Beruflich Dokumente
Kultur Dokumente
O- onset
P-provocation /palliation
Q- quality/quantity
R- region/radiation
S- severity/scale
T- timing/time of onset
Physical Exam
General Appearance and Vitals (sick
vs
Not sick)
Abdominal exam
-Inspection (scars, masses,
ecchymosis, distention)
-Auscultation (bowel sounds, bruits),
-Percussion (organomegaly,
dullness)
-Palpation (tenderness, guarding,
Visceral Pain
Disadvantages:
Only useful in certain conditions otherwise
low yield, difficult to position sick patients.
Radiology: Plain Films
When are they useful?
Obstruction/Ileus
Volvulus (cecal and sigmoid)
Free air
Radiopaque foreign bodies
Constipation?
Plain Films: Small bowel
obstruction
Cecal Volvulus and Sigmoid
Volvulus
Pneumoperitoneum
Iron Overdose:
Remember the
radiopaque foreign
bodies mneumonic:
BAT CHIPS:
Barium
Antihistamines
Tricyclic antidepressants
Chloral hydrate,
calcium, cocaine
Heavy metals
Iodine
Phenothiazine,
potassium
Slow-release (enteric
coated)
Radiology: Ultrasound
Advantages: Can be done at bedside,
easy to learn, repeatable, no radiation,
cheap, can be used in pregnancy,
patient does not need to leave the
department
Gallbladder disease
AAA
Hydronephrosis
Volume status
Ob/Gyn (Ectopic, IUP, Ovarian
pathology)
Appendicitis (particularly in children)
Ultrasound: Cholecystitis
Ultrasound: AAA
Ultrasound: Appendicitis
Radiology: CT
Advantages: Highly diagnostic for most
disease processes. High yield exam.
Helpful with multiple, competing
diagnoses.