Intra Abdominal Infection Puns

Is FAST chosen over CT when the patient is hemodynamically stable or unstable? I am seeing two cards with opposite information from Anking Step 2 Deck V4, so I was quite confused. Am I missing something here? I am attaching screenshots of two cards I am confused about. I would appreciate your response.

https://ibb.co/vztGwFg

https://ibb.co/2yPWrp8

Howdy, 24 Female 5’3 140lbs Canada here. Non smoker. Drink approx. 1ce every 6 months. Caucasian.

Current meds: synthroid 225mcg, buscopan, raberprazole sodium 20mg

First time posting in this subreddit. Family doctor in my province has provided minimal assistance in this and I am at a loss of what route to take and where to seek help.

In 2017 I had to get an emergency bowel resection due to a car accident. After the fact, I developed an abscess from said surgery. I had this Intra-abdominal abscess from Oct 2017-May 2018 during which time I lost 40lbs, was dizzy as all hell daily, went tachycardic whenever I stood up, couldn’t take care of myself, super nauseous all the time, fatigued, etc etc. Blood pressure stayed normal though! I basically had most of if not all of the symptoms that a bad Intra-abdominal abscess can cause.

Dec’17 got an abscess washout (pardon me, don’t know the correct terminology For that procedure) that was unsuccessful.

I was on antibiotics during this entire time. IV and oral.

In May 2018 I had to get another bowel resection and get the infection sucked out again and had a temporary ileostomy in place until Nov 2018. I was declared abscess free at the end of June 2018.

Since this time of severe sickness in my life, I am more or less functional except I will have episodes in which I get all of the symptoms that I had during that time of sickness. The dizziness, tachycardia, fatigue, etc. all but the stomach pain I also had then during active infection. I’ve also developed a random light sensitivity/get occasional blurred vision. Perhaps unrelated.

These symptoms also always flare up during my period. I have seen a gastroenterologist who has tested levels of inflammation but there is nothing of note in my intestines that can medically treated, though I’ve done a round of Rifaxamin and had a Peptin fecal test (? I think that’s what it’s called). I currently take probiotics daily, follow an anti inflammatory diet, use psyllium husk, and take buscopan.

I am curious if it is somehow possible that there is a little morsel of infected cells somewhere inside of me that somehow get activated every now and again. Or if my abdomen has an imprint of what it went through before and causes my body to have strange physical flashbacks of some sort.

Any help or leads would be great. I’ve had an increase in these episodes recently and it’s becoming more concerning to me, and I’m curious if there is a specialist that may be able to hel

Recently, I stumble across Squat university post on how Tian Tao is an example of breathing correctly while squatting. It makes me realize I been bracing my core wrong...

How would you practice bracing your core without lifting any weights just to see how it feels like?

Btw I love the reddit community...

Sup my dudes, Ive got some really important infomation. Watch this video https://youtu.be/DpuvZaavlVY

Basically I bet nobody here has ever massaged the abdominals and their tissues that insert into the core from the side of their ribs etc, this whole core matrix needs to have equal and optimal tension for you to look and move well. Remember form and function go hand in hand, it’s all about being secure for your nervous system to express itself. If u have a bulging guy but ur not fat it’s cos u got tight abs imo. Pls start looking at diagrams of the inner thigh and glutes and pelvis, it will allow for a lot more freedom up above. Also some ppl report pp chron late when they work out and it’s cos they are throwing their intra abdominal pressure off, never releasing. All good tho.

Don’t look in the mirror too much if it’s causing pain, the same way u don’t gawk at somone om the street, it’s about respect and respecting primal instincts and the nervous system and potential chakra algorithms, so respect yourself, be logical but also move off of feels and you should get results.

A reverse kegel is simply a relaxation or stretch of the pelvic floor muscles. People tend to do kegels in any position and then a routine of reverse kegels to help stretch and lengthen the pelvic floor. If you’re in a position like a deep squat this naturally increases Intra abdominal pressure and lengthens the pelvic floor muscles, essentially it’s a reverse kegel. If you were to do kegels in this position you’re only contracting an already lengthened pelvic floor and lower the chance of pelvic floor dysfunction like hypertonic pelvic floor from doing too many kegels?

