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Acute Abdomen 1193.e1



            Acute Abdomen
  VetBooks.ir  Body System: Cause of Acute Abdomen  Treatment    Body System: Cause of Acute Abdomen     Treatment



            Gastrointestinal Digestive System                      Obstruction (neoplasia, stricture): urethra  DS, PE
              Gastric dilation                      PS             Renal artery thrombosis               PS, PE
              Gastric dilation/volvulus             DS, DE         Renal neoplasia                       PS, PE
              Gastroduodenal ulceration             NS           Reproductive System
              Gastroduodenal perforation            DS, PE       Female
              Gastroduodenal rupture                DS, DE         Acute metritis                        PS, PE
              Gastroduodenal dehiscence             DS, DE         Pyometra                              DS, DE
              Gastroenteritis (viral, bacterial, toxic; i.e., garbage)  NS    Uterine torsion            DS, DE
              Hemorrhagic gastroenteritis           NS             Dystocia                              PS, PE
              Intestinal obstruction (foreign body, intussusception,   DS, PE    Ovarian cyst            PS, PE
              neoplasia)                                           Ovarian neoplasia                     DS, PE
              Functional intestinal obstruction; ileus  NS       Male
              Intestinal ulceration                 NS             Acute prostatitis                     NS
              Intestinal perforation                DS, DE         Prostatic abscess                     DS, PE
              Intestinal rupture                    DS, DE         Prostatic cysts                       DS, PE
              Intestinal dehiscence                 DS, DE         Prostatic neoplasia                   DS, PE
              Intestinal volvulus                   DS, DE         Testicular torsion                    DS, DE
              Cecal inversion                       DS, PE       Hematopoietic System: Spleen                         Differentials, Lists,   and Mnemonics
              Obstipation                           NS             Splenic mass (hematoma, extramedullary hematopoiesis,   DS, PE
              Colitis                               NS             neoplasia, nodular hyperplasia, abscess)
              Colonic ulceration                    NS             Splenic rupture (mass)                DS, DE
              Colonic perforation                   DS, DE         Splenic rupture (trauma)              PS, PE
              Colonic rupture                       DS, DE         Splenic torsion                       DS, DE
              Colonic dehiscence                    DS, DE       Peritoneum and Mesentery
            Hepatobiliary Digestive System                         Peritonitis: septic                   DS, DE
              Acute hepatitis (toxic, infectious)   NS             Peritonitis: chemical (bile, urine, enzymes)  PS, PE
              Hepatic abscess                       DS, PE         Parietal peritoneal trauma: blunt     NS
              Hepatic trauma                        PS, PE         Parietal peritoneal trauma: penetrating  DS, DE
              Hepatic rupture                       PS, PE         Mesenteric traction: large masses     DS, PE
              Hepatobiliary neoplasia               PS, PE         Mesenteric lymphadenopathy            PS, PE
              Biliary obstruction (calculi, neoplasia,   PS, PE    Mesenteric lymphadenitis              NS
              pancreatitis—abscess)                                Mesenteric volvulus                   DS, DE
              Biliary rupture                       DS, DE         Mesenteric avulsion                   DS, DE
              Cholecystitis                         PS, PE         Mesenteric artery thrombosis          DS, DE
              Cholangiohepatitis                    NS             Adhesions with organ entrapment: internal hernias  DS, PE
            Pancreatic Digestive System                          Abdominal Wall
              Acute pancreatitis                    NS             Trauma                                PS, PE
              Pancreatic abscess                    DS, PE         Abscess                               DS, PE
              Pancreatic neoplasia                  DS, PE         Hematoma                              PS, PE
            Urinary System                                         Strangulated hernias                  DS, DE
              Acute nephrosis (toxicosis)           NS           Extraabdominal
              Acute nephritis-pyelonephritis        NS             Intervertebral disc disease           PS, PE
              Urinary calculi: renal                PS, PE         Discospondylitis                      PS, PE
              Urinary calculi: ureteral             PS, PE         Intoxications (heavy metal)           NS
              Urinary calculi: cystic               PS, PE         Thoracic wall disease                 PS, PE
              Urinary calculi: urethral             PS, PE         Steatitis                             NS
              Trauma-avulsion-rupture (renal, ureteral, cystic, urethral)  DS, PE    Myositis            NS
              Obstruction (neoplasia, stricture): ureter  DS, PE    Hypoadrenocorticism                  NS

           DE, Definitely requires emergent surgery; DS, definitely surgical; NS, nonsurgical (urgency of medical treatment depends on specific problem and condition of the patient; some nonsurgical acute abdomen
           cases may eventually require surgery on a nonemergent basis); PE, potentially requires emergent surgery; PS, potentially surgical (some conditions designated as PE may require surgery, although not on
           an emergent basis).
           Modified from Bonagura J: Kirk’s Current veterinary therapy XIII, St. Louis, 2000, Saunders.
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