{"id":577,"date":"2016-08-14T12:38:31","date_gmt":"2016-08-14T12:38:31","guid":{"rendered":"http:\/\/emedsa.org.au\/CoreMed\/?p=577"},"modified":"2016-08-14T12:38:31","modified_gmt":"2016-08-14T12:38:31","slug":"abdominal-pain-investigation","status":"publish","type":"post","link":"http:\/\/emedsa.org.au\/CoreMed\/2016\/08\/14\/abdominal-pain-investigation\/","title":{"rendered":"Abdominal Pain – Investigation"},"content":{"rendered":"

Tweet<\/a><\/p>

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Laboratory Investigation<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n
INVESTIGATION<\/b><\/td>\nINDICATION<\/b><\/td>\n<\/tr>\n
HB<\/td>\nIf bleeding suspected<\/td>\n<\/tr>\n
WCC<\/td>\nIf infection suspected<\/td>\n<\/tr>\n
EUC<\/td>\nif GI loss is prominent (e.g. vomiting and diarrhoea) or third spacing (e.g. bowel obstruction)
\nIf renal pathology suspected<\/td>\n<\/tr>\n
LFT<\/td>\nIf hepato-biliary disease is suspected<\/td>\n<\/tr>\n
Amylase \/ Lipase<\/td>\nBiliary colic
\nPancreatitis<\/td>\n<\/tr>\n
CK\/Phosphate\/Lactate<\/td>\nIf an ischaemic process is suspected e.g. mesenteric ischaemia, closed loop obstruction<\/td>\n<\/tr>\n
Calcium\/Urate<\/td>\nRenal colic
\nPancreatitis (Ca++ for Ranson’s prognostic criteria)<\/td>\n<\/tr>\n
ABG<\/td>\nIf the patient is systemically unwell or an ischaemic process is considered<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

IMAGING<\/h3>\n

An unwell patient may be too unstable for formal imaging. \u00a0Early involvement of a surgeon (for immediate laparotomy) or\u00a0ICU (for stabilisation) may be a better option.<\/p>\n\n\n\n\n\n\n\n\n
\n

IMAGING MODALITY<\/h3>\n<\/td>\n

\n

INDICATION<\/h3>\n<\/td>\n<\/tr>\n

CXR<\/td>\nPerforated viscus
\nPancreatitis (Ranson’s criteria)<\/td>\n<\/tr>\n
AXR<\/td>\nBowel obstruction (70% sensitivity)
\nRenal calculi (90% sensitivity)<\/td>\n<\/tr>\n
Upper abdominal Ultrasound<\/td>\nBiliary Colic
\nCholecystitis
\nObstructive Jaundice<\/td>\n<\/tr>\n
Pelvic Ultrasound<\/td>\nEctopic pregnancy
\nOvarian torsion
\nOvarian cyst rupture<\/td>\n<\/tr>\n
CT abdomen<\/td>\nAAA (if stable)
\nRenal calculi
\nIntrabdominal collection\/abscess<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

<\/h2>\n","protected":false},"excerpt":{"rendered":"

Tweet  Laboratory Investigation INVESTIGATION INDICATION HB If bleeding suspected WCC If infection suspected EUC if GI loss is prominent (e.g. vomiting and diarrhoea) or third spacing (e.g. bowel obstruction) If… Read more »<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","filesize_raw":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-577","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/577","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/comments?post=577"}],"version-history":[{"count":1,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/577\/revisions"}],"predecessor-version":[{"id":578,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/577\/revisions\/578"}],"wp:attachment":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/media?parent=577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/categories?post=577"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/tags?post=577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}