acute abdomen

Description

Mind Map on acute abdomen, created by yasmin alkhatib on 11/03/2018.
yasmin alkhatib
Mind Map by yasmin alkhatib, updated more than 1 year ago
yasmin alkhatib
Created by yasmin alkhatib over 6 years ago
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Resource summary

acute abdomen
  1. Rapid onset of severe symptoms within 24 h
      1. acute pancreatitis
        1. sudden inflammation of the pancreas that may be mild or life threatening but usually subsides
          1. anatomy of pancreas
            1. location
              1. epigastrium, LUQ
              2. parts
                1. blood supply
                  1. veinous drainage
                    1. soft, lobulated elongated gland
                    2. physiology of pancreas
                      1. exocrine
                        1. Stimulated by chyme in the upper part of the small intestine
                          1. secretes pancreatic enzymes
                            1. like protease, lipase and amylase
                        2. endocrine
                          1. Islets of Langerhans
                            1. Secretion of hormones directly into the blood
                              1. secrete insulin
                            2. phasesof pancreatic secretion
                              1. Cephalic phase
                                1. Gastric Phase
                                  1. Intestinal Phase
                                2. epidemiology
                                  1. 4.9 to 35 per 100,000 population
                                  2. causes
                                    1. Alcoholism
                                      1. Gallstones
                                        1. Abdominal surgery
                                          1. Certain medications
                                            1. Cigarette smoking
                                              1. Cystic fibrosis
                                                1. Infection
                                                2. pathogenesis
                                                  1. sings and symptoms
                                                    1. Fever
                                                      1. Nausea, vomiting
                                                        1. Sever, knife like midepigastric pain
                                                          1. Radiates to the back
                                                            1. Cullen sign
                                                              1. Grey- turner sign
                                                              2. Investigations
                                                                1. ERCP
                                                                  1. blood tests
                                                                    1. pancreatic enzymes
                                                                      1. stool tests
                                                                        1. transabdominal ultrasound
                                                                        2. Management
                                                                          1. Fluid resuscitation.
                                                                            1. NG tube is inserted to empty the stomach
                                                                              1. Parenteral alimentation
                                                                                1. Pain management
                                                                                  1. surgery
                                                                                  2. complications
                                                                                    1. Pancreatic necrosis
                                                                                      1. Pancreatic abscess
                                                                                        1. hemorrhage
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