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Home ER QUIZ: Acute abdomen *solved*

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QUIZ: Acute abdomen *solved* PDF Print E-mail
Author: Gonzo
User Rating: / 6
PoorBest 
Tuesday, 27 October 2009 17:14

Case description: A 28-years old patient was admitted to emergency room with symptoms of acute abdomen. He also has a bloody stool. Besides he has gonorrhoea, which was recognized 2 days ago.

 

Questions : What was the reason? What's the treatment?
 

Comments  

 
0 #1 G.J. 2009-10-27 18:51
After reconnaissance did patient take antantibiotic?
 
 
0 #2 Gonzo 2009-10-28 15:22
he recive 1 000 000 U.I. Benzathini benzylpenicilli num i.v.
 
 
0 #3 opentany 2009-10-28 16:02
Ultrasound of abdomen, X-ray, per rectum exam, CBC, CRP levels
 
 
0 #4 Gonzo 2009-10-28 17:11
In x-ray: characteristic changes "odcisk kciuka" , in CBC considerable leucocytosis, CRP higher
 
 
0 #5 szadziu 2009-10-28 17:43
general inflammatory state cause gonorrhoea which include anus. What about swab from anus and urethra?
 
 
0 #6 Gonzo 2009-10-28 17:58
It isn't general inflammatory state caused by gonorrhoea. Swab from anus correct, in swab from urethra cultured Neisseria gonorrhoeae.
 
 
0 #7 kisia 2009-10-29 14:44
ischemic colitis -> niedokrwienne zapalenie jelita grubego??
 
 
0 #8 Gonzo 2009-10-29 15:50
No doubt. How do you think, what could lay up?
 
 
0 #9 kisia 2009-10-29 17:27
Vasculitis, sepsis ...
 
 
0 #10 Gonzo 2009-10-29 18:46
good with blood vessels but it's not a inflammation
 
 
+1 #11 szadziu 2009-10-29 19:50
coagulation?
 
 
0 #12 Gonzo 2009-10-29 20:36
[wrong or miss?]
 
 
0 #13 kisia 2009-10-29 22:46
embolus
 
 
0 #14 Gonzo 2009-10-30 00:29
embolus caused ischemic. But what is the basic reason, which caused embolus
 
 
0 #15 szadziu 2009-10-30 16:04
sepitc embolus?
 
 
0 #16 Gonzo 2009-10-30 18:54
wrong. this have connection with infection, but not this
 
 
0 #17 kisia 2009-10-30 20:37
I ask about parameters of clotting : PLT, APTT, INR and ultrasound of abdomen
 
 
0 #18 Gonzo 2009-10-31 11:00
parameters of clotting normal, in ultrasound nothing special. Before all procedure, pacient first of all should undergo an operation.
 
 
0 #19 Gonzo 2009-10-31 21:15
The reason of embolus was Nicolai syndrome. Benzathini benzylpenicilli num is crystalline penicilin and crystals precipitated and cause block of superior mesenteric artery - therefore ischemic colitis and symptoms of acute abdomen.
 
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