TITLE

What clinical and laboratory parameters determine significant intra abdominal pathology for patients assessed in hospital with acute abdominal pain?

AUTHOR(S)
Abbas, Saleh M.; Smithers, Troy; Truter, Etienne
PUB. DATE
January 2007
SOURCE
World Journal of Emergency Surgery;2007, Vol. 2, p26
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Abdominal pain is a common cause for emergency admission. While some patients have serious abdominal pathology, a significant group of those patients have no specific cause for the pain. This study was conducted to identify those who have non-specific abdominal pain who can be either admitted short term for observation or reassured and discharged for outpatient management. Patients and methods: A prospective documentation of clinical and laboratory data was obtained on a consecutive cohort of 286 patients who were admitted to a surgical unit over a nine month period with symptoms of abdominal pain regarded severe enough for full assessment in the casualty department and admission to a surgical ward. The patients were followed until a definite diagnosis was made or the patient's condition and abdominal pain improved and the patient discharged. The hospital where the study took place is a small peripheral general hospital draining a population of 120,000 people in a rural area in New Zealand. Results: There were 286 admissions to the emergency department. Logistic regression multivariate statistical analysis showed that guarding raised white cells count, tachycardia and vomiting were the only variables associated with significant pathology. Conclusion: Patients with no vomiting, no guarding, who have normal pulse rates and normal white cell counts are unlikely to have significant pathology requiring further active intervention either medical or surgical.
ACCESSION #
34950623

 

Related Articles

  • Answer to Case of the Month #142 Ruptured Pelvic Echinococcal Cysts. Millo, Noam; Henderson, Blair // Canadian Association of Radiologists Journal;Dec2008, Vol. 59 Issue 5, p278 

    The article focuses on the case of a woman diagnosed with ruptured pelvic echinococcal cysts, a parasitic infection caused by echinococcus larvae. The patient was hospitalized with a sudden intensification of her abdominal pain, associated with nausea and vomiting. Clinical examination revealed...

  • Wie lautet Ihre Diagnose? Descloux, Alexandre; Meyer, Philippe; Weber, Markus // Praxis (16618157);8/10/2011, Vol. 100 Issue 16, p963 

    No abstract available.

  • Bir Devlet Hastanesinin Akut Apandisit Tecrübesi. Köksal, Hande; Uysal, Bülent; Sarıbab#x0131çcı, Rıza // Journal of Academic Emergency Medicine / Akademik Acil Tip Olgu ;Mar2010, Vol. 9 Issue 1, p41 

    INTRODUCTION: The aim of the study was to evaluate clinical, laboratory, and histopathologic features of the patients underwent appendectomy with clinical suspicion of acute appendicitis (AA). PATIENTS AND METHODS: The medical records of 581 patients who underwent appendectomy for suspected AA...

  • Bilateral Renal Rupture in a Patient on Hemodialysis. Carlson, Chris C.; Holsten, Steve J.; Grandas, Oscar H. // American Surgeon;Jun2003, Vol. 69 Issue 6, p505 

    This is a case presentation and discussion of a dialysis patient who presented to the surgical service with abdominal pain, hypotension, and tachycardia and in extremis who was found to have a contained retroperitoneal hematoma after rupture of his left kidney. Six months after an uneventful...

  • HEREDITARNA KOPROPORFIRIJA SA ASPEKTA KLINIÄŒARA -- PRIKAZ SLUÄŒAJA. SAVIĆ, Željka; VRAČARIĆ, Vladimir; HADNAÐEV, Ljiljana; PETROVIĆ, Zora; DAMJANOV, Dragomir // Medicinski Pregled / Medical Review;sep/okt2013, Vol. 66 Issue 9/10, p411 

    Introduction. Acute hepatic porphyrias can mimic a range of unrelated diseases and conditions that may occur independently of porphyria and trigger their initial manifestations and further attacks. Case Report. A 46-year-old female patient was subjected to cholecystectomy for biliary colic....

  • Risedronic acid.  // Reactions Weekly;Apr2015, Vol. 1547 Issue 1, p235 

    The article presents a case study of a 76-year-old woman who experienced confusion, sinus tachycardia, abdominal pain, diarrhoea, vomiting, nausea, rigors and fever after administration of risedronic acid.

  • What not to miss when working up the acute abdomen. Bohrn, Michael; Siewert, Bettina // Patient Care for the Nurse Practitioner;May2007, Vol. 10 Issue 5, p21 

    The article focuses on the difficulties in diagnosing acute abdominal pain. The author says that one of the difficulties in diagnosing acute abdominal pain is that many disorders can present in uncommon ways. It is reported that only 50% to 60% of patients have a classic presentation of...

  • Results of Operation of Patients with Sigmoid Volvulus Between 1997-2002 in Shohada Tajrish Hospital. Mozaffar, M.; Afsharfard, A.; Bohlooli, M.; Rezai, M.; Bonyadi, M. H. Jabbarpour // European Surgical Research;May/Jun2004 Supplement 1, Vol. 36, p98 

    In this retrospective study patients with sigmoid volvulus between 1997-2002 were studied. Forty-six patients, were included to the study. Average age of males as 54, and average age of females was 45. Most of the patients were Iranian, 7 patients were Afghanian, and 1 patient was from Republic...

  • Translational and clinical perspectives on sphincter of Oddi dysfunction. Kyanam, Kondal Rao; Baig, Kabir; Wilcox, Charles Melbern // Clinical & Experimental Gastroenterology;Jul2016, Vol. 9, p191 

    Sphincter of Oddi dysfunction is a complex pathophysiologic entity that is associated with significant morbidity causing abdominal pain, nausea, and vomiting. The purpose of this review is to describe the anatomy and physiology of the sphincter of Oddi, to understand the pathologic mechanisms...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics