Abdominal pain: finding the cause and selecting tactics

2021 ◽  
pp. 26-32
Author(s):  
Roman Petrovich Stepchenkov
Keyword(s):  
Abdominal Pain ◽  
Digestive System ◽  
Correct Diagnosis ◽  
Family Doctor ◽  
Pain Syndrome ◽  
Lower Abdomen ◽  
Family Doctors ◽  
Genitourinary System ◽  
The Family ◽  
The Right

Abdominal pain is one of the most common symptoms that family doctors have to deal with in their practice. In the vast majority of cases, the patient considers abdominal pain to be the sign of a disturbance in the digestive system; however, in fact, any organ — the spleen, bladder, organs of the genitourinary system, and sometimes even the heart — can be the «culprit» causing the pain syndrome. Therefore, the family doctor is often faced with a rather difficult task — to carry out a differential diagnosis of abdominal pain and choose the right tactics for further treatment. By its nature, the pain can be acute and chronic, associated or not associated with food intake, arising periodically, having a cramping character or constant. Depending on the localization, it is divided into pain in the epigastric region, pain in the middle and lower abdomen. Often it is the localization of pain that helps to make the correct diagnosis.

The Clinical Course of Irritable Bowel Syndrome in Young Patients with Neurocirculatory Dystonia

2016 ◽  
pp. 104-105
Author(s):  
Olena Suprun
Keyword(s):  
Irritable Bowel Syndrome ◽  
Abdominal Pain ◽  
Clinical Course ◽  
Family Doctor ◽  
Young Patients ◽  
Pain Syndrome ◽  
Comorbid Conditions ◽  
The Family ◽  
Irritable Bowel

The clinical picture of the combined course of irritable bowel syndrome (IBS) and neurocirculatory dystonia (NCD) in young patients has been described in the article. Features of abdominal pain syndrome and disorders of defecation, depending on the type of NCD (hypertonic or hypotonic) were shown. The conditions under which the exacerbation of IBS occurred in these patients were reviewed. The role of the family doctor in monitoring of the comorbid conditions was shown.

scholarly journals Antibiotics Use in Adult Population, as Perceived by Family Doctors in Romania

2018 ◽  
Vol 24 (2) ◽  
pp. 82-85
Author(s):  
Chirila Sergiu ◽  
Alexiu Sandra Adalgiza
Keyword(s):  
Adult Population ◽  
Family Doctor ◽  
Daily Basis ◽  
Emergency Rooms ◽  
Self Medication ◽  
Family Doctors ◽  
Medical Practitioners ◽  
The Family ◽  
Personal Recommendation ◽  
Doctor's Office

Abstract Introduction: In recent years, the problem of overprescribed antibiotics has become one of the most serious public health issues at global level. Clear evidence shows direct relation between antibiotics consumption and the resistance developed by the microbial agents Objectives: The aim of this study is to evaluate the frequency of antibiotics recommendations from other medical practitioners or pharmacists and reported self-medication, in the family doctor’s office Methods: We conducted a survey questionnaire on 184 family doctors from Romania that volunteered to gather information for one week on a daily basis. he questionnaire for adults had four questions, related to the frequency of antibiotics consumption based on the recommendation from emergency rooms or other doctors, self-medication, antibiotics recommended and delivered by pharmacies and personal recommendation of antibiotics Conclusion: We conclude that the level of antibiotics recommendations for diseases, which usually do not benefit from this type of treatment, is high, with a large proportion of adult patients coming to the family doctor for reimbursement. The level of auto-medication with antibiotics, in adults, is also elevated, in most of the cases based on leftover medication.

scholarly journals Omental infarction in an obese 10-year-old boy

2011 ◽  
Vol 3 (3) ◽  
pp. 22 ◽  
Author(s):  
Katerina Kambouri ◽  
Stefanos Gardikis ◽  
Alexandra Giatromanolaki ◽  
Aggelos Tsalkidis ◽  
Efthimios Sivridis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Preoperative Diagnosis ◽  
Acute Abdominal Pain ◽  
Accurate Diagnosis ◽  
Lower Abdomen ◽  
Omental Infarction ◽  
Appropriate Treatment ◽  
Low Incidence ◽  
The Right

Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US) examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intraoperative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction.

