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GI system Common disease and initial management, นางสาวเอื้ออังกูร…

- - - - Subacute onset
      - Acute or sudden onset
- - - - Rovsing’s sing, McBurney’s, Rebound tenderness
    - - Appendectomy is the standard of care
      - Patients should be NPO, given IVF, and preoperative antibiotics
  - - - Murphy’s sign
      - Mild jaundice
      - Low grade fever
      - Stools that contain fat
    - - IV ATB
      - Cholecystectomy
  - - - Severe central abdominal pain radiating to back, vomiting
    - - Variable – None to Sepsis (Fever, tachycardia, low BP), Jaundice,
    - - Bloods – CBC, LFT, Amylase
      - Ultrasound of abdomen
      - CT Pancreas
  - - - Stool for fecal occult blood
      - H. Pylori
        
        Medications: Triple therapy for 14 days is considered the treatment of choice
  - - - Intermittent, Crampy Abdominal Pain
      - Nausea / Emesis
    - - IVF
      - NGT
      - Operation
- - - - Aspirin (ASA)
      - Non-steroidal antiinflammatory drug ( N-SAID)
      - Selective COX- 2 inhibitor (Clelcoxib, Rofecoxib)
      - Alcohol
      - Steroid
    - - Hemodynamic assessment : BP, pulse, posturalchanges, peripheral perfusion
      - NG tube
      - CBC,Blood sugar, BUN, Cr, electrolyte ,PT, PTT, BT, LFT
      - Group match
  - - - Sx. , IV ATB , IVF
    - - Film AAS