History Taking, Correct Managemnet of Abdominal Problems Requires good Assessment of ?
1.Pain: Onset, Duration, Location, Type, Severity, Movement.
2.Mechanism of Injury, if any.
3.History of Problem.
4.Prior Medical History.
5.Associated Symptoms.
6.Physical Assessment.
7.Abdominal Assessment.
Internal Bleeding ?
History of Haematemesis (dark red coffe grounds in stomach,very painfull), Melaema (blood in the feaces) or Profuse PV Bleeding.
Causes.
Other types of Abdominal Illness & Injuries ?
1.Peritonitis (Infection of the lining of an Organ).
2.Appendicitis.
3.Bowel Obstruction (whats regular for that person).
4.Gallstones.
5.Blunt & Penetrating Trauma.
Managemnet of Abdominal Problems 2 ?
6.Anticipate Vomiting.
7.Treat Abdominal Injury.
8.Do not Remove Impailed Objects.
9.Do not Replace Eviscerated Organs, Cover with a Dressing (try to use a warm moist dressing with a dry 1 over the top).
Patient to be Pale/White, Waxy & Cold. Blood Pressure goes Up, Boarding (hard to the touch) & Guarding (recoils when touched), Rebound Tenderness (pain on removal of touch).
Ectopic Pregnancy 2 ?
Ectopic Pregnancy should be suspected in any woman of child bearing age who presents with the above signs, (always ask women with abdo pain if their is a chance of them being pregnant.
Abdominal Pelvic Cavity Contains which 4 Systems ?
14.Anticipate Shock.
15. Consider Entonox.
16.Get Vomit Sample, if safe to do so.
17.Reassurance for Patient/Relatives.
Kidney Stone (Renal Colic) ?
1.Cramp like pain that varies in it's intensity.
2.Stone moves down Ureter & Stretches the Wall.
3.Pain usually in the Side, Raidiating to the Groin.
4.Often with Nausea & Vomiting.
