Upper abdominal pain and hypovolemic shock in pregnancy

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Abdominal Pain during Pregnancy

بیشتر زنان حامله بدلیل تغییرات معده و روده در دوران حاملگی دچار دردشکم می شوند. انتظار می رود که تهوع، سوزش سردل و یبوست وجود داشته باشد و بعنوان رویدادهای مشخصی دوران حاملگی در نظر گرفته شوند. دردهای شکمی می توانند بدخیم و مشکل ساز باشند. درد پهلو با بالای شکم می تواند نشان دهنده آپاندیسیت یا کله سیستیت که دو علت شایع برای عمل جراحی شکم در زنان حامله می باشند با نشان دهنده اتساع بیش از حد حال...

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Abdominal pain in pregnancy.

A21-year-old female presented to the emergency department (ED) with lower abdominal pain, which had started suddenly during urination. She noted at the time of onset that she felt hot and pre-syncopal. In the ED, she described the pain as “a stitch” and rated its severity as 6/10. It was constant in nature, with no aggravating or relieving factors. Her menstrual flow had started a day earlier a...

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Hypovolemic shock and resuscitation.

Hypovolemic shock is the manifestation of hypoperfusion from inadequate intravascular volume resulting in cellular hypoxia. Early, effective treatment tailored to the individual patient will minimize morbidity and mortality. The causes and end-organ responses can differ with each patient, requiring an understanding of the underlying physiology and pathophysiology. Treatment always consists of o...

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Abdominal pain during pregnancy.

Numerous medical, surgical, psychiatric, gynecologic, and obstetric disorders can cause abdominal pain during pregnancy. The patient history, physical examination, laboratory data, and radiologic findings usually provide the diagnosis. The pregnant woman has physiologic alterations that affect the clinical presentation, including atypical normative laboratory values. Abdominal ultrasound is gen...

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Hypovolemic shock resuscitation.

Several changes in the way patients with hemorrhagic shock are resuscitated have occurred over the past decades, including permissive hypotension, minimal crystalloid resuscitation, earlier blood transfusion, and higher plasma and platelet-to-red cell ratios. Hemostatic adjuncts, such as tranexamic acid and prothrombin complex, and the use of new methods of assessing coagulopathy are also being...

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ژورنال

عنوان ژورنال: Journal of Acute Medicine

سال: 2013

ISSN: 2211-5587

DOI: 10.1016/j.jacme.2013.05.002