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Abdominal Pain: Essential Diagnosis and Management in Acute Medicine

  • Book

  • August 2022
  • Bentham Science Publishers Ltd
  • ID: 5654209
Abdominal pain is one of the frequent reasons for admission to emergency departments in hospitals. Diagnosis in patients presenting abdominal pain is a challenge for physicians owing to several indications, and a lack of contraindications. Delay in diagnosis and misdiagnosis is a common problem even for the most experienced emergency physician or general surgeon. Disruptions that may be related to ancillary services such as radiology and biochemistry also increase the difficulty.

Abdominal Pain: Essential Diagnosis and Management in Acute Medicine is a definitive diagnosis guide that serves as a quick reference that supplements medical examinations. It gives physicians involved in a range of medical specialties (emergency medicine, family medicine, gastroenterology, general surgery) an understanding of how to apply procedures to expediently relieve pain where possible, after evaluating and recording the initial vital signs and findings on systemic examination.

Key Features

  • Covers abdominal pain diagnosis and patient management patient in a systematic and structured manner in 12 chapters
  • Chapters are dedicated to specific topics
  • Presents an individualized approach tailored for the patient to address common problems
  • Gives general working knowledge for specific diseases in the list of possible diagnoses
  • Provides a guide to situations involving trauma and surgery