Families with a Child with Epilepsy: A Sociological Contribution

1977 ◽  
Vol 9 (1) ◽  
pp. 13-24 ◽  
Author(s):  
H. C. Mulder ◽  
T. P. B. M. Suurmeijer
Keyword(s):  
Family Relationships ◽  
Family Life ◽  
Peer Group ◽  
Family Doctor ◽  
Medical Advice ◽  
Epilepsy Patient ◽  
Social Contacts ◽  
Family Doctors ◽  
The Family ◽  
Delayed Referral

SummaryThis paper reports a pilot study of thirteen children with epilepsy and their families; the parents' efforts to obtain help for the child and the effect of the child's disability on the family relationships are described. About half of the parents did not consult the family doctor immediately after the first appearance of signs of epilepsy (patient delay). About a quarter of the family doctors delayed referral of the patient with epilepsy to the specialist (doctor's delay). Another 3 years passed, on average, before the patient reached a special centre or clinic for epilepsy (specialist delay); in three-quarters of all cases the first step to get there was taken by the parents and not by the specialist and chance plays an important role in determining how the entry into this third echelon is achieved. Reasons for the search for more specialized help were: dissatisfaction with the results of the treatment and the kind of rapport with the second echelon specialist. The out-patient clinic for epilepsy is generally favourably commented on because the expert medical advice is combined with the availability of a social worker, thus offering support with social problems also. As regards the influence of the illness on the family, there is evidence that family life is disrupted to a greater or less extent. The parents experience psychological stress and are generally apprehensive lest something will happen to their child. In a number of cases the relationships between siblings are rather disturbed. The parents, especially mothers, tend to (over-)protect the child with epilepsy. The child with epilepsy has a relatively isolated position in his social environment; he has few informal or formal social contacts with his peer group. The condition epilepsy contributes to a diminution of expectations for the future and curtailment of scholastic behaviour.

scholarly journals Congenital Anomalies of The Ear in Newborns from Lviv Region (west Ukraine) for 2006-2018 YY.

2020 ◽  
Vol 2 (1) ◽  
pp. 01-05
Author(s):  
Kitsera Nataliya
Keyword(s):  
Birth Defects ◽  
Congenital Anomalies ◽  
Correct Diagnosis ◽  
Female Ratio ◽  
Family Doctors ◽  
Maternity Hospitals ◽  
The Family ◽  
The Village ◽  
The City ◽  
Male To Female

Objectives The ear’s congenital anomalies usually occur in the outer, middle or inner ear separately or in combination. We had determined the сongenital ear’s anomalies (CEA) in newborns (2006-2018 yy) in West Ukraine, Lviv region. Methods 14 newborns who were diagnosed according to the reporting form by the maternity hospitals with CEA were analyzed over a period of 13 years.Results During the study period (2006–2018), there were 366 147 births reported, and 8634 newborns with birth defects, 14 were with CEA, an average incidence of 0.4 per 10 000 births. Our study included 10 boys and 4 girls with CEA. Male-to-female ratio was 2.5:1. The number of newborns with ear pathology was 1.8 times higher in the city than in the village. The most common birth defects of the ear were Q16.1 congenital absence, atresia and stricture of auditory canal (external) – 4 (28.6%) and Q16.9 CEA causing impairment of hearing, unspecified – 4 (28.6%), especially the most common of right side. Microtia (Q17.2) was met very rarely -1 (7.1%) and other CEA Q16.9-1 (7.1%). During this period there were only 2 cases of anotia and 1 case of microtia. There was only 1 (7.1%) case of bilateral CEA in boy from town. Just one girl had CEA was associated with birth defect of musculoskeletal system. Conclusion This is necessary to establish the correct diagnosis in time, especially for mind of the family doctors, genetic counseling for relatives family for has benefited earlier prophylaxis.

scholarly journals SPECIFIC MOMENTS IN THE DIAGNOSTICS OF UTERINE ADNEXA TORSION IN A 15-YEAR OLD GIRL

