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Acute Abdomen - Coggle Diagram
Acute Abdomen
what it is
sudden onset of abdominal disease
requires rapid eval and intervention
examples
obstruction
perforation
torsion
peritonitis
inflammatory
bile
fluid analysis
fluid: serum bilirubin is >2:1
cytology
amorphous intra- and extracellular gold pigment
degenerate neutrophils
macrophages
urinary
renal azotemia
oliguria/anuria
progressive abdominal effusion
greater than 1:4 abdominal:serum potassium
greater than 2:1 abdominal: serum creatinine
septic
peritoneal effusion
fluid analysis
exudative
degenerate neutrophils
intracellular bacteria
fluid:serum glucose is >20:1 mg/dl
fluid: serum lactate is >2 mmol/l
ischemia
non-specific symptoms
classification of abdominal pain
visceral
C-fiber nociceptors
serosa
mucosa
hollow organs
stimuli
stretch
traction
ischemia
inflammation
spasmodic sm contraction
poorly localized
restless, writhing discomfort
somatoparietal pain
A-delta nociceptors
parietal peritoneum
pleura
muscle
skin
stimuli
inflammation
stretching
tearing
sharp, intense, localized
patient remains still
look-alikes
referred pain
spinal cord
vertebral
distention vs tense
nervous/reactive
what to do