THE ACUTE ABDOMEN
THE ACUTE ABDOMEN
Mr. MOUSTAFA ABOU_ELKHEIR
Mr. MOUSTAFA ABOU_ELKHEIR
CONSULTANT SURGEON KFHU
CONSULTANT SURGEON KFHU
Anatomical consideration
Anatomical consideration

True Abdomen
True Abdomen

Thoracic part
Thoracic part

Pelvic part
Pelvic part

Retroperitoneal space
Retroperitoneal space
Clinical assessment
Clinical assessment

Initial assessment
Initial assessment

Reassessment
Reassessment
Does the patient need admission?
Does the patient need admission?
The risk factors necessitating admission are:


Guarding/rigidity
Guarding/rigidity

Tenderness/rebound
Tenderness/rebound

Tender mass
Tender mass

Tender external hernias
Tender external hernias

Absent /tingling/hyperactive bowel sounds
Absent /tingling/hyperactive bowel sounds

Rectal tenderness/mass
Rectal tenderness/mass
Investigations
Investigations

Routine investigation in patients with acute
Routine investigation in patients with acute
abdomen are:
abdomen are:CBC, urea and electrolytes, PT, PTT, Urine
CBC, urea and electrolytes, PT, PTT, Urine
analysis

IVP
IVP
Investigations
Investigations

Endoscpy
Endoscpy1. Upper GIT endoscopy
1. Upper GIT endoscopy2. Sigmoidoscopy
2. Sigmoidoscopy3. Colonoscopy
3. Colonoscopy
Investigations
Investigations

Emergency Ultrasound
Emergency Ultrasound

Emergency CT
Emergency CT

Isotope Scintiscanning
Isotope Scintiscanning