Nangarhar City Medical complex ننګرهار سيټي ميډيکل کمپلکس

20/07/2026

غوره تشخيص - غوره درملنه
24 ساعته روغتيايي خدمات

07/07/2026

22/06/2026

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ننګرهار سیټی میډیکل کمپلکس يو تن طبی تکنالوجست ته اړتيا لري، په شرايطو برابر کسان کولى شي، د روان کال سرطان د مياشتې تر (۱۰) نېټې پورې خپل غوښتن لیکونه( CV )د روغتون ادارې مدیریت ته وسپاري.

شرايط:
١-د افغانستان تابعيت درلودونکى وي.
٢- د طبی تکنالوجی ( لابراتوار ) څانګی فارغ او دولتی سند ولري.
۳- دوه کلن کاري تجربه او ښه کاري سابقه ولري.
۴-شفت: سهار
معاش او امتيازات د ادارې د اصولو له مخې ورکول کېږي.
داړیکو شمیره : 0773053565
0780237523

پته: چکنوری بازار خیبر د ودونو تالار ته مخامخ کابل جلال اباد لویه لار.

21/12/2025

Acute abdominal pain is sudden-onset abdominal pain (hours to days) that may indicate a medical or surgical emergency (“acute abdomen”).

👉Common Symptoms
• Severe or worsening abdominal pain
• Nausea, vomiting
• Fever
• Abdominal distension
• Constipation or diarrhea
• Anorexia
• Guarding or rebound tenderness
• Hemodynamic instability (tachycardia, hypotension) ⚠️

👉Diagnosis (Stepwise Approach)

1. History
• Onset, location, radiation, character, severity
• Associated symptoms (fever, vomiting, bleeding)
• Past surgery, pregnancy, medications

2. Physical Examination
• Inspection → distension, scars
• Palpation → tenderness, guarding, rigidity
• Percussion → tympany, dullness
• Auscultation → bowel sounds

3. Investigations
• Labs: CBC, CRP, electrolytes, LFTs, amylase/lipase, urinalysis, β-hCG (women)
• Imaging:
• Ultrasound (gallbladder, pelvis)
• CT abdomen (most causes)
• X-ray (obstruction, perforation)

👉Differential Diagnosis (by Location)

↗️Right Upper Quadrant
• Acute cholecystitis
• Hepatitis
• Liver abscess

↗️Right Lower Quadrant
• Acute appendicitis
• Ectopic pregnancy
• Ovarian torsion

↗️Left Lower Quadrant
• Diverticulitis
• Ovarian pathology

↗️Epigastric
• Acute pancreatitis
• Peptic ulcer disease

↗️Generalized
• Peritonitis
• Intestinal obstruction
• Mesenteric ischemia

👉Treatment
• Initial (ABC first):
• IV fluids
• Analgesia (don’t delay pain control)
• Antiemetics
• NPO
• Cause-specific:
• Antibiotics (if infection suspected)
• Urgent surgery for appendicitis, perforation, ischemia
• Avoid delay in surgical referral if red flags present

👉Red Flags 🚨
• Rigid abdomen
• Rebound tenderness
• Persistent vomiting
• Fever + severe pain
• Hypotension or shock
• Pain out of proportion to exam

👉Follow-Up
• Admit if diagnosis uncertain or red flags present
• Serial abdominal examinations
• Repeat labs/imaging if symptoms evolve
• Clear discharge instructions if managed conservatively