Diagnostic and emergency assistance to the syndrome of "acute abdomen"


Possible complications. Development of intestinal obstruction and peritonitis



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Possible complications. Development of intestinal obstruction and peritonitis.

  • Possible complications. Development of intestinal obstruction and peritonitis.
  • Differential diagnosis. Inguinal and femoral hernia must be differentiated with lymphadenitis and by thrombosis of the great saphenous hip vein under rural arch, with irreducible hernia.

ACTIONS ON CHALLENGE

  • ACTIONS ON CHALLENGE
  • DIAGNOSIS
  • INSPECTION AND PHYSICAL EXAMINATION
  • Assessment of general condition and vital signs: consciousness, breathing and circulation.
  • Measurement of heart rate and heart rate, blood pressure measurement.
  • Visual observation of the presence of a hernia.
  • Palpation: stress and pain in the hernial protrusion.
  • Identifying symptoms of strangulated hernia:
  • - Previously free managing a hernial protrusion stops to manage; - Negative symptom cough shock.
  • Assessment of symptoms of irritation of the peritoneum (the muscle tension and a positive symptom-SHCHetkina Bljumberga - increased pain at the time of abrupt withdrawal produces pressure arm).

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