Become a member

X
Quick Registration


Full Registration Benefits -

Free Homepages for Doctors

Free Homepages for Hospitals

Free Homepages for Medical Conference

Free Homepages for NGO's

Personal Health Record Creation

Access to all Medical Slides

Access to all Jobs & Products Sale

Custom Search
Explore Medindia
 Medindia » Medical Education » Distance Education » Perforated Peptic Ulcer
 Perforated Peptic Ulcer
.Perforated Peptic Ulcer
.Differential Diagnosis
 Pharma
 CME Lessons
Perforated Peptic Ulcer

PERFORATED PEPTIC ULCER

(Frequently duodenal & at times stomach)

Section Editor : Prof. T.K. Parthasarathy

History :

  • Dramatic onset
  • Felt something giving away inside !
  • Generalised abdominal pain
  • Patient is holding on to the abdomen and is afraid to move or turn.
  • May or may not have fever.
  • Tachycardia+
  • Anxious _ uncomfortable in pain.

Finding:

Palpation : Tenderness (Severe). Rebound tenderness

Rigidity: Often described as board like rigidity. (Rather classic).

Percussion : Liver dullness is lost (Obliterated) (meaning free air in peritoneum)

Work-ups :

Chest x-ray- upright - Usual finding _ presence of free air under the diaphragm.

If clinical suspicion is high and there is no air under the diaphragm on an upright film do a lateral decubitus.



Comment & Contribute
Comments should be on the topic and should not be abusive. Comments are normally moderated and are reviewed after they are posted.
* Your comment can be maximum of 2500 characters
I agree to the terms and conditions
If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts.


Consumers
Online Consults Child Health Teen Health Men's Health Women's Health Senior Health Sexual Health Mental Health Dental Health Kidney Health
Diabetes Obesity Vision Care Diet & Nutrition Know Your Body Amazing Body Facts Health Facts Conditions by Specialties Disease FAQs Medical Humour
Medical Professionals
Health Calculators Health Videos Animation Slides Medical Aphorism Medical Conferences Jobs Journals Web Journals Open Access E-articles
Distance education Doctors Homepage Hospitals Homepage Personalize Info Matrimonial Print Oath Alumni Medical Humour Buy Medical Books Health Statistics
Medical Students
Admissions Medical Colleges Medical Electives Medical Aphorism Post Grad Courses Indian Universities USMLE Centers CGFNS Centers
FRCS in UK PLAB USMLE CGFNS Alumni MCQ Bank Medical Humour Buy Medical Books
Directories
Doctors Hospitals International Hospitals Chemists Surgical Suppliers NGOs Pharmaceuticals Medical Colleges
About us Affiliate Program Career Contact Us Content Syndication Partnership Inquires Portfolio Press Request to Use Medindia Content Sitemap Unsubscribe
Disclaimer - The contents of this site are for informational purposes only. Always seek the advice of a qualified physician for any doubts.
Advertise with us Medindia Copyright Privacy Policy Terms of Use
© All Rights Reserved 1997 - 2013