ACUTE ABDOMEN

Clinical Diagnosis PAIN Location Upper

Abdomen
Lower
Abdome
Mid
Abdomen
Pancreatitis,Cholesystitis, PUD
Diverticulitis, TOA,Ovary Cyst
SBO
Migratory Pattern Epigastric Pain
Localised Pain
Acute app?
DIffuse peritonitis
Referred Pain
Billiary Dx:Rt Shoulder and neck
Left Diaghpramatic Abscess: Left Shoulder
Above Diagphragm: Neck/Shoulder
GIT SYMPTOMS
Parietal-Sharp and better localised
Visceral-dull and poorly localised
N, Emesis (bloody/billous)
Constipation
Change of eating
DDX
Inammation
Obstruction
Ischemia
Perforations
Raptured Abd Aorta
Hx of Hernia
Prev SBO
Urine output
Sexual Hx
Investigations
Complete Blood Count
UA
Ultrasound
LFT
Basic Metabolic panel N/V/Electrolytes/Dehydration
Amylase Pancreatitis, Perf DU, Bowel Ischemia
Jaundice, Hepatitis
Hematuria, stone
Cholesystitis, Jaundice
CT Scan Anatomic Dx, Case not Known
Decisions To operate Peritonitis
Severe/Unrelenting Pain
Intestinal Ischemic,strangulation
Pneumoperitoneum