2019 ◽  
Vol 23 (3) ◽  
pp. 154-156
Author(s):  
L. V. Adamyan ◽  
E. V. Sibirskaya ◽  
S. M. Sharkov ◽  
A. K. Fayzulin ◽  
Anastasia V. Vechernina
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Ovarian Tumor ◽  
Inflammatory Process ◽  
Preventive Measures ◽  
Correct Diagnosis ◽  
Diagnostic Errors ◽  
Pain Syndrome ◽  
Differential Diagnostics ◽  
Adnexal Torsion

Currently, differential diagnostics and treatment of uterine adnexal torsion (UAT) in girls is not completely solved and is not an easy one because surgical and gynecological pathologies often intersect with each other. That is why, girls with abdominal pain are to be consulted by a gynecologist. The case discussed in the article demonstrates the problem with differential diagnostics in girls with “acute abdomen”. UAT differential diagnostics is not easy because this pathology has no clear clinical picture what complicates putting a correct diagnosis. UAT in girls is an acute pathology which has to be differentiated from the volume tumor-like formations in the ovaries, a frequent complication of which is an incomplete torsion of tumor leg or ovarian tumor which then leads to complete uterine adnexa torsion. Differential diagnostics should be done with other surgical pathologies such as acute appendicitis, omentum infiltration. Their clinical picture is characterized by a certain complex of symptoms which develops specific changes during the progress of the inflammatory process; this picture also depends on the anatomical peculiarities. Uterine adnexa torsion is met in 15-25% of girls with abdominal pain syndrome. The aim of this work is to demonstrate preventive measures so as to avoid possible diagnostic errors and complications associated with them in girls with abdominal pain syndrome.

scholarly journals Prevention of road crashes in older adults: perspectives on facilitators, barriers and the role of the family doctor

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mario Rivera-Izquierdo ◽  
Luz María Valverde-Cano ◽  
Virginia Martínez-Ruiz ◽  
María Rosa Sánchez-Pérez ◽  
Francisco Javier Atienza-Martín ◽  
...  
Keyword(s):  
Older Adults ◽  
Traffic Safety ◽  
Older Patients ◽  
Traffic Accidents ◽  
Family Doctor ◽  
Negative Consequences ◽  
Family Doctors ◽  
Road Crashes ◽  
The Family

Abstract Background People over 64 years have a high fatality rate when they are involved in traffic accidents. Besides, older victims of road crashes are expected to rise in the future due to population aging. The purpose of the study was to document their perception on the role of the family doctor, the main facilitating factors, and the perceived barriers to the temporary or permanent restriction of their driving. Methods This qualitative study used focus group methodology. A sample of 16 people over 65 years old was obtained through a series of segmentation criteria at an active participation centre for older adults in a small town in Jaén province (Spain). All were invited to participate in a discussion during which they were asked to express their opinions and subjective experiences concerning the role of their family doctor. The group conversation was taped, fully transcribed and analysed, and codes were generated with both deductive and inductive methods. Results After merging the codes to generate themes, we identified 9 relevant categories: perception of age-related risk, road safety, role of public authorities, driver assessment centre, role of the family doctor, role of the family, proposals for addressing traffic accidents in older adults, consequences of the driving prohibition, and public transport. All categories help to explain the subjective driving and traffic safety experiences of older road users. Conclusions Although family doctors do not usually ask their older patients about road driving, they are highly valued by these patients. Thus, family doctors have a great potential to act, along with the family members, for the benefit of older patients’ traffic safety, in ways that can prevent their involvement in road crashes and reduce the negative consequences of having to stop driving if necessary.

scholarly journals Idiopathic omentum infarction in children — the law of "paired cases": cases report

2021 ◽  
Vol 11 (3) ◽  
pp. 403-408
Author(s):  
Islam H. Shidakov ◽  
Bakhtiyar M. Kalniyazov ◽  
Maryam N. Urusova
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Histopathological Examination ◽  
Pain Syndrome ◽  
Complete Recovery ◽  
Greater Omentum ◽  
Surgical Strategies ◽  
Surgical Department ◽  
Omental Infarction ◽  
The Right

