[Differential diagnosis of acute abdominal pain].
نویسنده
چکیده
Ruptured AAA •Elderly •Severe generalised abdominal pain •Back pain •Reduced GCS/collapse •Shock •Peritonitis •Expansile mass •USS abdomen if freely available •CT only if stable •Don’t delay theatre •Aim for permissive hypotension (SBP ̴100) •Activate ‘massive haemorrhage protocol’ e.g. 10U •Urgent open repair (/ EVAR if stable) Appendicitis •Young patient •Periumbilical pain initially •Moves to RIF •Anorexia, nausea •Tender RIF •Worse at McBurney’s point •Guarding/local peritonitis •Rovsing’s +ve Clinical diagnosis •USS abdo/pelvis if gynae differentials •Inflammatory markers: raised •Urine βHCG: rule out ectopic •Appendicectomy
منابع مشابه
Epiploic Appendagitis: A Rare Disease with a Common Symptom
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ورودعنوان ژورنال:
- Terapevticheskii arkhiv
دوره 60 7 شماره
صفحات -
تاریخ انتشار 1988