The ACUTE ABDOMEN

Posted by e-Medical PPT Tuesday, July 6, 2010
The ACUTE ABDOMEN refers to a sudden, severe abdominal pain that is less than 24 hours in duration. It is in many cases a medical emergency, requiring urgent and specific diagnosis. Several causes need surgical treatment.
Possible Causes of Pain by Location
Right upper quadrant(liver, kidney, gallbladder)- Acute cholecystitis, biliary colic, acute hepatitis, duodenal ulcer, right lower lobe pneumonia
Right lower quadrant(ascending colon, appendix, ovary, fallopian tube)- Appendicitis, cecal diverticulitis, ectopic pregnancy, tubo-ovarian abcess, ruptured ovarian cyst, ovarian torsion
Left upper quadrant(pancreas, spleen, kidney)- Gastritis, acute pancreatitis, splenic pathology, left lower lobe pneumonia
Left lower quadrant(sigmoid and descending colon, ovary, fallopian tube)-
Diverticulitis, ectopic pregnancy, tubo-ovarian abcess, ruptured ovarian cyst, ovarian torsion
Midline or periumbilical - Appendicitis (early), gastroenteritis, mesenteric lymphadenitis, pacreatitis
Flank - Abdominal aortic aneurysm, renal colic, pyelonephritis
Front to back - Acute pancreatitis, ruptured abdominal aortic aneurysm, retrocecal appendicitis, posterior duodenal ulcer
Suprapubic or lower abdominal - Ectopic pregnancy, mittelschmerz, ruptured ovarian cyst, pelvic inflammatory disease, endometriosis, urinary tract infection

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