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- Herausgeber: Bentham Science Publishers
- Kategorie: Fachliteratur
- Sprache: Englisch
Abdominal pain is one of the frequent reasons for admission to emergency departments in hospitals. Diagnosis in patients presenting abdominal pain is a challenge for physicians owing to several indications, and a lack of contraindications. Delay in diagnosis and misdiagnosis is a common problem even for the most experienced emergency physician or general surgeon. Disruptions that may be related to ancillary services such as radiology and biochemistry also increase the difficulty.
Abdominal Pain: Essential Diagnosis and Management in Acute Medicine is a definitive diagnosis guide that serves as a quick reference that supplements medical examinations. It gives physicians involved in a range of medical specialties (emergency medicine, family medicine, gastroenterology, general surgery) an understanding of how to apply procedures to expediently relieve pain where possible, after evaluating and recording the initial vital signs and findings on systemic examination.
Key Features
- Covers abdominal pain diagnosis and patient management patient in a systematic and structured manner in 12 chapters
- Chapters are dedicated to specific topics
- Presents an individualized approach tailored for the patient to address common problems
- Gives general working knowledge for specific diseases in the list of possible diagnoses
- Provides a guide to situations involving trauma and surgery
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Seitenzahl: 480
Veröffentlichungsjahr: 2002
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PREFACE
Almost all aspects of medicine are challenging for both healthcare providers and sufferers. Although subthemes covered by medicine can be classified as discrete systems or organs of the body, caregivers in primary and acute care prefer to conceive these with complaints, symptoms and semiological approaches. Therefore, no patient presents to the acute care area with an ‘acute appendicitis’ or ‘acute cholangitis’, instead, there comes ‘a girl in her 18 with vomiting and abdominal pain for a couple of days’, or, ‘an elderly gentleman who is not looking very good recently’ in the boxes. The patient’s diagnosis seems very elusive, for it can turn out to be pelvic inflammatory disease, urinary tract infection, ruptured ovarian cyst or abscess, intestinal obstruction, diverticulitis, mesenteric ischemia, etc, while the patient is screaming for emergency relief for both pain and vomiting in the acute care area.
Abdominal pain is one of the most common chief complaints in both emergency settings and primary care, which constitutes around 10% in most large studies in the world. Unlike many entities presenting to outpatient clinics and those admitted to the wards, the origin of abdominal pain is harder to diagnose provided with the complexity and closeness of the structures in the abdomen and also extra abdominal causes that can trigger the symptomatology. Nonetheless, recent decades witnessed giant leaps and advances in the recognition and treatment of patients with acute abdominal pain. Apart from advanced studies such as computed tomography, and magnetic resonance imaging, bedside point-of-care procedures like ultrasonography have eased diagnosis and facilitated the management of patients with abdominal pain. We should note that regardless of technological advances, the most important contributor to the diagnosis and management process consists of the evaluation of the patient with an elaborate history and physical examination. Using a tailored approach for evaluation, an experienced physician can not only narrow the list of differential diagnosis, but also expedite the complex pathway to definitive treatment, preventing unnecessary delays with cumbersome investigations.
The optimal management of the patients with abdominal pain warrants a multifaceted approach undertaken in harmony. COVID-19 pandemic era has brought de novo challenges for the delivery of ‘usual’ medical care into the scene for most patients. This book titled “Abdominal Pain: Essential Diagnosis and Management in Acute Medicine”, therefore, is intended to highlight the contemporary approaches with respect to diagnostic and therapeutic modalities for diseases of digestive tract and other entities precipitating abdominal pain. Abundant figures, tables, and radiological images have been used to render understanding easier and to illustrate key findings. We hope this project can be used as a reference and an everlasting source for caregivers facing sufferers of abdominal pain, albeit a small step in the history of medical progress lasting for thousands of years.
CONSENT FOR PUBLICATION
Not applicable.
CONFLICT OF INTEREST
The authors declare no conflict of interest, financial or otherwise.
ACKNOWLEDGEMENT
Declared none.
The “Stomachache” of Medicine: Concepts and Mechanisms of Abdominal Pain
Ozgur KARCIOGLU,Selman YENİOCAK,Mandana HOSSEINZADEH,Seckin Bahar SEZGIN,Murat CETINAbstract
Abdominal pain (AP) is by far among the most common complaints in healthcare institutions. Approximately every tenth patient in the acute setting is estimated to present with AP. Although cultural, geographical and sociodemographic variations exist, it is an outstanding complaint in all patient groups, independent of age and gender. Although it can be a manifestation of an intraabdominal pathology itself, a serious systemic or extraabdominal condition can be revealed following a thorough investigation of AP. Therefore, it is vital to evaluate the patient systemically, a focused but elaborate history, and extensive physical examination not confined to the abdomen in order to establish important diagnoses. Inspection, auscultation, percussion, superficial and deep palpation are important elements of the examination methods for the abdomen. Each positive or negative finding on examination should be interpreted cautiously for the individual patient. After history and evaluation narrow the list of differential diagnoses (DD), ancillary investigations including laboratory tests and radiological modalities can be ordered.
