Sandbox/algo: Difference between revisions
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{{familytree/start}} | {{familytree/start}} | ||
{{familytree | | | | | | | | | A01 | | | | | |A01=Peritoneal signs, shock or toxic appearing}} | {{familytree | | | | | | | | | | | | | | A01 | | | | | |A01=Peritoneal signs, shock or toxic appearing}} | ||
{{familytree | | |,|-|-|-|-|-|-|+|-|-|-|-|-|-|.| }} | {{familytree | | | | | | | |,|-|-|-|-|-|-|+|-|-|-|-|-|-|.| }} | ||
{{familytree | | C01 | | | | | C02 | | | | | C03 | | | | | | | |C01=No|C02=No|C03=Yes}} | {{familytree | | | | | | | C01 | | | | | C02 | | | | | C03 | | | | | | | |C01=No|C02=No|C03=Yes}} | ||
{{familytree | | |!| | | | | | |!| | | | | | |!| }} | {{familytree | | | | | | | |!| | | | | | |!| | | | | | |!| }} | ||
{{familytree | | D01 | | | | | D02 | | | | | D03 |D01=Symptoms, signs, risk factors or ECG suggestive of [[acute coronary syndrome]]|D02=Symptoms, signs or risk factors suggestive of abdominal aortic aneurysm|D03=<div style="float: left; text-align: left; line-height: 150% ">❑ Initiate resuscitation <br> ❑ Obtain immediate surgical consultation <br> ❑ Perform bedside ultrasound (evaluate aorta, hemoperitoneum, pericardium and inverior vena cava) <br> ❑ Obtain indicated tests and studies (e.g. x-ray, ECG, lactate, lipase and LFTs) </div>}} | {{familytree | | | | | | | D01 | | | | | D02 | | | | | D03 |D01=Symptoms, signs, risk factors or ECG suggestive of [[acute coronary syndrome]]|D02=Symptoms, signs or risk factors suggestive of abdominal aortic aneurysm|D03=<div style="float: left; text-align: left; line-height: 150% ">❑ Initiate resuscitation <br> ❑ Obtain immediate surgical consultation <br> ❑ Perform bedside ultrasound (evaluate aorta, hemoperitoneum, pericardium and inverior vena cava) <br> ❑ Obtain indicated tests and studies (e.g. x-ray, ECG, lactate, lipase and LFTs) </div>}} | ||
{{familytree | | |!| | | | | | |!| | | | | | | | }} | {{familytree | | | | | | | |!| | | | | | |!| | | | | | | | }} | ||
{{familytree | | |!| | | | G01 |^|-| G02 | | | | | | | | |G01=No|G02=Yes}} | {{familytree | | | | | | | |!| | | | G01 |^|-| G02 | | | | | | | | |G01=No|G02=Yes}} | ||
{{familytree | | E01 | | | |!| | | | |!| | | | |E01=Appropriate management}} | {{familytree | | | | | | | E01 | | | |!| | | | |!| | | | |E01=Appropriate management}} | ||
{{familytree | | | | | | | |!| | | | F01 | | | | | | | | | | | |F01=<div style="float: left; text-align: left; line-height: 150% ">❑ Surgical consultation <br> ❑ Bedside ultrasound <br> ❑ Abdominal CT </div>}} | {{familytree | | | | | | | | | | | | |!| | | | F01 | | | | | | | | | | | |F01=<div style="float: left; text-align: left; line-height: 150% ">❑ Surgical consultation <br> ❑ Bedside ultrasound <br> ❑ Abdominal CT </div>}} | ||
{{familytree | | | | | | | H01 | | | | | | | | | | | |H01=History, examination and risk factors suggest mesentric ischemia (pain out of proportion to exam)}} | {{familytree | | | | | | | | | | | | H01 | | | | | | | | | | | |H01=History, examination and risk factors suggest mesentric ischemia (pain out of proportion to exam)}} | ||
{{familytree | | | | | |,|-|^|-|-| I01 | | | | | |I01=Yes}} | {{familytree | | | | | | | | | | |,|-|^|-|-| I01 | | | | | |I01=Yes}} | ||
{{familytree | | | | | L01 | | | | |!| | | | | | |L01=No}} | {{familytree | | | | | | | | | | L01 | | | | |!| | | | | | |L01=No}} | ||
{{familytree | | | | | |!| | | | | J01 | | | | | |J01=<div style="float: left; text-align: left; line-height: 150% ">❑ Surgical consultation <br> ❑ Abdominal CT </div>}} | {{familytree | | | | | | | | | | |!| | | | | J01 | | | | | |J01=<div style="float: left; text-align: left; line-height: 150% ">❑ Surgical consultation <br> ❑ Abdominal CT </div>}} | ||
{{familytree | | | | | K01 | | | | | | | | | | |K01=History and examination suggest bowel obstruction (diffuse tenderness with distention and persistent vomiting) '''or''' perforation (rigidity with absent bowel sounds}} | {{familytree | | | | | | | | | | K01 | | | | | | | | | | |K01=History and examination suggest bowel obstruction (diffuse tenderness with distention and persistent vomiting) '''or''' perforation (rigidity with absent bowel sounds}} | ||
