acuteabdomensurgicalstudentssocietyof…急性腹部外科学会…学习教案

1、会计学1acuteabdomensurgicalstudentssocietyof急性腹部外科学会急性腹部外科学会第1页/共42页第2页/共42页第3页/共42页第4页/共42页第5页/共42页第6页/共42页第7页/共42页第8页/共42页General appearance and vital signsInspection and palpationBedside testsRectal, testicular and pelvicAuscultation第9页/共42页第10页/共42页第11页/共42页第12页/共42页第13页/共42页DiagnosticPancreatic en

2、zymes, cardiac enzymesUS, CT, MRCPAngiographyLaparoscopyMSUSupportiveX-rayLFTsLactate, PO4WCC, neutrophilspH, ketonesAssociatedUEC, CMPPreoperativeGrp and HoldSeverity and PrognosisCRP, plateletsClotting, albuminCTCriteria第14页/共42页第15页/共42页第16页/共42页Resuscitative cascadeAirway, breathing, circulation

3、General measuresAnalgesia, antiemesisNBM, IV fluidsNGT, IDCSerial examinationsSpecific measuresAntibiotics, image-guided drainageOpen surgery, laparoscopic-assistedERCPAngiographic interventionSigmoidoscopic decompression第17页/共42页第18页/共42页What is the difference between an incarcerated vs. obstructed

4、 vs. strangulated hernia?第19页/共42页第20页/共42页第21页/共42页1.Hepatitis serology2.Upper abdominal ultrasound3.Full blood examination4.ERCP5.Liver biopsyWhat would be your clinical concern if he was febrile? What eponymous triad wouldthat constitute?第22页/共42页第23页/共42页第24页/共42页第25页/共42页第26页/共42页第27页/共42页How w

5、ould you explain the low serum bicarbonate?第28页/共42页第29页/共42页第30页/共42页A.Erect abdominal X-rayB.Full blood examinationC.Liver function testsD.Serum lipaseE.Upper G.I. endoscopy第31页/共42页第32页/共42页第33页/共42页A.CT kidney, ureter and bladderB.Ultrasound renal tractC.24-hour urinary calcium excretionD.Plain X-ray kidney, ureter and bladderE.Mid-stream urine for phase microscopyWhat is phase microscopy designed to look for?第34页/共42页第35页/共42页第36页/共