eus 0917 雲嘉月會 acute abdomen
DESCRIPTION
New ppt ~~TRANSCRIPT
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Acute Abdomen
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ACLS/AILS/NRP provider
ETTC/APLS instructor
Winfocus WBE/ULS instructor
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Acute Abdomen
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Real-time ()
2.5-3.5 MHZ Probe
Laser printer, VHS
Measurement capability
Portability ()
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V scan
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Echogenicity
Fluids
Panrechyma
Fats
Air
Calcifications
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Acoustic shadow
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Comet tail artifact
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FAST for trauma
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Pediatric Acute Abdomen
AIM - IH
A : Acute appendicitis
I : Intussusception
M : Malrotation
I : Incarcerated hernia
H : Hollow organ perforation / Hypertrophic pyloric stenosis
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Acute Abdomen
I G Get HIV
I : Inflammatory disease e.g. acute
appendicitis/cholecystitis
G : Gynecologic emergency e.g. ectopic
pregnancy, ovarian torsion
H : Hollow organ perforation
I : Ileus (Mechanical)
V : Vascular emergency e.g. AAA, ischemic colitis
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Epigastralgia
1.Heart
2.Gall bladder and biliary duct
3.Abdominal aorta
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Heart
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Acute cholecystitis
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(> 4 cm in transverse diameter)(> 3 mm)stone cystic duct Murphys sign
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Parallel channel sign
Shotgun sign
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Stones
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Pneumobilia
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Aorta
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Pancreatitis and pseudocyst
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RUQ area pain
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Liver abscess
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RLL pneumonia
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Flank pain
AAA (>50 y/o)
Bladder
Acute renal failurepost renal obstruction
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Acute renal failure
post-renal obstructive causes
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Hydronephrosis
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RLQ area pain
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Appendix
muscle
Psoas mucle
appendix
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Landmark of Appendix
Iliac crest
Psoas muscle
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Acute appendicitis
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Non-compressible
Diameter > 6mm
Appendicolith
Periappendiceal fluid
Enlarged lympth node
Ultrasound and CT scan is not for
diagnosis !! Clinical judgment
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Acute appendicitis
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Acute appendicitis
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Abscess formation
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Mimickers Mesenteric adenitis
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Mimickers Epiploic appendagitis
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Mimickers Omentum infarction
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Mimickers Rectus sheath hematoma
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Mimickers Diverticulitis
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Mimickers Terminal ilietis
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Appendiceal mucocele
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Appendix 1.5cm CT scan
TumorMucocele
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Psoas muscle abscess
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Female Pelvic pain
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GYN
1.2.3.4.
Cul-de-Sac
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Gynecologic acute abdomen
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Location of appendix
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Pelvic sagittal scan
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Pelvic transverse scan
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Intrauterine Pregnancy
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Color Doppler: Ring of Fire
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Ovarian torsion
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Corpus luteum cyst rupture
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Tubo-ovarian abscess
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Whole abdominal cramping
pain with persistent vomiting
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Intussusception
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Malrotation/Volvulus
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Incarcerated hernia
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Hypertrophic pyloric stenosis
2~4
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Antral nipple sign
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Ileus
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Mechanical ileus
ABCH
A : Adhesion
B : Bezoar
C : Cancer (tumor obstruction)
H : Hernia (incarcerated hernia/torsion/volvulus)
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Keyboard sign
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Gastric cancer +Amylase/Lipase
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Causes of A-loop syndrome
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Bisection Approximation Method
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Whole abd pain with
peritoneal sign
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Pneumoperitoneum
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Scissors Maneuver
J Clin Ultrasound 2004; 32:381-385
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Curtain sign
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Aurora / Circle / Corona sign: Gas
within wall of GI tract
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Pneumatosis intestinalis
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Portal vein gas
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Thanks for your attention !!