URINARY TRACT No history of
OBSTRUCTION. trauma.

• Palpate the abdomen – if there is a MASS in

the hypogastric area – think of URINARY
BLADDER CANCER as the most probable cause.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal OBSTRUCTION?
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal OBSTRUCTION?
and Generalities
in Medical Common instrumental and laboratory diagnostic
Management of procedures for ABDOMINAL OBSTRUCTION:
ABDOMINAL
OBSTRUCTION • Imaging procedures (x-rays – plain / with
barium dye; ultrasound; CT scan; MRI; PET
scan; etc.)
• Endoscopy (upper - esophagogastroscopy /
lower – colonoscopy, sigmoidoscopy,
proctoscopy)
• Blood tests (CBC; liver function tests; tumor
markers; etc.)
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal OBSTRUCTION?
and Generalities
in Medical
Management of The foremost indication for a paraclinical
ABDOMINAL diagnostic procedure can be stated this
OBSTRUCTION way:

if you are not certain on the primary

clinical diagnosis and you need to be
certain or be more certain before
treatment, then go for a paraclinical
diagnostic procedure.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals As a rule, there is no need
abdominal OBSTRUCTION?
and Generalities for a paraclinical
in Medical diagnostic procedure if:
Management of
To decide on indication of the paraclinical
• you are quite
ABDOMINAL diagnostic procedure,
certain of your
OBSTRUCTION the physician uses two processes – primary clinical
- degree of certainty on the primary diagnosis.
clinical diagnosis and • treatment plans for
primary and
- comparison of the treatment plans for secondary
the primary and secondary clinical diagnoses are the
diagnoses. same.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal OBSTRUCTION?
and Generalities
in Medical
Competencies required of physicians managing
Management of
abdominal OBSTRUCTION:
ABDOMINAL
OBSTRUCTION • Know the uses and indications of all known
instrumental and laboratory diagnostic
procedures for abdominal OBSTRUCTION.
• Use as needed and indicated.
• Select the most cost-effective one using the
BRCA process.
• Know how to interpret the results.
 • Clinical
Paraclinical
diagnosis
diagnostic
of abdominal
procedures
pain?
for
Fundamentals
abdominal OBSTRUCTION?
and Generalities
in Medical
BRCA Process in selecting diagnostic procedures
Management of
ABDOMINAL Procedures Benefit Risk Cost Availability
OBSTRUCTION (goal – to
be more
definite on
the
diagnosis)

Option1        
Option2        
Option3        
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain?
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
Management of
ABDOMINAL
OBSTRUCTION
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain?
Fundamentals
OBSTRUCTION?
and Generalities
in Medical SPECIFIC DISEASE SURGICAL / POTENTIALLY SURGICAL / NON-SURGICAL
Management of
ABDOMINAL W
OBSTRUCTION X
Y
Z

• Surgical – outright surgical

• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain? Surgical Treatment:
Fundamentals
OBSTRUCTION? • Removable of
and Generalities
cause of
in Medical Examples of OUTRIGHT SURGICAL TREATMENT obstruction (direct
Management of • Complete intestinal obstruction causing sepsis or indirect –
ABDOMINAL or infection or may rupture bypass)
OBSTRUCTION • Complete biliary obstruction causing sepsis • Drainage of
• Complete urinary tract obstruction causing infections
sepsis and may cause serious kidney disease (abscesses)

• Surgical – outright surgical

• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain? Surgical Treatment:
Fundamentals
OBSTRUCTION? • Removable of
and Generalities
cause of
in Medical Examples of POTENTIALLY SURGICAL TREATMENT obstruction (direct
Management of in which a WATCH & WAIT stance is a better or indirect –
ABDOMINAL option and in which a medical management can bypass)
OBSTRUCTION be tried
• incomplete gastrointestinal obstruction
• Incomplete biliary obstruction
• Incomplete urinary tract obstruction
• Surgical – outright surgical
• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain? Non-Surgical
Fundamentals
OBSTRUCTION? Treatment:
and Generalities
in Medical Examples of OUTRIGHT NON-SURGICAL • Medicines
Management of TREATMENT • NO medicines
ABDOMINAL • Complete / incomplete intestinal obstruction (watchful waiting;
OBSTRUCTION • Complete / incomplete biliary obstruction natural support
• Complete / incomplete urinary tract management;
obstruction etc.)
• In which the cause cannot be operated or
removed or too risky to operate
• Surgical – outright surgical
• Non-surgical – non-surgical at all times (no OPERATION)
• Potentially surgical – surgical only when needed
 • Clinical
Basic treatment
diagnosismodalities
of abdominal
for abdominal
pain?
Fundamentals
OBSTRUCTION?
and Generalities
in Medical
BRCA Process in selecting cost-effective treatment
Management of
modality.
ABDOMINAL
OBSTRUCTION
 Fundamentals Contents of PEP TALK on ABDOMINAL
and Generalities OBSTRUCTION
in Medical • What is an abdominal obstruction?
Management of • What are the different types of abdominal Summary
ABDOMINAL obstruction? Take Away
OBSTRUCTION • What are the causes of abdominal obstruction?
• How common are the abdominal obstruction?
• Clinical diagnosis of abdominal obstruction?
• Paraclinical diagnostic procedures for
abdominal obstruction?
• Basic treatment modalities for abdominal
obstruction?
 Fundamentals Be always in touch with reliable medical Take Away in
and Generalities information on fundamentals and relation to
in Medical generalities in medical management of Patient
Management of ABDOMINAL OBSTRUCTION.
ABDOMINAL
Empowerment
OBSTRUCTION Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
medical management of ABDOMINAL
OBSTRUCTION.
Health Disorder Empowerment
Course– objective - for
Fundamentals laypeople to have an
and understanding of the
Generalities in FUNDAMENTALS
Medical and GENERALITIES in
Management the MEDICAL
of MANAGEMENT of
ABDOMINAL ABDOMINAL
OBSTRUCTION OBSTRUCTION.
[OVERVIEW]