PRINCIPLES OF ASIAA

The Five Fives

 Principles of ASIAA
I. 5 Sections of Abdomen

II. 5 Causes of Acute Abdomen

III.5S of Sonoscopic Inspection

IV. 5 Sono-Windows

V. 5 Entities In Format of ASIAA

 I. Five Sections of the Abdomen
1. Anterolateral Abdominal wall
1. Skin and subcutaneous tissue
2. muscle
2. Peritoneum
1. Space
2. Omentum
3. Mesentery
3. Intra-abdominal Systems
1. Gastro-intestinal
2. Hepato-biliary
3. Uro-genital
4. Lympho-reticular
5. Endocrine
4. Retroperitoneum
1. Potential Space
2. IVC and branches
3. Aorta and branches
5. Posterior Abdominal Wall
1. Muscles
2. Bones
1. Anterolateral Abdominal Wall
2 - Peritoneum
 3.Intra-Abdominal systems
Intra-abdominal Systems
1. Gastrointestinal
1. Esophagus
2. Stomach/duodenum
3. Small intestine
4. Colo-rectum/appendix
5. Anal canal
2. Hepatobiliary
1. Liver
2. GB and biliary tract
3. Pancreas
3. Urogenital
kidney
ureter
bladder
male genitalia
female genitalia
4. Lympho-Reticular
Lymph nodes
spleen
3.1. Gastrointestinal System
3.2. Hepatobiliary System
3.2. Hepatobiliary System
3.2. Hepatobiliary System
3.3. Genito-Urinary: Urinary System
3.3. Genito-Urinary: Male genital System
3.3. Genito-Urinary: Male genital System
3.3. Genito-Urinary: Female Genital System
3.4. Lympho-Reticular System
3.5. Endocrine System: Adrenal Gland
4. Retroperitoneum
5. Posterior Abdominal Wall
 II. Pathophysiologic Causes of Acute Abdomen

I. 5 Sections of Abdomen

1. Inflammation
II. 5 Causes of Acute Abdomen
2. Obstruction

III.5S of Sonoscopic Inspection 3. Disruption

4. Vascular

IV. 5 Sono-Windows 5. Space occupying Lesion

V. 5 Format of ASIAA
 II. Pathophysiologic Causes of Acute Abdomen

1. Inflammation
Cellulitis/Peritonitis/Appendicitis/Retroperitoneal Inflammation
2. Obstruction
Gastrointestinal/Hepatobiliary/Genitourinary
3. Disruption
Hollow Organ/Solid organ/Containing Wall
4. Vascular
Aneurysmal/Ischemic
5. Space occupying Lesion
Abscess/Tumor
 III. Sono-Inspection: 5S-MV

I. 5 Sections of Abdomen 1. Site = placement of probe

2. Size = measure by callipers

II. 5 Causes of Acute Abdomen

3. Shape = plane and organs

III.5S of Sonoscopic Inspection 4. Surface = echogenicity/Border

5. Surrounding

IV. 5 Sono-Windows
And movement and vascularity

V. 5 Format of ASIAA
 IV. Five Sono-Windows

1. Right Lateral(mid-axillary)
I. 5 Sections of Abdomen
2. Right Anterior(mid-clavicular)
II. 5 Causes of Acute Abdomen
3. Central(xiphisternal)

III.5S of Sonoscopic Inspection

4. Left Anterior(mid-clavicular)

IV. 5 Sono-Windows 5. Left Lateral(posterior axillary)

V. 5 Format of ASIAA
 V. Entities In Format of ASIAA

I. 5 Sections of Abdomen
1. Anatomy

II. 5 Causes of Acute Abdomen

2. Technique

III.5S of Sonoscopic Inspection 3. Sono-anatomy

4. Sono Acute Pathology

IV. 5 Sono-Windows
5. Other Incidental Pathology

V. 5 Format of ASIAA