Acute Abdomen

Summary

Are you looking for a comprehensive course about acute abdominal conditions that provide relevant information for correct decision-making while on call? Dr. Bassem Amr, MD, FRCS, delivers an enlightening session that covers causes of abdominal pain and shock, the common presentations of peritonitis case scenarios, intestinal obstructions, and medical illnesses. The course also provides a useful overview of four possible management strategies – immediate surgery, optimization before surgery, conservative treatments, and discharge or referral. Learn to diagnose and correctly deal with various abdominal emergencies, understand key indicators, avoid false positive results, and review different radiological assessments for diagnosis. The ultimate goal is to provide the best patient outcomes – operate only when necessary, avoid unnecessary delays, and ensure the most effective treatment is applied when needed. Don't miss out on this critical course that could elevate your emergency surgical skills to the next level.

Generated by MedBot

Description

Dive into the critical world of acute abdominal emergencies with our upcoming webinar. Whether you're on the front lines in the ER or refining your skills in general surgery, this session is for you

None of the planners for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Dr. Amr, faculty for this educational event, has no relevant financial relationship(s) with ineligible companies to disclose.

Learning objectives

Understand the four management options available in treating an acute abdomen.
Identify the four clinical patterns associated with abdominal pain and shock, peritonitis, intestinal obstruction, and "medical" illness.
Gain comprehensive knowledge on how to effectively manage abdominal pain, including conservative treatment and optimization for surgery or interventional radiology.
Develop skillset in accurately interpreting laboratory and radiological assessments, including CXR, AXR, Ultrasound, and CT, for acute abdominal cases.
Master strategies for achieving the best outcomes in acute abdomen cases; including determining when surgery is necessary, minimum surgery options, not delaying necessary operations and when maximal intervention is indicated.

Generated by MedBot

Similar communities

View all

Similar events and on demand videos

Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

The Acute Abdomen Approach for Your On call Bassem Amr MD, FRCSAcute Abdomen • Abdominal pain, short duration, urgent decision • The most common presentation for acute surgical assessmentManagement Menu & Clinical Patterns  Four Possible Management Options  Four Clinical Patterns“Surgery Now”‘Let me optimize you’Let’s be conservative!Discharge/ ReferralClinical Patterns • Abdominal pain and shock • Peritonitis (Generalized Vs. Localised) • Intestinal obstruction • “Medical” illnessAbdominal pain and Shock • The most dramatic and the least common Rupture AAA Rupture Ectopic pregnancy • Immediate SurgeryPeritonitis Generalized Localized Free Perforation Cholecystitis Ulcer Appendicitis Colon Diverticulitis Appendix PancreatitisGeneralized Peritonitis • Conservative Management management options • Optimization then surgery/IRIntestinal Obstruction • Abdominal pain •Distention • Vomiting •ConstipationManagement Options ➢Conservative treatment ➢Optimization then surgery/IR(Stent) Pitfalls with Small Bowel Obstruction • SBO in elderly lady with obesity and no previous surgical history ➢Incarcerated femoral hernia • Elderly patient with “Simple” adhesive small bowel obstruction improves on conservative treatment ➢Right colon tumour • bowel obstruction “resolves &recurs”small ➢ Gallstone ileusMedical Causes • Inferior MI • Lower Lobe Pneumonia • Diabetic KetoacidosisInvestigations •Laboratory Assessment •Radiological AssessmentLaboratory Assessment • Routine labs” are of minimal value. • The more non-indicated tests the more false positive results are obtained • High WCC, CRP denotes an inflammatory response • LFTs: acute cholecystitis or cholangitis . • Urea and electrolytes: Bowel obstruction, renal failureRadiological Assessment •CXR •AXR •USS •CTChest X-Ray (CXR) •Aim Free air under the diaphragmAbdominal X-Ray Aim: • Abnormal gas pattern • Abnormal opacities • No obvious abnormalityAXR Abnormal Gas AXR Abnormal GasAbnormal opacityAbdominal CT • Avoiding surgery • Alternative percutaneous treatment (IR) • Dictate the optimal incision & approachThe key for best outcomes • Operate only when necessary • Do the minimum possible • Do not delay a necessary operation • Do the maximum when indicatedHow to get in touch