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Surgery

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Question:

How is past medical hx taken for acute abdomen?

Author: H K



Answer:

If the patient has cardiac problems and: - He is taking anticoagulants or antiplatelet ? he has a greater risk to have hemorrhage in the stomach. - He is taking anti-arrhythmias ? these increase the risk of having emboli in the stomach (mesenteric emboli and ischemia). ● If the patient has respiratory problems and he is taking corticoids or anti-inflammatory drugs ? he has a greater risk to develop peptic ulcers. ● If the patient has liver problems ? he may have esophageal or abdominal varices, collateral circulation, or caput medusa. ● If the patient is having chemotherapy ? this lowers the platelets (more risk to have hemorrhage) and the leukocytes (more risk to have primaryor secondary peritonitis)


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H K
H K