Sandbox: Fatima: Difference between revisions
Jump to navigation
Jump to search
| Line 61: | Line 61: | ||
! colspan="1" | Primary Peritonitis | ! colspan="1" | Primary Peritonitis | ||
| colspan="1" rowspan="1" | Spontateous Bacterial Peritonitis | | colspan="1" rowspan="1" | Spontateous Bacterial Peritonitis | ||
| | |||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 69: | Line 73: | ||
! colspan="1" rowspan="7" | Secondary Peritonitis | ! colspan="1" rowspan="7" | Secondary Peritonitis | ||
| colspan="1" rowspan="1" | Perforated gastric and duodenal ulcer || || || || | | colspan="1" rowspan="1" | Perforated gastric and duodenal ulcer || || || || | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
|- | |- | ||
| colspan="1" rowspan="1" | Acute Cholangitis || || || || | | colspan="1" rowspan="1" | Acute Cholangitis || || || || | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
|- | |- | ||
| colspan="1" rowspan="1" | Acute Cholecystitis || || || || | | colspan="1" rowspan="1" | Acute Cholecystitis || || || || | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
|- | |- | ||
| colspan="1" rowspan="1" | Acute Pancreatitis || || || || | | colspan="1" rowspan="1" | Acute Pancreatitis || || || || | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
|- | |- | ||
| colspan="1" rowspan="1" | Acute Appendicitis || || || || | | colspan="1" rowspan="1" | Acute Appendicitis || || || || | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
|- | |- | ||
| colspan="1" rowspan="1" | Acute Diverticulitis || || || || | | colspan="1" rowspan="1" | Acute Diverticulitis || || || || | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
|- | |- | ||
| colspan="1" rowspan="1" | Acute Salphingitis || || || || | | colspan="1" rowspan="1" | Acute Salphingitis || || || || | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 98: | Line 123: | ||
! colspan="2" rowspan="4" | Hollow Viscous Obstruction | ! colspan="2" rowspan="4" | Hollow Viscous Obstruction | ||
| colspan="1" rowspan="1" |Small Intestine obstruction | | colspan="1" rowspan="1" |Small Intestine obstruction | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 106: | Line 134: | ||
|- | |- | ||
|Volvulus | |Volvulus | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 114: | Line 145: | ||
|- | |- | ||
|Biliary Colic | |Biliary Colic | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 122: | Line 156: | ||
|- | |- | ||
|Renal Colic | |Renal Colic | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 132: | Line 169: | ||
! rowspan="2" |Ischemic causes | ! rowspan="2" |Ischemic causes | ||
|Mesentric Ischemia | |Mesentric Ischemia | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 140: | Line 180: | ||
|- | |- | ||
|Acute Ischemic Colitis | |Acute Ischemic Colitis | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 149: | Line 192: | ||
! rowspan="2" |Hemorrhagic causes | ! rowspan="2" |Hemorrhagic causes | ||
|Ruptured Abdominal Aortic Aneurysm | |Ruptured Abdominal Aortic Aneurysm | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 157: | Line 203: | ||
|- | |- | ||
|Intraabdominal or Retroperitoneal Hemorrhage | |Intraabdominal or Retroperitoneal Hemorrhage | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 167: | Line 216: | ||
! rowspan="2" |Ovarian Cyst Complications | ! rowspan="2" |Ovarian Cyst Complications | ||
|Torsion of the Cyst | |Torsion of the Cyst | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 175: | Line 227: | ||
|- | |- | ||
|Cyst Rupture | |Cyst Rupture | ||
| | |||
| | |||
| | | | ||
| | | | ||
| Line 184: | Line 238: | ||
!Pregnancy | !Pregnancy | ||
|Ruptured Ectopic Pregnancy | |Ruptured Ectopic Pregnancy | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
Revision as of 20:43, 15 February 2017
Sputum Analysis
| Sputum Analysis | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Acid Fast Stain | Culture on Sabourad's medium | Direct Microscopic Examination | Gentain Voilet Stain | Aerobic Culture | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Tuberculosis | Yeast and Fungi | Actinomyces and other mycelia of Fungi | Fusiform Bacteria and Spirochetes | Pyogenic organsims | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
DD
| Rhinitis | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Positive Skin Prick or RAST | Negative Skin Prick or RAST | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Allergic Rhinitis | Non Allergic | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Infectious | Vasomotor | Gustatory | Nonallergic eosinophilic rhinitis syndrome (NARES) | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Acute Rhinosinisitis | Chronic Rhinosinusitis | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Approach
| Diagnostic Paracentesis ❑ Perform ascitic fluid cell count and differential ❑ Perform ascitic fluid culture (Inoculated at bedside) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| PMN ≥ 250cells/mm³ | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| If YES ❑ Presumptive SBP ❑ Begin empiric antibiotic therapy(eg:Cefotaxime 2g IV q8H and ❑ IV Albumin on day 1 & day 3 IF serum creatinine 1mg/dl, BUN > 30mg/dl or total albumin > 4mg/dl | IF NO ❑ Look for the signs/symptoms of Infection | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Is Culture Positive ? | Absent Symptoms ❑ Is Culture Positive? | Symptoms Present ❑ Begin Empiric Antibiotic Therapy for SBP | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Negative Culture ❑ Complete 5 day Antibiotic Course | Confirmed SBP ❑ Narrow the spectrum based on the susceptibility to complete the 5 day course | Culture Negative ❑ No Antibiotics indicated | Culture Positive ❑ Bacterascites: Repeat diagnostic paracentesis when the culture growth is discovered | ||||||||||||||||||||||||||||||||||||||||||||||||||
Diagnostic Paracentesis
| Classification of acute abdomen based on etiology | Presentation | Symptoms | Signs | Diagnosis | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Fever | Abdominal Pain | Jaundice | Rigidity | Rebound Tenderness | Bowel sounds | Lab Findings | Imaging Findings | Additional Findings | |||
| Common causes of Peritonitis | Primary Peritonitis | Spontateous Bacterial Peritonitis | |||||||||
| Secondary Peritonitis | Perforated gastric and duodenal ulcer | ||||||||||
| Acute Cholangitis | |||||||||||
| Acute Cholecystitis | |||||||||||
| Acute Pancreatitis | |||||||||||
| Acute Appendicitis | |||||||||||
| Acute Diverticulitis | |||||||||||
| Acute Salphingitis | |||||||||||
| Hollow Viscous Obstruction | Small Intestine obstruction | ||||||||||
| Volvulus | |||||||||||
| Biliary Colic | |||||||||||
| Renal Colic | |||||||||||
| Vascular Disorders | Ischemic causes | Mesentric Ischemia | |||||||||
| Acute Ischemic Colitis | |||||||||||
| Hemorrhagic causes | Ruptured Abdominal Aortic Aneurysm | ||||||||||
| Intraabdominal or Retroperitoneal Hemorrhage | |||||||||||
| Gynaecological Causes | Ovarian Cyst Complications | Torsion of the Cyst | |||||||||
| Cyst Rupture | |||||||||||
| Pregnancy | Ruptured Ectopic Pregnancy | ||||||||||