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GI system, image, image, image, image, image, image, image, image, image -…

- - - - tenderness to deep palpation over
        McBurney’s point
      - Rebound tenderness
      - มีอาการปวดรอบๆสะดือย้ายไปที่ RLQ
      - เบื่ออาหาร ,อาเจียน
    - - NPO, given IVF, and preoperative antibiotics
      - Appendectomy is the standard of care
  - - - Low grade fever.
      - Murphy’s sign.
      - Mild jaundice.
    - - -IV ,ATB ,Cholecystectomy
  - - - • Intermittent, Crampy Abdominal Pain
      - • Nausea / Emesis
      - • Distension
      - • Peristaltic Rushes on Auscultation
      - • Focal Tenderness
      - • Diffuse Peritonitis
    - - IVF
      - • NGT
      - • Operation
        
        • Emergently if signs of
        peritonitis / perforation
        
        • Prep bowel if possible
  - - - Sepsis (Fever, tachycardia, low BP), Jaundice.
      - Unwell, pain, jaundice, dark urine, pale stools
    - - • Intravenous antibiotics
      - • Endoscopic Retrograde CholangioPancreatogram
  - - - Variable – None to Sepsis
        (Fever, tachycardia, low BP),Jaundice,
      - Severe central abdominal pain radiating to back, vomiting
    - - Supportive
  - - - H. Pylori
        
        Medications: Triple
        therapy for 14 days
      - Not H. Pylori
        
        Medications :treat with Proton Pump Inhibitors or H2 receptor antagonists to assist ulcer healing
    - - Pain:gnawing, aching, or burning
      - Epigastric tenderness
      - nausea, vomiting & weight loss more common with Gastric ulcers