Question

Explain six queries referring physician would have made of patient in arriving at the diagnosis of pneumoperitoneum.

Answer 1

Six queries referring physician made before arriving at Diagnosis of pneumoperitoneum are-

• Are you having any Shoulder tip or Abdominal pain?
• Do you have Any Acidity Problem?
• Any history or trauma or fall?
• Do have any History Of Constipation(Bowel Obstruction) from 2-3 days ?
• Any history of Previous Abdominal Surgery?
• Do you take Steroids ?

Query 1-because As Pain in Shoulder is Due to phrenic nerve irritation and abdominal pain is due to Abdominal ditension

Query 2- Because Acidity Problem is asked because it can cause Duodenal and peptic Ulcer which is the most common cause of perforation

Query 3- Because Trauma can cause intestine to perforate and cause pneumoperitoneum.

Query 4 because History Of Constipation lead to Excess build up of Intestinal pressure and lead to perforation.

Query 5- Because if patient has any previous surgery the suture can Open if not healed and can lead to pneumoperitoneum.

Query 6- because Steroid Predisposes Intestine to various Infections and can lead to peritonitis and pneumoperitoneum.