The following question is usually come in the practical exam, & I hope that you reply your answers

Q/ What are the Medical ( non-surgical ) conditions that are presented with Acute Abdomen ??


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Ahmed A. Al-Jubouri

1.diabetic keto acidosis
2.acute porphyria
3.sickle crisis
4.pneumonia
5.herpes zooster


that is what i can remember i hope you can add the others
thanx for the nice topic


Farah Baha

i know basal pneumonia, MI and mid cycle pain in females

thnx Ahmad for ur great topics regarding medical stuff

Dear farah r u sure from: acute porphyria, herpes zooster ( which usually have dematomal distribution of the pain), pneumonia??

I will add acute pancreatitis and of course DKA is the most imp. regarding DM patients....


waiting the answer from you DAD ahmad, ok??

thanks ahmed for ur wonderful topics,
as i remember : basal pneumonia
pancreatitis
DKA


that is what i'm sure of
take care all

ali

Dear Dr.leo
I'm 100% sure of what i wrote ..... by the way i do not post only thinks am sure about .

if you are still not convinced you can check it in Browse



peace
Farah Baha

Dear Stagers and Doctors

I'm so pleased by what I've seen here... really wonderful job

Now we have the following topics:

*A question
*X-ray
*ECG
*What id the Dx?

So let's keep these topics alive and so organized and if needed we can add a new topic for discussing cases...In such way we can find things in their right position...

Great thanks for Ahmed and for you all

Thanx alot dear doctors for your replies ..
Dr. Farah, your answer was very correct & accurate ..
I'll add some other conditions :

1- Diabetic Keto-Acidosis ( DKA ) ..
2- Inferior Wall Myocardial Infarction ..
3- Hypocalcemia ..
4- Sickle-Cell Crises ..
5- Pancreatitis ..
6- Acute Porphyria ..
7- Herpes Zooster Infection ..
8- Basal Pneumonia ..

* The first three condions are the most common medical conditions that are presented with Acute Abdomen ..

* Pancreatitis is considered as a Medical case of Acute Abdomen in the beginning, then it may considered as a Surgical case of Acute Abdomen ..

* The others are rare causes of Medical Acute Abdomen; but it can occur ..


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Ahmed A. Al-Jubouri

What are the Indication for Dialysis in Acute Renal Failure ?


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Ahmed A. Al-Jubouri

Dear hereunder some of what I can remember,

1. Hyperkalemia.
2. Metabolic Acidosis.
3. Fluid overload.
4. Uremic Pericarditis.
5. Asprin toxicity.


sorry mate but those all I can recall.

hi

i think its ..

1-serum urea more than 180 mg \d, and creatininemore than 8mg \d
2-hyperkalemia
3-metabolic acidosis
4-fluid overload
5-uraemic pericarditis(uncommon in ARF)

thats all i remember


thanx.

hi Ahmed u started a new trent here, cool

so the answer is:
persistent hyperkalemia > 5.5 mmol/L
persistent uremia
persistent fluid overload
uremic pericarditis
uremic encephalopathy

if there's hyperkalemia then we wouldn't do dialysis at once, we would start treating it 1st (ca gluconate, insulin, salbutamol, ca resonium) and only if it persists then we do dialysis.

You are quite true Dr. Mobic & Dr. Hammodi ..

Indications for Dialysis in Acute Renal Failure are :
1- Persistant Hyperkalemia ( K+ > 6 mmol/l ) ..
2- Severe or worsening metabolic acidosis ( PH < 7.2 ) ..
3- Refractory pulmonary edema ..
4- Uremic encephalopathy ..
5- Uremic pericarditis ..

I hope our STAGERS participate in solving these caese ..


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Ahmed A. Al-Jubouri

Thanks alot dr. A7mad for those great topics

i remember other indications(donnu if i'm right or not )..
1- congestive heart failure
2- as prophylaxis when blood urea>150 mg/dl