Chapter 18 Acute Abdominal Emergencies

50 Pages·2015·2.37 MB·English

by  Brian Fanelli

Chapter 18
Acute Abdominal Emergencies
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Anatomy
and Physiology
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Abdominal Anatomy
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Abdominal Anatomy
and Physiology
Most organs contained in the
peritoneum
Visceral peritoneum
– Covers organs
– Parietal peritoneum
– Attached to abdominal wall
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Abdomen Divided into Four
Quadrants
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Abdominal Organs
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Abdominal Quadrants
Used to describe areas of:
– Pain
– Tenderness
– Injury
– Abnormalities
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Types of Abdominal Pain
Visceral pain
Parietal pain
Tearing pain
Referred pain
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Visceral Pain
Originates from organs
No one specific area of pain
Intermittent, achy, crampy
– Often from hollow organs
Dull, persistent
– Often from solid organs
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
Parietal Pain
Originates from abdominal cavity
lining
May be irritation from internal
bleeding or infection
Sharp, constant pain
Worse with movement
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