Question:
What are indications for urgent surgery in acute abdomen?
Author: H KAnswer:
A. Physical Findings: a. Abdominal guarding and increasing rigidity b. Localized tenderness with signs of peritonitis c. Tender abdomen or rectal mass with high fever (there's an abscess) d. Rectal bleeding with shock and acidosis e. Septicemia with nothing showing , marked leukocytosis, mental changes,abdominal pain f. Abdominal pain and bleeding (Hematocrit decreases) g. Suspected ischemia (patient comes with abdominal pain and rectorrhagia) h. Deterioration on conservative treatment
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