Monday, March 19, 2012

Prehospital Abdominal Assessment Part 1

     Prehospital education has classically fallen very short when it comes to an abdominal assessment.  Check all four quadrants for tenderness or rigidity and that’s about it.  We learn where the underlying organs are and then there's something about rebound tenderness for appendicitis, but if you ask any given prehospital provider about how to do a medical abdominal assessment that is about all you will get.

     What I would like to cover in this four part series is how to do a good abdominal assessment that will help you recognize the conditions requiring immediate surgical intervention, or lead to a very poor outcome for the patient if left unattended.  As I have said before I believe paramedics are experts in what will kill someone in the next 20 minutes. So let's expand upon that and talk about what serious abdominal emergencies need surgical intervention or may lead to death in the next 24 hours if not recognized and subsequently treated appropriately.  Keep in mind this assessment and discussion is outside of trauma or obstetrical emergencies. Those two areas are completely different and I believe prehospital education does a pretty good job in recognition of those types of emergencies. It's the nebulous abdominal pain we are going to discuss. By the way, abdominal pain where I work is considered a BLS emergency and may be first assessed by an EMT with no ALS training. The conditions and assessment tools I'm going to teach you in these articles are not rocket science and do not require advanced knowledge of EKGs, IVs, or pharmacology. These are standard assessment skills every prehospital provider should commit to memory.

     I plan on writing about each quadrant and also wrapping up with some general guidelines.  Let's start this in the right upper quadrant.  The medical emergencies I want to talk about in this area are cholecystitis, ascending cholangitis, and perforated duodenal ulcer. Cholecystitis is inflammation of the gall bladder. Ascending cholangitis is an infection of the bile duct and both cholecystitis and cholangitis can be caused by the presence of gall stones. A perforated duodenal ulcer can be life threatening and is a hole, most often on the anterior surface of the duodenum, that is formed which allows gastric contents to enter the abdomen.  A duodenal ulcer requires immediate surgical intervention and can lead to sepsis, profound, shock, and death if left unattended. An inflamed gall bladder may need surgical intervention and acute cholangitis can also lead to multiple organ failure, sepsis, profound shock, and death. This makes these conditions true medical emergencies and something every prehospital provider should be aware of.

     The first assessment technique I want you to add to your arsenal is checking for Murphy's sign. Murphy's sign is a maneuver used to differentiate upper right abdominal pain. It is performed by asking the patient to breathe out and then exerting pressure to the upper right quadrant just below the costal margin which is just below the bottom of the lower rib cage. Then ask the patient to take a deep breath in while keeping pressure in this location.  If the patient experiences an increase in pain this is a positive Murphy's sign and is indicative of an inflamed gall bladder.



Murphy's sign can be just as helpful if it is negative. It is usually negative in ascending cholangitis and perforated ulcers.  It is a good assessment tool to give you more information about the origin of the patient’s upper right abdominal pain. If the test is positive you should then ask the patient if they have had their gall bladder removed as this is a very common surgery. An inflamed and infected gall bladder could be the source of their URQ abdominal pain. If the test is negative you can further differentiate the origin of the pain if the patient has a fever.  

     RUQ pain with fever and negative Murphy's sign
          1) Ascending Cholangitis
          2) Perforated Duodenal Ulcer

Ascending Cholangitis
You should begin to suspect ascending cholangitis when the patient is complaining of RUQ abdominal pain and Murphy's sign is negative. Then check for fever and jaundice. Jaundice is best seen in the eyes as it may be difficult to determine with some skin tones. The patient may also present with uncontrollable shaking and uneasiness. In later stages there will be shock and an altered mental status. If you have the above clinical presentation along with hypotension and confusion then think ascending cholangitis as this is a true medical emergency. Prehospital treatment is recognition, pain management, fluids to increase the blood pressure and transport to the nearest hospital with surgical services. 

Perforated Duodenal Ulcer
You should begin to suspect a perforated duodenal ulcer when the patient is complaining of RUQ abdominal pain and Murphy's sign is negative.  Then check for a fever.  Unfortunately hypotension and high fever are late signs. The presentation is usually a sudden acute onset of epigastric pain that will quickly become generalized and may move to the RLQ.  The patient may have a history of recent surgery or previous ulcers. The abdomen may present with board-like rigidity.  Prehospital treatment is recognition, pain management, fluid in the case of hypotension, and transport to the nearest hospital with surgical services.    

We are experts in emergencies and abdominal emergencies are no exception. Just recognition of these few conditions alone can save a life. So let's begin our journey into the world of acute abdominal assessment by committing to memory Murphy's sign, cholecystitis, ascending cholangitis, and perforated duodenal ulcers.  
      
 References
Silverman, P.M. and Zeman, R. K., editors.  CT and MRI of the Liver and Biliary System, 
Contemporary Issues in CT, Vol 12, 1990.
Ros, P.R. (guest editor). Hepatic Imaging, The Radiologic Clinics of North America, 
March 1998, Vol. 36:2
Gamuts in Radiology
Nino-Murcia, M. and Jeffrey, R.B.  Imaging the Patient with Right Upper Quadrant Pain. 
Seminars in Roentgenology, Vol 36, No. 2 April 2001, pp 81-91
www.uptodate.com
Feldman: Sleisenger & Fordtran's Gastrointestinal and Liver Disease, 7th ed.
Cecil Textbook of Medicine 21st Edition
Saini, S. Imaging of the Hepatobiliary Tract.  NEJM (1997) Volume 336:1889-1894
Hill AG. Management of perforated duodenal ulcer. In: Holzheimer RG, Mannick JA, editors. Surgical Treatment: Evidence-Based and Problem-Oriented. Munich: Zuckschwerdt; 2001. 

      








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