I don’t have a hypertonic pelvic floor or anything like that but seems like people laying down in a supine position doing kegels is a recipe for disaster as they’re already in a shortened position.

I was diagnosed with distal transverse/splenic flexure (upper left quadrant) diverticulitis just over 3 weeks ago. Symptoms improved but started to come back after I finished my first 10 days of Augmentin. Since it had helped with symptoms it was decided to do a second 10 days of the Augmentin to try and get rid of any lingering infection. 2 days before I finished that second round I noticed a slight tenderness in my upper right abdomen. That progressed to severe pain the next day as well as a lump I could feel. Today I'm in the doctor's office and they think I have an abscess that is at least 10cm. But since it is on the other side they are not sure if it is related to the diverticulitis. In currently waiting on imaging to find out if I need emergency surgery. Has anyone else had something like this?

I was doing my hollow-body holds the other day and realised I was using intra-abdominal pressure (when you lock in breath to stabilise the core) to assist. I tried to breathe normally during my remaining sets to rely solely on my abs and the exercise became much more difficult.

I've never read any advice on whether IAP should be used or not, but I guess I've always done it.

While deadlifting you want to create intra-abdominal pressure in order to use your abs to brace your core. This cue is taught sometimes by just getting people to press their abs against a belt. Do you want this same kind of ab activation while rowing?

So I've hired a coach for some body composition stuff outside of powerlifting and he's stating that intra-abdominal pressure can be maintained while still breathing in and out, in my mind this is impossible considering the diaphragm needs to push against the abdominal wall in order to create this stability?

Not sure if I'm posting in the right sub but hoping someone might know the answer to this.

I'm a bit of a chest/shallow breather and the only time I breathe properly from the diaphragm is after doing cardio. This diaphragm breathing only lasts for like 30 mins/1 hour after exercise.

I do cardio and exercise 5 times a week so I'm by no means unfit or lazy. I've also tried things like meditation and breath work to fix my breathing pattern which does help a little bit when I'm consciously focusing on it but impossible to do 24 hours a day.

I've started to notice that I naturally hold my belly/abdomen in a bit or its tight - I'm not actively trying to tense it or make myself look thinner it just my natural resting posture.

Theres a correlation between posture & intra-abdominal pressure and the diaphragm is involved in intra-abdominal pressure. Could inspiration or lack thereof be a result of the diaphragm trying to maintain or lower intra-abdominal pressure?

My gynecologist prescribed 150 mg fluconazole (Diflucan), schedule: 2 a week for 2 weeks, then 1 a week for 6 weeks, then 1 every other week for a month.

The problem is; every time I take it I get severe stomach ache for several days. I have done 1 week eg 2 pills now and I just cant take it.

Has anyone here experienced this same side effect and did you find another solution to the chronic yeast infection?

I have used fluconazole and itraconazole sporadically for almost a year, but itching always come back within 2 weeks...

Its like I have to decide between stomach ache and cramps or itchy hooha?! Both of them are making my life so difficult...

So thankful for any advice and help I can get!

My life overall is good, considering the pandemic. But the hormones / inflammation/restriction from the injuries have me the most depressed I have felt in years. I've lost interest in everything. My partner booked us a trip somewhere very soon after years of monotony and I feel... tiredness. When I would normally feel so excited. Before this illness I was dying to get away and now all I want to do, is lie in bed and feel nothing. I feel all the life has just left me. For a week now I woke up and my first emotion was just tired sadness and defeat. I have no idea what to do. I just hope my organs recover and my emotions start to balance with them. Things feel pretty awful right now.

I posted this question to /r/surgery without a reply. Let's see if there are takers here.

I seek guidance from the esteemed surgeons of this subreddit regarding this question. I've recently seen several cases where a patient developed a perforation of a hollow viscus in the abdomen. Instead of immediately taking the patient to the OR to repair it, it was allowed to continue until it formed a fistula tract, such as to the skin or perhaps another hollow organ, such as the bladder or vagina, and only then would exploration commence. Meanwhile, the patient would rage with sepsis, often for weeks on end, causing no end of headache to my service (critical care). Is this an acceptable practice for hollow viscus perforations/leaks, and so, under what circumstances is this the preferred surgical strategy, as opposed to immediate repair?

I have a tendency to gain and keep a lot of visceral fat. Are there any special techniques to reduce it, or is it just CICO?