Reply to Abboud and Colwell: Critically reappraising the literature-driven practice of analgesia administration for acute abdominal pain in the emergency room prior to surgical evaluation

Acute abdominal pain is one of the commonest prevalent grievances in children, and it frequently requires emergency room diagnosis and management. Abdominal pain in children differs with age, concomitant symptoms, and pain site. While most cases of acute abdominal embarrassment are self-limiting and benevolent, there are certain diseases that can be life-threatening and necessitate instant care, such as appendicitis, intussusception, or intestinal obstruction. To decide the cause of acute abdominal pain and recognize children with surgical conditions, scrupulous history taking and numerous physical checkups are mandatory.The most important and realistic first goal in the evaluation of acute AP is to distinguish between surgical and nonsurgical situations, which are further divided into urgent and non-urgent categories. A thorough history and physical examination, laboratory investigations to evaluate comorbidity, and imaging scans are usually used for these purposes. Management decisions should necessitate teamwork between the emergency room physician, a surgeon, and a radiologist. Consecutivereassessment and symptomatic treatment with hardworking follow-up are necessary for management as soon aspossible in urgent disorder.

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Akuter Bauchschmerz: einweisen oder nicht? Und was dann?

DMW - Deutsche Medizinische Wochenschrift ◽

10.1055/a-0759-8022 ◽

2019 ◽

Vol 144 (10) ◽

pp. 670-676

Author(s):

Jakob Garbe ◽

Patrick Michl ◽

Andreas Klement

Keyword(s):

Abdominal Pain ◽

Emergency Room ◽

Acute Abdominal Pain ◽

Risk Groups ◽

Interdisciplinary Cooperation ◽

Common Symptom ◽

Outpatient Basis ◽

Emergency Rooms ◽

Oder Nicht ◽

Hospital Emergency Room

AbstractAcute abdominal pain (AAP) is a common symptom and reason for encounter in family practices and emergency rooms. About every tenth hospital emergency room consultation is dealing with AAP, the most important reason is the “suspected acute abdomen”. Important diagnostic considerations and clarification steps in family practice and emergency room are presented with the question: in which cases further treatment must be inpatient – or can be done on an outpatient basis. Acute abdominal pain has a complex differential diagnostic spectrum. Early detection of urgent cases is crucial to the outcome. The most important diagnostic means are history (“inductive foraging”), physical examination and sonography. “Yellow flags” provide valuable information for risk groups. Interdisciplinary cooperation is crucial, in doubt: “four eyes principle”. If the cause is unclear, follow-up should be planned.

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Terapi Kombinasi Terhadap Nyeri Akut Abdomen di RSUD Bangil Kabupaten Pasuruan Jawa Timur

Borneo Journal of Medical Laboratory Technology ◽

10.33084/bjmlt.v2i1.1090 ◽

2019 ◽

Vol 2 (1) ◽

pp. 120-124

Author(s):

Dian Ratna Elmaghfuroh ◽

Yuyud Wahyudi

Keyword(s):

Abdominal Pain ◽

Emergency Room ◽

Acute Abdominal Pain ◽

District Hospital ◽

Pharmacological Therapy ◽

Control Group ◽

Control Group Design ◽

Ethical Approval ◽

Quasi Experimental ◽

Equivalent Control

Nurses have important role to handling and controlling pain of the patient. The combination of pain management with appropriate therapy or non-pharmacological therapy were the key to decreasing pain intensity. This research aimed to determine the effect of analgesic theraphy and lavender aromatherapy compared with analgesic therapy and relaxation on decreased the level of abdominal pain in adult patients in Emergency Room, Bangil District Hospital, Pasuruan, East Java. This research was utilized quasi experimental design with non-equivalent control group design. The intervention was carried out on 28 respondent has been selected by purposive sampling. Ethical approval in this study was carried out through training department of Bangil District Hospital and the distribution of informed consent to patients. Both types of deep breathing relaxation therapy and lavender aromatherapy combined with pharmacological (analgesic) has showed effectiveness in decreasing the level of acute abdominal pain in Emergency Room in Bangil Distric Hospital, Pasuruan, East Java. In the future, it should be considered the use of lavender aromatherapy method as an alternative step of care and treatment in patients who experience acute abdominal pain

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Bayesian Diagnostic Probabilities without Assuming Independence of Symptoms

Methods of Information in Medicine ◽

10.1055/s-0038-1634813 ◽

1991 ◽

Vol 30 (01) ◽

pp. 15-22 ◽

Cited By ~ 23

Author(s):

A. Gammerman ◽

A. R. Thatcher

Keyword(s):

Abdominal Pain ◽

Acute Abdominal Pain ◽

Final Diagnosis ◽

Bayes Theorem ◽

Bayes Method ◽

Hospital Records ◽

Computer Diagnosis ◽

Bayes Model ◽

Chi Squared ◽

Past Data

The paper describes an application of Bayes’ Theorem to the problem of estimating from past data the probabilities that patients have certain diseases, given their symptoms. The data consist of hospital records of patients who suffered acute abdominal pain. For each patient the records showed a large number of symptoms and the final diagnosis, to one of nine diseases or diagnostic groups. Most current methods of computer diagnosis use the “Simple Bayes” model in which the symptoms are assumed to be independent, but the present paper does not make this assumption. Those symptoms (or lack of symptoms) which are most relevant to the diagnosis of each disease are identified by a sequence of chi-squared tests. The computer diagnoses obtained as a result of the implementation of this approach are compared with those given by the “Simple Bayes” method, by the method of classification trees (CART), and also with the preliminary and final diagnoses made by physicians.

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Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

The Heart Surgery Forum ◽

10.1532/hsf.1322 ◽

2015 ◽

Vol 18 (3) ◽

pp. 088

Author(s):

Ye-tao Li ◽

Xiao-bin Liu ◽

Tao Wang

Keyword(s):

Abdominal Pain ◽

Infective Endocarditis ◽

Aortic Valve ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Mycotic Aneurysm ◽

Acute Abdominal Pain ◽

Rare Complication ◽

Emergency Operation ◽

History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

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Sonographic evaluation of acute abdominal pain in children

Choonpa Igaku ◽

10.3179/jjmu.38.243 ◽

2011 ◽

Vol 38 (3) ◽

pp. 243-254

Author(s):

Atsushi YODEN ◽

Tomoki AOMATSU

Keyword(s):

Abdominal Pain ◽

Acute Abdominal Pain ◽

Sonographic Evaluation

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