1
Q
pneumoperitoneum xray; how might the patient present
A
dispeptic symtoms
abd pain
fever tachycardia hypotension
shoulder pain from irritation of phrenic nerve
2
Q
ddx for pneumoperitoneum
A
perforated peptic ulcer, perf duodenal ulcer, diverticulitis, appendix, anastamotic leak
3
Q
physical signs from someone with pneumoperitoneum
A
rigid abd
generalized tenderness
guarding
4
Q
as intern how would u prep patient for surgery with pneumoperitoneum
A
informed consent, cbc, u/e, fluid resus
5
Q
what would u look for to see if they are adequately resuscitated
A
urine output 0.5-1ml/kg/hr
