The Reliability of Medical History and Physical Examination in Patients with Acute Abdominal Pain

1983 ◽  
Vol 22 (01) ◽  
pp. 15-18 ◽  
Author(s):  
S. Brynitz ◽  
B. Bjerregaard ◽  
J. Holst-Christensen ◽  
P. Jess ◽  
Eeva Kalaja ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Physical Examination ◽  
Medical History ◽  
Medical Record ◽  
Acute Abdominal Pain ◽  
Automatic Diagnosis ◽  
Diagnosis System ◽  
Computer Assistance ◽  
Lower Accuracy ◽  
Tentative Diagnosis

The reliability of medical record information is of fundamental importance to the certainty with which a diagnosis can be made. 40 patients were chosen at random and each was examined by four clinicians. The information and a tentative diagnosis were written on a special record form. The results were judged by means of the coefficient kappa. The clinicians disagreed more on symptoms than on diagnoses. The diagnoses made by an automatic diagnosis system showed lower precision and lower accuracy than the clinicians’ diagnoses. The results of the study might explain why computer assistance in diagnostics is of limited value.

scholarly journals Acute abdominal pain caused by accidental ingestion of Latoia species larva: a case report

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097948
Author(s):  
Youhong Cao ◽  
Yuejuan Fan ◽  
Yuwen Bei ◽  
Zhenguo Qiao
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Physical Examination ◽  
Medical History ◽  
Laboratory Tests ◽  
Rare Case ◽  
Clinical Characteristics ◽  
Acute Abdominal Pain ◽  
Diagnostic Methods ◽  
Accidental Ingestion

We report the clinical and endoscopic manifestations in a patient with acute abdominal pain caused by the accidental ingestion of a Latoia consocia (Walker) larva. Clinical data including the patient’s medical history, and the results of physical examination, laboratory tests, and gastroscopy were collected. Based on this rare case, we discuss the clinical characteristics and manifestations, diagnostic methods, and principles of this disease.

The Clinical Method and Subjectivity in Medicine

2018 ◽  
Author(s):  
J. Donald Boudreau ◽  
Eric J. Cassell ◽  
Abraham Fuks
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Medical Record ◽  
Chronic Conditions ◽  
Process Of Care ◽  
Clinical Method ◽  
Functional Assessments ◽  
Contemporary Medicine

The clinical method is defined as the means by which doctors gather information about their patients, think about and evaluate these medical facts, and enter the facts into their process of care. Its key components are the medical history, including the process by which it is acquired from patients and its subsequent documentation in the medical record, as well as the physical examination. Characteristics, such as the reproducibility and accuracy of various components, are discussed with a reference to prevailing opinions of subjectivity and objectivity in medicine. It is argued that as a consequence of a shift in the prevalence of illness, from acute to chronic conditions, a misalignment exists between the clinical method currently taught and contemporary medicine. It is suggested that a renewed and repurposed clinical method must incorporate enhanced strategies for functional assessments.

A Computer-Aided Diagnostic System Using a Small Desk-Top Computer-Calculator

1974 ◽  
Vol 13 (02) ◽  
pp. 83-88 ◽  
Author(s):  
C. Jane
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Diagnostic System ◽  
Computer Aided Diagnosis ◽  
Input Output ◽  
Diagnosis System ◽  
Computer Aided ◽  
Aided Diagnosis

This report describes in detail a simple cheap computer-aided diagnosis system based around a WANG 700C desk-top computer/calculator and a WANG 711 input/output writer. Total costs of the system are less than £ 1,000 per anmun. A single diagnosis takes around 3—5 minutes to perform, and the use of the system can be learnt within 30 minutes. Accuracy is of the order of 90% for acute abdominal pain and some degree of flexibility and geographical compatibility has been achieved. Additional problems in implementation are discussed.

Abdominal Pain and Abdominal Mass

2018 ◽  
Author(s):  
Blake D. Babcock ◽  
Alexander E. Poor ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 14 figures, 5 tables, and 143 references.

Abdominal Pain and Abdominal Mass

2020 ◽  
Author(s):  
Madison M. Crutcher ◽  
Darshak S. Thosani ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 16 figures, 5 tables, and 164 references. Keywords:  anatomy, swellings, inflammatory, opioid, palpatation, PET, COVID 19

scholarly journals Bordetella hinzii: an Unusual Pathogen in Human Urinary Tract Infection

2021 ◽  
Author(s):  
Nived Collercandy ◽  
Camille Petillon ◽  
Maryam Abid ◽  
Charlotte Descours ◽  
Claudia Carvalho-Schneider ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Urinary Tract ◽  
Tract Infection ◽  
Physical Examination ◽  
Medical History ◽  
Tobacco Consumption ◽  
Chronic Alcohol ◽  
Left Flank

A 37-year-old man with no prior medical history except chronic alcohol and tobacco consumption was admitted for fever at 38.5°C and abdominal pain starting two days before. Physical examination confirmed tenderness of the left flank with no other abnormalities.…

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