... in 19 51, but the organization began in 19 10 According to the Joint Commission history (2 011 ), Ernest Codman, M.D originally proposed the “end result system of hospital standardization” in 19 10 ... (19 98) developed a middle-range theory of acutepain management based on the Agency for Health Care Policy and Research (AHCPR) guidelines for acutepain management (AHCPR, 19 92) The AHCPR pain ... 19 21, Dr Cope, a respected surgeon of the time, wrote a book titled Early Diagnosis of the Acute Abdomen Cope’s (19 21) recommendation to withhold analgesia to patients with severe abdominal pain...
... not require operative intervention, and the mildest of abdominal pains may herald an urgently correctable lesion Any patient with abdominalpain of recent onset requires early and thorough evaluation ... capsules Inflammation of a viscus Appendicitis Typhoid fever Typhlitis Pain Referred from Extraabdominal Source Cardiothoracic Acute myocardial infarction Myocarditis, endocarditis, pericarditis ... Heat stroke The diagnosis of "acute or surgical abdomen" is not an acceptable one because of its often misleading and erroneous connotation The most obvious of "acute abdomens" may not require...
... viscus may produce steady pain with only very occasional exacerbations It is not nearly as well localized as the pain of parietal peritoneal inflammation The colicky pain of obstruction of the ... nature of the pain may diminish With superimposed strangulating obstruction, pain may spread to the lower lumbar region if there is traction on the root of the mesentery The colicky pain of colonic ... radiation of pain is common in colonic obstruction Sudden distention of the biliary tree produces a steady rather than colicky type of pain; hence the term biliary colic is misleading Acute distention...
... serves to differentiate myositis of the abdominal wall from an intraabdominal process that might cause pain in the same region Referred Pain in Abdominal DiseasesPain referred to the abdomen from the ... often associated with episodes of severe abdominalpain Whenever the cause of abdominalpain is obscure, a metabolic origin always must be considered Abdominalpain is also the hallmark of familial ... presence of a rupturing abdominal aortic aneurysm This pain may persist over a period of several days before rupture and collapse occur Abdominal Wall Pain arising from the abdominal wall is usually...
... serves to differentiate myositis of the abdominal wall from an intraabdominal process that might cause pain in the same region Referred Pain in Abdominal DiseasesPain referred to the abdomen from the ... often associated with episodes of severe abdominalpain Whenever the cause of abdominalpain is obscure, a metabolic origin always must be considered Abdominalpain is also the hallmark of familial ... presence of a rupturing abdominal aortic aneurysm This pain may persist over a period of several days before rupture and collapse occur Abdominal Wall Pain arising from the abdominal wall is usually...
... the majority of cases Computer-aided diagnosis of abdominalpain provides no advantage over clinical assessment alone In cases of acuteabdominal pain, a diagnosis is readily established in most ... pain IBS is one of the most common causes of abdominalpain and must always be kept in mind (Chap 290) The location of the pain can assist in narrowing the differential diagnosis (see Table 14 -2); ... by abdominalpain and altered bowel habits The diagnosis is made on the basis of clinical criteria (Chap 290) and after exclusion of demonstrable structural abnormalities The episodes of abdominal...
... BMJ 305:554, 19 92 [PMID: 13 93034] Bugliosi TF et al: Acuteabdominalpain in the elderly Ann Emerg Med 19 :13 83, 19 90 [PMID: 2240749] Gatzen C et al: Management of acuteabdominal pain: Decision ... C, Clark DC: Diagnosis of acuteabdominalpain in older patients Am Fam Physician 74 :15 37, 2006 [PMID: 17 111 893] Silen W: Cope's Early Diagnosis of the Acute Abdomen, 21st ed, New York and Oxford: ... patients with abdominalpain wait unduly long for analgesia? J R Coll Surg Edinb 44 :18 1, 19 99 [PMID: 10 372490] Bibliography Attard AR et al: Safety of early pain relief for acuteabdominalpain BMJ...
... bạch cầu 10 .000 so với 71% nơi bệnh nhân trẻ 65 tuổi Tuy nhiên, tỷ lệ toàn bệnh lý ngoại khoa số bệnh nhân 65 tuổi nhập viện đau bụng cao (từ 33% đến 39%) so với bệnh nhân 65 tuổi (16 %) Viêm ... khoa, so với bệnh nhân có thời gian đau dài 11 / KỂ HAI NGUYÊN NHÂN NGOẠI KHOA THƯỜNG BỊ BỎ SÓT NHẤT CỦA ĐAU BỤNG ? Ruột thừa viêm tắc ruột cấp tính 12 / CÓ MỘT VỊ TRÍ ĐỐI VỚI NHỮNG THUỐC GIẢM ĐAU ... VIỆC ĐÁNH GIÁ NHỮNG NGƯỜI GIÀ VỚI ĐAU BỤNG CẤP TÍNH ? Tuổi cao làm cùn biểu bệnh bụng cấp tính (acute abdominal disease) Đau nghiêm trọng ; sốt thuờng rõ rệt ; dấu hiệu viêm phúc mạc, đề kháng thành...
... Left CT 15 .6 cm Retroperitoneal bleeding 17 Gupta et al [9] 2009 M 51 Right CT 11 .6 × 14 .9 × 14 .9 cm Complicated by perinephric abscess 18 Shah et al 2009 M 35 Right IVU/US/ CT 19 Our case 2 010 F ... lipoma of the adrenal gland J Urol 2002, 16 7 :17 77 11 Lange HP: Lipoma of the adrenal gland simulating the signs of pheochromocytoma Ger Med Mon 19 66, 11 :19 0 -19 2 12 Sharma MC, Gill SS, Kashyap S, Nabi ... al [6] 19 98 F 50 Left CT cm Incidental finding (CT) Guereirro et al [14 ] 19 98 F 66 Right US/CT × × cm Hypertension Sharma et al [12 ] 19 98 M 45 Right 12 × 10 × cm/ 225 g Pain, hypertension 10 Lam...