{{familytree | | | | |,|^|-|-|-|-|-|-|-|-|-|-|-|-|-|.| | | | }} | {{familytree | | | | | | | | | |,|^|-|-|-|-|-|-|-|-|-|-|-|-|-|.| | | | }} | ||
{{familytree | | | | |!| | | | | | | | | | | | | | | M01 | |M01=Yes}} | {{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | M01 | |M01=Yes}} | ||
{{familytree | | | | N01 | | | | | | | | | | | | | | |!| | |N01=No}} | {{familytree | | | | | | | | | N01 | | | | | | | | | | | | | | |!| | |N01=No}} | ||
{{familytree | | | | |!| | | | | | | | | | | | | | | M02 | |M02=Abdominal x-ray series}} | {{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | M02 | |M02=Abdominal x-ray series}} | ||
{{familytree | | | | N02 | | | | | | | | | | |,|-|-|-|+|-|-|-|-|.| |N02=Where is pain localized}} | {{familytree | | | | | | | | | N02 | | | | | | | | | | |,|-|-|-|+|-|-|-|-|.| |N02=Where is pain localized}} | ||
{{familytree | |,|-|^|-|v|-|-|-|v|-|.| | | M03 | | M04 | | | M05 | | | | | |M03=Presence of free air|M04=Presence of obstruction|M05=Absent free air and absent obstruction}} | {{familytree | | | | | | |,|-|^|-|v|-|-|-|v|-|.| | | M03 | | M04 | | | M05 | | | | | |M03=Presence of free air|M04=Presence of obstruction|M05=Absent free air and absent obstruction}} | ||
{{familytree | N03 | | N04 | | N05 |!| | | |!| | | |!| | | | |!| | | | | | |N03=Epigastric or upper right quadrant tenderness|N04=Right lower quadrant tenderness|N05=Left lower quadrant tenderness}} | {{familytree | | | | | | N03 | | N04 | | N05 |!| | | |!| | | |!| | | | |!| | | | | | |N03=Epigastric or upper right quadrant tenderness|N04=Right lower quadrant tenderness|N05=Left lower quadrant tenderness}} | ||
{{familytree | | | | | | | | | | | |!| | | M06 | | M07 | | | M08 | | | | | |M06=Surgical consult|M07=Abdominal CT|M08=Abdominal CT}} | {{familytree | | | | | | | | | | | | | | | | |!| | | M06 | | M07 | | | M08 | | | | | |M06=Surgical consult|M07=Abdominal CT|M08=Abdominal CT}} | ||
{{familytree | | | | | | | | | | | N06 | | | | | | | | | | | | | | | | | | |N06=Left upper quadrant tenderness}} | {{familytree | | | | | | | | | | | | | | | | N06 | | | | | | | | | | | | | | | | | | |N06=Left upper quadrant tenderness}} | ||
{{familytree/end}} | {{familytree/end}} |
Revision as of 20:51, 4 March 2014
Peritoneal signs, shock or toxic appearing | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No | No | Yes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Symptoms, signs, risk factors or ECG suggestive of acute coronary syndrome | Symptoms, signs or risk factors suggestive of abdominal aortic aneurysm | ❑ Initiate resuscitation ❑ Obtain immediate surgical consultation ❑ Perform bedside ultrasound (evaluate aorta, hemoperitoneum, pericardium and inverior vena cava) ❑ Obtain indicated tests and studies (e.g. x-ray, ECG, lactate, lipase and LFTs) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No | Yes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Appropriate management | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
❑ Surgical consultation ❑ Bedside ultrasound ❑ Abdominal CT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
History, examination and risk factors suggest mesentric ischemia (pain out of proportion to exam) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
❑ Surgical consultation ❑ Abdominal CT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
History and examination suggest bowel obstruction (diffuse tenderness with distention and persistent vomiting) or perforation (rigidity with absent bowel sounds | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yes | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
No | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Abdominal x-ray series | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Where is pain localized | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Presence of free air | Presence of obstruction | Absent free air and absent obstruction | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Epigastric or upper right quadrant tenderness | Right lower quadrant tenderness | Left lower quadrant tenderness | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Surgical consult | Abdominal CT | Abdominal CT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Left upper quadrant tenderness | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||