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



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ACTIONS ON CHALLENGE 

  • ACTIONS ON CHALLENGE 
  • Diagnosis
  • OBLIGATORY QUESTIONS
  • At what point do you feel abdominal pain? Pain moved?
  • How long does the pain?
  • What kind of pain (constant, paroxysmal, aching, sudden, unbearable)?
  • What is best for you: lie quietly or move?
  • Since the beginning of what you associate pain (the error in the diet, past infectious diseases, etc.)?
  • Did you vomit (how many times and how)? Has the nature of the chair? Increased if the temperature?
  • Did you have such attacks earlier (with cholelithiasis, chronic pancreatitis, and kidney stones pain attacks recur)?

What operations you have had in the past (post-surgical scars, adhesive disease, hernia increases the risk of strangulation intestinal obstruction)?

  • What operations you have had in the past (post-surgical scars, adhesive disease, hernia increases the risk of strangulation intestinal obstruction)?
  • What diseases you are suffering (for cardiovascular disease, hypertension, atrial fibrillation may be ischemia of the intestine, aortic dissection, aortic aneurysm rupture, thrombosis, with gallstone disease - obstructive pancreatitis)?
  • How much alcohol do you drink a day (with alcohol abuse and possibly exacerbation of chronic pancreatitis, hepatitis, cirrhosis of the liver)?
  • In women of reproductive age should be collected gynecological history: when was the last menstrual period (to be confirmed presence or possibility of pregnancy)?
  • Painful menstruation is (a common symptom of endometriosis)?
  • There was a sharp pain in the middle of the menstrual cycle (ovulation suggests)?
  • Acute abdominal pain - a subjective feeling that the doctor must be properly interpreted.
  • 1. Start: sudden slow gradual delayed
  • 2. Intensity: strong, moderate
  • 3. Dynamics: subsided, the growth, the changing nature
  • 4. Character: constant cramping (colic)
  • 5. Depth: deep, surface
  • 6. Dependence from movements of physiological functions, from food intake
  • 7. Location: in a particular area of ​​the abdomen, diffuse, out of the stomach
  • 8. Stability: Stable, migration
  • 9. Irradiation: the segmental type, reflected the pain in the affected organs previously
  • Pharmacological  anamnesis: glyukortikosteroidy, unstereoid anti inflammatory means, alcohol, thiazide diuretics, pentamidine, azathioprine, sulfonamides, barbiturates

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