William silen, continues this approach, and therefore the book does not include a bibliography. Bkbd a free powerpoint ppt presentation displayed as a flash slide show on id. In the majority of cases in adults, the diagnosis of acute abdominal pain can be established on clinical grounds without resort to extensive investigation. Consider a urinary catheter andor nasogastric tube if necessary. One must also consider the patient s age, sex, past medical and surgical histories, medications, and social history in order to frame the differential diagnosis. Shows some signs of wear, and may have some markings on the inside. Acute abdomen is a common presentation to many emergency departments worldwide. Copes early diagnosis of the acute abdomen 22nd edition. Full text full text is available as a scanned copy of the original print version. Since this book first appeared more than 30 years ago, it has remained the classic treatise on the initial approach to abdominal pain. The definitive management of acute abdomen depends largely on the cause. Evaluation of acute abdominal pain in adults american.
Upper abdominal pain with nausea and vomiting are characteristics for acute cholecystitis. When investigating the etiology of acute abdominal pain, it is crucial to characterize the pain and its associated symptoms as precisely as possible. Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this highanxiety situation, and they appreciate the wise, humane, precisely detailed guidance offered by cope and silen. This article details the anatomy and physiology of the right upper abdomen and approach to the history and physical examination of the most common diseases. Simply stated, the term acute abdomen refers to abdominal pain of short. The causes of an acute abdomen are listed in this chapter. However, a good initial management plan includes the same key points regardless of the underlying aetiology.
Diagnostic approach and management of acute abdominal pain. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Since the book first appeared, it has remained the classic treatise on the initial approach to abdominal pain. This chapter deals with the investigations and assessment of a patient presenting with acute abdominal pain. The major emphasis of this textbook continues to be clinical rather. Approach to the patient with acute abdomen yamada s textbook. Start studying emergency department approach to abdominal pain. Approach to acute abdominal pain in children pediatric. It can be due to cholelithiasis or it can be acalculous cholecystitis hydrops of the gall bladder. Evaluating abdominal pain requires an approach that relies on the likelihood of disease, patient history, physical examination, laboratory tests, and imaging studies. Copes early diagnosis of the acute abdomen new england journal.
1118 1634 579 235 1370 1041 728 281 482 605 843 501 418 1204 585 555 1570 184 323 797 1043 618 337 1491 1365 255 429 1184 90 1446 1475 1491 281 668