Acute abdomen

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Averil Tam
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Averil Tam
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Pregunta Respuesta
1. TRUE/FALSE? a) Pneumonia may present with acute pain abdomen. True
1. TRUE/FALSE? b) Testicular torsion almost never presents with abdominal pain False. Testicular torsion may present with central abdominal pain and hence the testes should be examined in all cases of pain abdomen.
1. TRUE/FALSE? c) Acute appendicitis is less common in very young children and has a gradual onset. False. Acute appendicitis is less common in young children (peak age at presentation being 14 years), however when it does occur, acute appendicitis can progress rapidly (over hours) in young children as compared to older children and adolescents.
1. TRUE/FALSE? d) A normal X-ray abdomen helps to rule out acute appendicitis as does a normal abdominal ultrasound. False. X-Ray and ultrasound findings may be normal in early stages of appendicitis and are not helpful in making a diagnosis of the same. An ultrasound may however be of use in terms of ruling out other abdominal pathology.
2. TRUE/FALSE? a) A CT scan of the abdomen is a sensitive test for diagnosing acute appendicitis. True. Although not often utilised in Australia.
2. TRUE/FALSE? b) A normal white cell count rules out acute appendicitis. False. While an elevated white cell count may increase the suspicion of acute appendicitis, a normal white cell count does not rule out the possibility of the same (low sensitivity).
2. TRUE/FALSE? c) Abdominal pain at the end of micturition is suggestive of acute appendicitis. True
2. TRUE/FALSE? d) In acute appendicitis, there may be pain on extension at the right hip joint. True
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