Please enable JavaScript.
Coggle requires JavaScript to display documents.
acute right lower abdominal pain - Coggle Diagram
acute right lower abdominal pain
red flags and important points
fever
high grade,with associated nausea and vomitting
acute localised pain
asked socarts site ,onset,aggrevating ,reliving and causative factors,radiation
young patient
vomitting
diarrohea,constipation
similar episodes in past
focused examination
inspection
any swelling ,redness,trauma marks,visible peristalsis
auscultation)
listen for bowel sounds
percussion
for fluid thrill,dullness
palpation
rebound tenderness(rosving,s sign)tenderness at Mcburneys point,obtiurator,posas, test
palpate scortal and femoral region
diagnos[s
other diffrentials
femoral or inguinal hernia
testicular torsion
gas or intestinal obstruction
diverticulitis
IBD
IBS
ureteric stone
appendicitis
Managment
appendicitis
take vitals
send investigations
cbc,stool,urine test,usg
assess patients alvarado score
if less than 4and no finding on usg do conservative managment
pain killer, antibiotics followup after 6-12 hrs
if score is 4-7 do usg if normal conservative tm and do ct scan as well if ct normal then conservative if ct shows finding thenrefer to surgeon
if score 5-10 refer to surgical department
ureteric stone
take vitals
send labs
RFTS, electrolytes,
cbc,urine test
KUB,USG,Intravenous pyelography
stone confirmed
