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Posted: 3/10/2016 2:38:45 PM EDT
I've always understood it to mean a surgical abdomen. Of course, there are medical causes of acute abdominal pain but usually when someone refers to an acute abdomen they are talking the surgical causes.
Amiright? Any recent articles on the topic are appreciated or any textbook chapters. I will post up one or two and I am able over the next few weeks. |
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Posted: 3/10/2016 3:13:43 PM EDT
[#1]
Originally Posted By EvanWilliams:
I've always understood it to mean a surgical abdomen. Of course, there are medical causes of acute abdominal pain but usually when someone refers to an acute abdomen they are talking the surgical causes. Amiright? Any recent articles on the topic are appreciated or any textbook chapters. I will post up one or two and I am able over the next few weeks. yes. they need surgery |
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Posted: 3/10/2016 7:04:58 PM EDT
[#2]
I concur.
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Posted: 3/11/2016 4:36:38 PM EDT
[#3]
Yea ive always heard acute ABD as needs surgery, and hot ABD means bleeding, which is also surgery lol
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Posted: 3/11/2016 8:06:50 PM EDT
[Last Edit: AGW]
[#4]
I've always thought it referred to undifferentiated pt with a cc of acute onset abd pain. Emphasis on undifferentiated. Then it becomes a surgical abdomen, an upper or lower GI bleed, gastritis, etc.
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Posted: 4/25/2016 11:22:23 PM EDT
[#5]
Quote HistoryOriginally Posted By AGW:
I've always thought it referred to undifferentiated pt with a cc of acute onset abd pain. Emphasis on undifferentiated. Then it becomes a surgical abdomen, an upper or lower GI bleed, gastritis, etc. This is the most correct. It is acute abdominal pain. The problem is, people in surgery and anesthesia use it almost interchangeably with surgical abdomen. |
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Posted: 4/26/2016 1:00:40 AM EDT
[#6]
Quote HistoryOriginally Posted By EvanWilliams: This is the most correct. It is acute abdominal pain. The problem is, people in surgery and anesthesia use it almost interchangeably with surgical abdomen. Quote HistoryOriginally Posted By EvanWilliams: Originally Posted By AGW: I've always thought it referred to undifferentiated pt with a cc of acute onset abd pain. Emphasis on undifferentiated. Then it becomes a surgical abdomen, an upper or lower GI bleed, gastritis, etc. This is the most correct. It is acute abdominal pain. The problem is, people in surgery and anesthesia use it almost interchangeably with surgical abdomen. In fairness to you, 100% of emergent surgical abdomens are "acute abdomens", but not 100% of acute abdomens are surgical. |
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Posted: 4/26/2016 11:01:41 AM EDT
[#7]
I see acute abdomen and surgical abdomen as being essentially synonymous.
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Posted: 4/26/2016 11:52:19 PM EDT
[#8]
Quote HistoryOriginally Posted By Justa_TXguy:
I see acute abdomen and surgical abdomen as being essentially synonymous. That's the way many of us use it but AGW is right on. Acute abdominal pain is just that. A subset of them will be surgical, some will be medical (crack belly, sickle cell) some will be no one knows what in the world and goes home after work up. |
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Posted: 4/28/2016 3:00:11 PM EDT
[#9]
Acute belly/abdomen = peritonitis
And that is, in fact, a surgical abdomen. Ask any surgeon. |
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Posted: 4/28/2016 3:41:30 PM EDT
[#10]
Quote HistoryOriginally Posted By TheGrayMan:
Acute belly/abdomen = peritonitis And that is, in fact, a surgical abdomen. Ask any surgeon. Ask any surgeon? LOL |
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Posted: 4/28/2016 3:54:48 PM EDT
[#11]
Quote HistoryOriginally Posted By j0hn:
Ask any surgeon? LOL Quote HistoryOriginally Posted By j0hn:
Originally Posted By TheGrayMan:
Acute belly/abdomen = peritonitis And that is, in fact, a surgical abdomen. Ask any surgeon. Ask any surgeon? LOL Is that all? You may be unaware that this isn't GD, so let me put some f'in knowledge in here. This is a tech forum. Either have something worthwhile to say or leave. If you say "this patient has an acute belly" or "an acute abdomen" to any general surgeon, he knows EXACTLY what that means. |
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Posted: 5/1/2016 8:21:11 PM EDT
[#12]
Quote HistoryOriginally Posted By TheGrayMan:
Acute belly/abdomen = peritonitis And that is, in fact, a surgical abdomen. Ask any surgeon. OK, let's roll with Acute abdomen is that abdominal pain with signs of peritoneal irritation Rebound etc Thst is the commit usage for sure. It seems I'm conflating acute abdomen with acute abdominal pain Now, acute abdominal pain is for sure not always surgical in nature. Thanks for rep,ies Keep em coming I'm learning. 
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Posted: 5/1/2016 8:22:35 PM EDT
[#13]
Quote HistoryOriginally Posted By j0hn:
Ask any surgeon? LOL Quote HistoryOriginally Posted By j0hn:
Originally Posted By TheGrayMan:
Acute belly/abdomen = peritonitis And that is, in fact, a surgical abdomen. Ask any surgeon. Ask any surgeon? LOL In the tech forums we don't generally aim for the edgy response We all forget sometimes |
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Posted: 5/1/2016 10:23:42 PM EDT
[#14]
Quote HistoryOriginally Posted By EvanWilliams:
OK, let's roll with Acute abdomen is that abdominal pain with signs of peritoneal irritation Rebound etc Thst is the commit usage for sure. It seems I'm conflating acute abdomen with acute abdominal pain Now, acute abdominal pain is for sure not always surgical in nature. Thanks for rep,ies Keep em coming I'm learning.
