Monthly Archives: March 2008


Plain abdominal films “Four views of the abdomen” (acute abdomen series) includes a upright PA chest, plain abdominal film (“flat plate”), upright film, and a left lateral decubitus view of the abdomen. Bowel obstruction Small bowel obstruction may cause multiple

Laboratory evaluation

Rectal and pelvic examination Digital examination of the rectum may detect cancer, fecal impaction, or pelvic appendicitis. Stool should be checked for gross or occult blood. Pelvic examination. Vaginal discharge should be noted and cultured. Masses and tenderness should be

Medications. Physical examination

Nonsteroidal anti-inflammatory drugs predispose to peptic ulcer disease. Antibiotic therapy may obscure the signs of peritonitis. Patients with abdominal pain and diarrhea who have received antibiotics may have pseudomembranous colitis. Anticoagulants. Warfarin therapy predisposes to retroperitoneal or intramural intestinal hemorrhage