2-004-07. Disease of abdominal organ : Decision-making General part

2-004-07. Disease of abdominal organ :  Decision-making General part
**Centent(목차) **
Constipation
Abdominal pain

l  Disease of abdominal organ

Constipation

           Constipation(IM)

                      |

           If, abdominal pain                      à abD pain protocol

           Suggest ileus

                      |

           : if, Bowel sound decrease            - R/O ileus

           abD op Hx                              

           failure of passage to flatus

                      |

           Digital rectal examination

                      |                                 not impaction – go abD pain protocol

           If, Chronic habitiual                   

                      | acute onset

           Seek & review of cause

           (lumen narrow diz

                      Crohn, UC, diverticulitis

           Systemic diz

                      DM, preg, hypoT, hypoK+

           Drug list review

                      Opioid, antic, antiDepress

           Old age

                      Colon Ca.(추후 대장 내시경 필요함을 꼭 설명)

Abdominal pain

Abdominal pain (IM)

                      |

           : N/V , watery diarrhea, crampy nature

           Consider, acute gastroenteritis

                      |                                                                 

           |                                            |                                 |

:consider, GS                            :consider, OB                 :consider, Uro

           |                                            |                                 |

Muscle guarding,           vaginal discharge CVAT, urinary Sx

RLQ RT                                    coitus/STD/PID Hx         

                                             Prolong LNP

           àR/O appendicitis                     à Ac. Salpingitis àureter stone

           Peforated viscus             ectopic preg, torsion       APN

           |                                            |                                 |

           |

           IM

                      cholecystitis

                      pancreatitis

                      cholangitis

                      hepatitis

                      rupture hepatic tumor

                      hepatic abscess

                      pyelonephritis

                      intestinal perforation

                      colonic diverticulitis

                      Meckel’s diverticulitis

                      IBD

           OB&GYN

                      endometritis

           GS

                      Splenic rupture

                      aortic aneurysm

                      rectus muscle perforation

                      intestinal obstruction

                      perforated peptic ulcer

RUQ pain 으로 Cholecystitis, Cholangitis등 의심시 CT

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