BACKGROUND: One of the rare causes of abdominal pain in children is an omental infarction. In the literature, there are few descriptions of this pathology in childhood. The disease is often diagnosed only intraoperatively because of its nonspecific clinical picture. Therefore, the clinical cases presented in the article may be of interest to pediatric surgeons. CASES REPORT: In the pediatric surgical department of our clinic, two patients aged five and six years old were treated after being admitted with abdominal pain syndrome, the clinical picture of which did not allow to exclude an acute surgical pathology. A laparoscopy was performed to clarify the diagnosis. Isolated lesions of the segments of the greater omentum were revealed without signs of torsion and pathology of other organs. The operations were completed by resection of the altered omental sections. Histopathological examination revealed hemorrhages and tissue necrosis. DISCUSSION: The localization of pain in the right abdomen necessitates differentiating the disease from acute appendicitis, cholecystitis, and acute gynecological pathology. In the treatment of patients with omental infarction, there are supporters of conservative and surgical strategies. We performed a resection of the affected omental segment, which enabled us to achieve complete recovery in both cases. CONCLUSION: Laparoscopy in unclear diagnostic situations permits the timely diagnosis of an omental infarction, and surgical minimally invasive intervention leads to a successful cure.

scholarly journals Case Report. Appendiceal Recurrent Colic Due to Enterobius Vermicularis Infection in a 14-Year-Old Female Patient

2016 ◽  
Vol 9 (2) ◽  
pp. 159-162
Author(s):  
Toni I. Stoyanov ◽  
Emilio Corral-Fernadez ◽  
Antonio Melero-Abellan ◽  
Pablo Sarduy-Fernandez ◽  
Paloma Casado-Santamaria ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Young Female ◽  
Lower Abdomen ◽  
Enterobius Vermicularis ◽  
Laboratory Findings ◽  
Rebound Tenderness ◽  
Radiologic Findings ◽  
The Right ◽  
Oral Doses

Summary Acute appendicitis due to Enterobius vermicularis, usually known as pinworm, is very rare and affects mostly children.According to different authors, it is controversial whether pinworms cause inflammation of the appendix or appendiceal colic only.We presentacase ofa14-year-old female with three subsequent hospitalizations in 1 month due to abdominal pain in the right lower abdomen, with rebound tenderness, normal CTscan and laboratory findings. During the last hospitalization, laparoscopic appendectomy was performed. Intraoperatively multiple pinworms were found in the appendix. These were trapped byastercolith in the appendicular base inanoninflamed and histologically normal appendix. Two oral doses of mebendazole were administered postoperatively. Uneventful postoperative period and postoperative follow-up showed lack of symptoms six months after the operation. Despite the widespread idea that acute appendicitis due to Enterobius vermicularis is very rare, it should always be considered in young female patients with repeated abdominal pain in the right lower abdomen with normal laboratory and radiologic findings.

scholarly journals Incidental findings in dental radiology are concerning for family doctors

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 467-478 ◽  
Author(s):  
Paul Monsarrat ◽  
Antoine Galibourg ◽  
Karim Nasr ◽  
Norbert Telmon ◽  
Delphine Maret
Keyword(s):  
Incidental Findings ◽  
Meta Analysis ◽  
Family Doctor ◽  
Medical Community ◽  
Dental Radiology ◽  
Anatomical Structures ◽  
Family Doctors ◽  
Oropharyngeal Airway ◽  
The Family

AbstractCone Beam Computerized Tomography (CBCT) is an imaging technology increasingly used in dentistry. Depending on the size of the examination area, visualization of anatomical structures outside the indication area may reveal incidental findings (IF). The aims of this systematic review and meta-analysis were to 1) evaluate the frequency, location and different types of incidental findings (IF) revealed during CBCT examinations; 2) identify potential influencing factors such as gender or age; 3) highlight what the family doctor should know about CBCT and the benefits for medical care.70 retrospective studies were included. 60% of IF are in the naso-oropharyngeal airway and paranasal sinuses. Carotid calcifications were observed with a mean prevalence of 9% CI95% [2-21]). Meta-regression showed a significant association of this prevalence with age, irrespective of gender.Given the high frequency of IF, with varying severity, the whole medical community is fully involved, and its opinion should be sought to ensure the best possible management for the patients. Physicians may also require CBCT examinations that would have been previously prescribed by a dentist, that may serve to better orientate investigations toward another imaging technique. The family doctor is therefore the dentist’s main interlocutor and the main coordinator of the follow-up of IF.

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