8/7/2019 A 55 Yrs Old Business Woman is Seen by the Acute Care Surgeon for Diffuse Peritonitis

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A 55 yrs old business woman is seen by the acute care surgeon for diffuse peritonitis. She is diaphoretic

and hemodynamically labile. The patient stated that the onset of the sharp abdominal pain was abrupt

and occurred 24 hrs ago. Which of the following is the management Approach of choice?

1. Celiotomy2. MRI3. CT scan4. Laproscopy5. Antimicrobial Therapy therapy & Intensive care unit monitoring

50 Year Old patient undergoing TVP Operation with General Anesthesia (with intubation) lost 2 pints of

Blood. Anesthetist started transfusion of whole blood. After few minutes bleeding started from Incision

site. Blood pressure dropped to 80/40 mm of Hg within 1 minute.

1. What is your diagnosis? __________________________________2. What Immediate step you would advice?__________________________3. How will you treat it further?____________________________________

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A 62 Year old male presents to emergency dept with generalized abdominal pain and distension. He

reports increasing constipation for the past 2 months with occasional fresh blood mixed with stool. On

Examination he has no abdominal scar with moderate distension. He is also tender in Right Iliac Fossa

with no signs of peritoneal irritation. Colon is markedly dilated on plain X ray Abdomen with no small

bowel loops seen.

1. What is the most probable diagnosis?____________________________2. What further Investigation would you like to do?___________________3.

An 80 yrs old lady undergoes laparotomy for a perforated duodenal ulcer that she developed from

NSAIDs ingestion for rheumatoid arthritis. On 6th

day of surgery she developed pyrexia of 101 F. she is

tender in the right upper quadrant of the abdomen. Coarse crackles are heard on the right lung base.

1. What is the most likely diagnosis?2. What further investigation will help in diagnosis?3. How will you treat this condition?4. How to prevent this condition?

8/7/2019 A 55 Yrs Old Business Woman is Seen by the Acute Care Surgeon for Diffuse Peritonitis

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Q# A patient had a hemicolectomy, a few days later present with nausea, vomiting. Abdomen

was tender no bowel movements.

What is the SINGLE most likely electrolyte abnormality?

8/7/2019 A 55 Yrs Old Business Woman is Seen by the Acute Care Surgeon for Diffuse Peritonitis

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Staion No______________

1. What is the name of this investigation?_____________2. What are the positive findings?_________________3. What is the likely diagnosis?_________________4. What are the indications of this investigation?_______________5. How to confirm the diagnosis?____________________6. How will you treat it?_____________________7. What are the complication of this investigation?__________________8. What are complications of this disease?____________________