Abdominal distension
5Fs
Fat, Fluid, Faeces, Flatus, Fetus
Acute Abdomen
MEDIC CURSES A MOP
Mesenteric Adenitis,
Enteritis,
Diverticulitis,
Ischaemic Colitis
Cholycystitis,
Ulcers,
Renal Colic,
Salphingitis,
E ctopic Pregnanc y ,
Small bowel obstruction
Appendicitis
Meckels Diverticulum,
Ovarian Cyst,
Pancreatitis
Bleeding PR
Haemorrhoidal DRAIN
Haemorrhoids,
Diverticulitis,
Radiation enteritis,
AV malformation,
Ischaemia,
Neoplasm
GI obstruction
PV D&C
Pain,
Vomiting,
Distension,
Constipation
Haematemesis
GUM BLEEDING
Gastritis,
Ulcer,
Mallory-Weiss
Biliary (Haemobilia),
Large varices,
Esophagitis,
Entero-aortic fistula,
Duodenitis,
IBD,
Neovascularisation,
Gastric carcinoma
NG tube removal post op
4Ps
Peristalsis,
Passage of flatus,
Paucity of aspirate,
Patient Peckish
Leg Ulcers
VAIN PAIN
Venous,
Arterial,
Infection (e.g. syphilis),
Neuropathic
Pressure sores,
Arthritis (e.g. RA, PAN),
Injury / IDB,
Neoplastic
Pancreatitis
GET SMASHED
Gallstones / Gravid,
Ethanol,
Trauma (incl. surgery)
Steroids,
Mumps,
Autoimune (PAN),
Scorpion bites,
Hyper-lipid / calcium / hypothermia,
ERCP,
Drugs (azothioprine, thiazide diuretics)
Ronson’s criteria for above:
ACUTELY
What A GAL
↑WCC
↑Age
↑Glu
↑AST
↑LDH
> 48 hours
FUCH BO
↑Fluid sequestered (>6L)
↑Urea (>10mmol)
↓Ca2+ (<2mmol)
↓Haematocrit (>10%)
↑Base XS (>-4)
↓O2 (<8kPa)
Prophylactic antibiotics
APPLE
Amputations,
Prosthesis,
Penetrating wounds,
Large bowel surg,
Endocarditis
Small bowel obstruction
SHAVIT
Stone,
Hernia,
Adhesions,
Volvulus,
Intussusception,
Tumour
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