Quote HistoryOriginally Posted By EvanWilliams:
Originally Posted By TheGrayMan:
Acute belly/abdomen = peritonitis And that is, in fact, a surgical abdomen. Ask any surgeon. OK, let's roll with Acute abdomen is that abdominal pain with signs of peritoneal irritation Rebound etc Thst is the commit usage for sure. It seems I'm conflating acute abdomen with acute abdominal pain Now, acute abdominal pain is for sure not always surgical in nature. Thanks for rep,ies Keep em coming I'm learning.
You've got it right. |
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Posted: 5/8/2016 9:43:59 AM EDT
[#15]
Quote HistoryOriginally Posted By EvanWilliams:
That's the way many of us use it but AGW is right on. Acute abdominal pain is just that. A subset of them will be surgical, some will be medical (crack belly, sickle cell) some will be no one knows what in the world and goes home after work up. Quote HistoryOriginally Posted By EvanWilliams:
Originally Posted By Justa_TXguy:
I see acute abdomen and surgical abdomen as being essentially synonymous. That's the way many of us use it but AGW is right on. Acute abdominal pain is just that. A subset of them will be surgical, some will be medical (crack belly, sickle cell) some will be no one knows what in the world and goes home after work up. The last of those was one I experienced. We were camping, and I spent the night awake. The only position of comfort was curled up, resting on elbows and knees. It wasn't transient gas pain, and wasn't like any degree of abdominal pain I'd had before. Guarding, point & rebound, some flank aching... I was convinced it was a kidney stone, gallbladder, or appendix, as it persisted and worsened for 6-8 hours. Finally, the next morning, I swallowed my pride and went to the ER. Labs were stone cold normal. The urinalysis was also normal - no blood, no pus. The ER doc and I decided to just treat it conservatively, not run through any imaging, shrug at the cause, and see if it happened again. |
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Posted: 5/8/2016 6:04:03 PM EDT
[#16]
Quote HistoryOriginally Posted By Azygos:
The last of those was one I experienced. We were camping, and I spent the night awake. The only position of comfort was curled up, resting on elbows and knees. It wasn't transient gas pain, and wasn't like any degree of abdominal pain I'd had before. Guarding, point & rebound, some flank aching... I was convinced it was a kidney stone, gallbladder, or appendix, as it persisted and worsened for 6-8 hours. Finally, the next morning, I swallowed my pride and went to the ER. Labs were stone cold normal. The urinalysis was also normal - no blood, no pus. The ER doc and I decided to just treat it conservatively, not run through any imaging, shrug at the cause, and see if it happened again. Quote HistoryOriginally Posted By Azygos:
Originally Posted By EvanWilliams:
Originally Posted By Justa_TXguy:
I see acute abdomen and surgical abdomen as being essentially synonymous. That's the way many of us use it but AGW is right on. Acute abdominal pain is just that. A subset of them will be surgical, some will be medical (crack belly, sickle cell) some will be no one knows what in the world and goes home after work up. The last of those was one I experienced. We were camping, and I spent the night awake. The only position of comfort was curled up, resting on elbows and knees. It wasn't transient gas pain, and wasn't like any degree of abdominal pain I'd had before. Guarding, point & rebound, some flank aching... I was convinced it was a kidney stone, gallbladder, or appendix, as it persisted and worsened for 6-8 hours. Finally, the next morning, I swallowed my pride and went to the ER. Labs were stone cold normal. The urinalysis was also normal - no blood, no pus. The ER doc and I decided to just treat it conservatively, not run through any imaging, shrug at the cause, and see if it happened again. Interesting. |
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Posted: 5/8/2016 10:32:05 PM EDT
[#17]
Quote HistoryOriginally Posted By EvanWilliams:
Interesting. Quote HistoryOriginally Posted By EvanWilliams:
Originally Posted By Azygos:
The last of those was one I experienced. We were camping, and I spent the night awake. The only position of comfort was curled up, resting on elbows and knees. It wasn't transient gas pain, and wasn't like any degree of abdominal pain I'd had before. Guarding, point & rebound, some flank aching... I was convinced it was a kidney stone, gallbladder, or appendix, as it persisted and worsened for 6-8 hours. Finally, the next morning, I swallowed my pride and went to the ER. Labs were stone cold normal. The urinalysis was also normal - no blood, no pus. The ER doc and I decided to just treat it conservatively, not run through any imaging, shrug at the cause, and see if it happened again. Interesting. Best guess was some weird presentation of mesenteric lymphadenitis. |
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Posted: 6/4/2016 8:58:59 PM EDT
[#18]
Well, I turned in my educational paper on the acute abdomen. It's being edited and prettied up.
Nurses have varied backgrounds. For some, it may not be informative, for others, it might teach them a thing or two. These people aren't diagnosing, so focused more on event recognition and avoiding aspiration and fluid management in the perioperative period. I'll let y'all know how it turns out. |
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