Table of Contents

  • Contents Preface
  • General Considerations
  • Distinction Between Acute and Chronic Ap
  • Why Does My Belly Hurt?
  • Dichotomous Classification of Pain: Visceral or Somatic?
  • Pitfalls
  • Age and Sex
  • Does Every Patient Presenting with Ap Necessarily Receive a Specific Diagnosis?
  • Effect of Age
  • Severity of COVID-19 and Presentation with Ap
  • Abdominal Pain and Its Evaluation: How to be Both Thorough and Expedient?
  • the Severity and Pattern of the Pain
  • the Characteristics (Qualifications) of the Pain
  • Vital Signs
  • General Evaluation of Abdomen and Methods of Examination
  • Conclusion
  • References
Chapter 2 Laboratory and Radiological Investigations and Costeffectiveness
  • Pregnancy Test (B-Hcg)
  • Differential Diagnosis; Imaging Principles
  • Should We Request Imaging in the Diagnosis of Ap?
  • Radiographs (Plain Films)
  • Conclusion
  • References
Chapter 3 Pain: Methods for the Assessment
  • the Terminology of Pain
  • Acute Pain and Its Perception
  • Pain in the Clinical Practice
  • Evaluation and Monitoring of Pain
  • Does Pain Have Physiological Consequences?
  • Does Every Patient Describe Pain in the Same Way?
  • Pain Measurement Tools: is 1 Kg of Cotton or Iron Heavier?
  • Multidimensional Pain Assessment Tools
  • Conclusion
  • References
Chapter 4 Specific Diagnoses and Management Principles of the Upper Digestive Canal
  • Acute Gastroenteritis (Age)
  • Large Bowel Infection (Infectious Colitis, Ic)
  • Short Notes on Specific Agents
  • Stool Microscopy
  • Multiplex Molecular Panels
  • Subgroups That Require Special Attention
  • Can Training Change the Test-Ordering Behavior of Emergency Physicians in the Management of Adults with Acute Gastroenteritis?
  • Management of Specific Agents
  • Gastric Hyperacidity and Peptic Ulcer Disease
  • Aggressive and Defensive Factors in Mucosa
  • Role of Proton Pump Inhibitors (Ppis) in the Treatment of Stomach/ Duodenal Ulcer Disease, Acid Reflux and Others
  • Here are Some Tips for Using Ppis in Everyday Medical Practice
  • Gastrointestinal Bleedings (Gib)
  • Evaluation Tips
  • Esophageal Variceal Bleeding (Evb) Associated with Portal Hypertension (Pht) or Cirrhosis
  • Causes and Bleeding Types of Small Bowel Bleeding (Sbb)
  • Which Scoring System to Use to Predict Rebleeding?
  • Drugs Used in the Emergency Treatment of Evb
  • Update in the 2019 Guides
  • Gastric/Duodenal Ulcer Perforation (Gdup)
  • Treatment
  • Ingested Foreign Bodies (Fb) as a Cause of Ap
  • Case
  • Batteries as Ingested Foreign Bodies: The Hidden Threat
  • Clinical Findings
  • Follow-Up
  • Conclusion
  • References
Chapter 5 Specific Diagnoses and Management Principles of the Intestines and Lower Digestive Canal
  • Acute Appendicitis (Aap)
  • Examination
  • Work Up
  • How Can I Diagnose Aap? Established Criteria are as Follows
  • Five-Point Scale
  • Differential Diagnosis
  • Treatment
  • Antibiotics for Aap: a Real Remedy?
  • Acute Epiploic Appendagitis (Aea)
  • Omental Infarct (Oi)
  • Intestinal Obstruction, Ileus
  • Mbo Basically Develops in Three Ways
  • Causes of Mechanical Obstruction
  • Examination and Evaluation in a Patient Suspected to Have Mbo
  • Management
  • a Brief Motto on the Entity Can Be: “A Sun Should Not Both Rise and Set on an Established Case of Strangulation.”
  • Factors in Favor of Colostomy
  • Volvulus
  • Inflammatory Bowel Diseases (Ibd)
  • Diagnostic Tests
  • Differential Diagnosis
  • Ibd as a Manifestation of “Hla B27 Syndromes”
  • Treatment
  • Admission and Discharge
  • Meckel's Diverticulum (Md)
  • What is the Most Important Distinction Between Md and Appendicitis?
  • Acute Diverticulitis (Ad)
  • Complications
  • Prevention
  • Case Presentation: Perforated Ad
  • Hernias
  • Case Presentation
  • Benign Anorectal Diseases
  • Hemorrhoids
  • Anal Fissure (Af)
  • Anorectal Abscesses and Fistulas
  • How Do We Define Fistula? We Should Mention the Following Features
  • Mesenteric Artery Ischemia (Mai) and Infarction
  • Evaluation
  • Case Example (Fig. 28)
  • Case Presentation
  • Management
  • Ischemic Colitis and Ischemic Bowel Syndromes
  • Colonoscopy is Performed Within a Few Days in Any of the Following Cases
  • Conclusion
  • References
Chapter 6 Specific Diagnoses and Management Principles of the Hepatobiliary and Pancreatic Diseases
  • Liver Diseases
  • Hydatid Cyst
  • Microscopic Features of Hydatid Cysts Include
  • Clinical Presentation
  • Diagnostic Checklist
  • Tips for Radiology
  • Treatment
  • E. Granulosus
  • Imaging
  • Dd Include
  • Treatment
  • Management
  • Controversy Around Antibiotics After Acc
  • Radiological Adjuncts
  • Acute Pancreatitis
  • Work Up
  • Treatment
  • Complications of Acute Pancreatitis
  • Estimation of Risk of Death
  • Conclusion
  • References
Chapter 7 Specific Diagnoses and Management Principles of the Urinary and Genital Tract Diseases
  • Acute Epididymitis and Orchitis (Aeo)
  • How Do We Evaluate Acute Scrotal Pain (ASP) in the Emergency Setting?
  • Work Up
  • Management
  • Complications of Orchitis
  • Testicular Torsion (Tt)
  • Urinary Stone Disease/Ureteral Colic (Urc)/ Pyelonephritis
  • Urinary Stone Disease
  • Examination and Evaluation
  • Radiological Diagnosis
  • Urinary Tract Infection (Uti) Including Acute Pyelonephritis (Apn)
  • Management
  • Antibiotic Therapy in Uti and Apn
  • Tips for Disposition
  • Gynecological Pain: Ovarian Torsion, Pid
  • Recommended Im/Oral Treatment Regimens
  • Conclusion
  • References
Chapter 8 “Chronic” Abdominal Pain in the Acute Setting: Functional Bowel Diseases, Irritable Bowel Syndrome (Ibs) and Cancer-Related Pain
  • Irritable Bowel Syndrome (Ibs); A.K.A. Spastic Colon
  • Findings in the History and Examination
  • the Rome Iv Criteria are Used Quite Often and are Helpful (Table 4)
  • Imaging and Endoscopy Principles
  • Which Tests are Requested for Gas and Bloating?
  • Management Strategy
  • Treatment
  • Additional Pharmacological Treatment
  • What Can be Done Apart from Diet and Medicine?
  • Cancer as a Cause of Ap
  • Conclusion
  • References
Chapter 9 Special Groups and Abdominal Pain
  • Pregnancy-Related Acute Ap
  • Pathology
  • Ep Implanted in the Fallopian Tube Can Have 3 Potential Consequences
  • Clinical Presentation
  • Emergency Treatments and Consultations Should Not be Delayed for the Results of the Laboratory Work Up
  • Appendicitis in Pregnancy
  • is There Any Difference in the Alvarado Score?
  • Diagnostic Difficulties
  • Management is Open or Laparoscopic Surgery
  • Acute Cholecystitis (Ac) in Pregnancy
  • Other Causes of Ap During Pregnancy
  • Acute Ap in Children

Author

  • Ozgur KARCIOGLU
  • Selman YENİOCAK
  • Mandana HOSSEINZADEH
  • Seckin Bahar SEZGIN