#AKI

Simple Summary

#AUR

Simple Summary

#Acute_appendicitis

Presentation:

Periumblical pain in early appendicitis then right iliac pain Loclized ill defined in character increased with cough inspiration associated with nausea vomiting and FHMA

Examination:

Palpate the abdomen
Tenderness rebound tenderness guarding rigidity
Crossed tenderness ( rovsing sign )
+ve obturator sign
+ve psoas sign

Investigation:

CBC ( leukocytosis )
U/C
CT

NEVER FORGET TO EXCLUDE THE OTHER DIFFERENTIAL DIAGNOSIS OF ACUTE ABDMINEN

Management:

First First First manage the pain with analgesics and PPI if you sure about appendicitis

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ان شاء لله الموضوع جاي هنتنقاش في
Most common differencial diagnosis of abdominal pain

#Note
Old age come with hx of NSAID for along time make renal function test

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#Fits

First of all be sure that true fits or pseudo fits
By hx

After that search for the cause
Epilepsy
Or
Chest cardiac renal liver brain
Metabolic
Then

Vitals
RBS for hypoglycemic coma
Temperature
Then

Investigation
CT brain or chest
Full lab

Treatment
Neuril
Valium
Dormicum
Tirtam

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ومتنساش ديماً
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#Hypertensive_crisis 🤕

Above 180 / 110
First exclude end organ damage on brain [ stroke , hypertensive encephalopathy, brain edema ]
Eye [ papliedema , sub conjuctivial hemorrhage ]
Chest [ MI , Pulmonary edema , Aortic dissection ]
Kidney [ AKI ]

Hypertensive emergency mean end organ damage
Hypertensive urgency mean no end organ damage

Investigation :
According to the complication

Treatment:
Hypertensive emergency refer to ICU
Hypertensive urgency capton 25 sublingual every 30 minutes up to 3 doses ( 75 )
Then nitroderm patch 5

#Hypotension
90 / 60

Differential :
Vasovagal attack
Anemia
Postural hypotension
Cardiac
Bleeding
Vomiting
Diarrhea

Treatment :
Saline 500
Then take midodrin or corsore
Or vascon tab
3 times per day every 8 h for two weeks