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

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

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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.

Nightingale answered 1 year ago

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