keyword
MENU ▼
Read by QxMD icon Read
search

acute abdomen pain guidelines

keyword
https://www.readbyqxmd.com/read/27745576/-toothpick-perforation-in-the-ventricle
#1
Marlene Aagaard Hansen, Helle Ø Kristensen, Lars Maagaard Andersen
A 60-year-old male was admitted with acute abdominal pain and fever. Computed tomography (CT) of the abdomen revealed free air. Diagnostic laparoscopy showed a toothpick perforating the ventricle, and the toothpick was removed successfully. This condition is severe with a reported mortality of 9.6%. A practical guideline based on 136 cases was presented in 2014. Endoscopy was found to be superior to CT in identifying toothpicks as well as offering therapeutic intervention, rendering endoscopy the first choice in diagnostic and treatment...
October 17, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27621562/clinically-profiling-pediatric-patients-with-dengue
#2
Sriram Pothapregada, Banupriya Kamalakannan, Mahalaskhmy Thulasingham, Srinivasan Sampath
OBJECTIVE: To study the clinical profile and outcome of dengue fever in children at a tertiary care hospital in Puducherry. MATERIALS AND METHODS: All children (0-12 years of age) diagnosed and confirmed as dengue fever from August 2012 to January 2015 were reviewed retrospectively from hospital case records as per the revised World Health Organization guidelines for dengue fever. The diagnosis was confirmed by NS1 antigen-based ELISA test or dengue serology for IgM and IgG antibodies, and the data were analyzed using SPSS 16...
July 2016: Journal of Global Infectious Diseases
https://www.readbyqxmd.com/read/27491471/lack-of-existing-guidelines-for-a-large-group-of-patients-in-sweden-a-national-survey-across-the-acute-surgical-care-delivery-chain
#3
Åsa Muntlin Athlin, Claes Juhlin, Eva Jangland
RATIONALE, AIMS AND OBJECTIVES: Evidence-informed healthcare is the fundament for practice, whereby guidelines based on the best available evidence should assist health professionals in managing patients. Patients seeking care for acute abdominal pain form a common group in acute care settings worldwide, for whom decision-making and timely treatment are of paramount importance. There is ambiguity about the existence, use and content of guidelines for patients with acute abdomen. The objective was to describe and compare guidelines and management of patients with acute abdomen in different settings across the acute care delivery chain in Sweden...
August 4, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27166963/oral-contrast-for-ct-in-patients-with-acute-non-traumatic-abdominal-and-pelvic-pain-what-should-be-its-current-role
#4
REVIEW
Ania Z Kielar, Michael N Patlas, Douglas S Katz
Positive oral contrast agents, including barium suspensions and water-soluble iodinated solutions, have traditionally been used in conjunction with the CT evaluation of patients with abdominal and pelvic pain. Due to continued advancements in CT technology, and due to increasing obesity and correspondingly a general increase in the intra-abdominal and intra-pelvic fat separating bowel loops in North American patients and in patients in other parts of the world over the past few decades, the ability of radiologists to accurately evaluate the cause of acute symptoms has substantially improved...
October 2016: Emergency Radiology
https://www.readbyqxmd.com/read/26653833/acr-appropriateness-criteria-acute-nonspecific-chest-pain-low-probability-of-coronary-artery-disease
#5
REVIEW
Udo Hoffmann, Scott R Akers, Richard K J Brown, Kristopher W Cummings, Ricardo C Cury, S Bruce Greenberg, Vincent B Ho, Joe Y Hsu, James K Min, Kalpesh K Panchal, Arthur E Stillman, Pamela K Woodard, Jill E Jacobs
Primary imaging options in patients at low risk for coronary artery disease (CAD) who present with undifferentiated chest pain and without signs of ischemia are functional testing with exercise or pharmacologic stress-based electrocardiography, echocardiography, or myocardial perfusion imaging to exclude myocardial ischemia after rule-out of myocardial infarction and early cardiac CT because of its high negative predictive value to exclude CAD. Although possible, is not conclusive whether triple-rule-out CT (CAD, pulmonary embolism, and aortic dissection) might improve the efficiency of patient management...
December 2015: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/26109440/acute-neck-pain-caused-by-atlanto-axial-instability-secondary-to-pathologic-fracture-involving-odontoid-process-and-c2-vertebral-body-treatment-with-radiofrequency-thermoablation-cement-augmentation-and-odontoid-screw-fixation
#6
Pawel Zwolak, Markus Kröber
INTRODUCTION: Cervical spine metastases are relatively rare entities. Only about 10 % of all spinal metastases can be found in this localization. Magnetic resonance imaging and computed tomography are routinely used for early detection. The initial, clinical examination and patients' complaints may not always be very prominent. Treatment of such lesions is very challenging and needs to consider patient's comorbidities, quality of life and life expectation. Surgery for these lesions should always be performed in specialized spine units...
September 2015: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/25985296/perforated-appendix-with-abscess-immediate-or-interval-appendectomy-some-examples-to-explain-our-choice
#7
Edoardo Guida, Federica Pederiva, Massimo Di Grazia, Daniela Codrich, Maria Antonietta Lembo, Maria Grazia Scarpa, Waifro Rigamonti
INTRODUCTION: There are no clear guidelines in the treatment of a perforated appendicitis associated with periappendiceal abscess without generalized peritonitis. PRESENTATION OF CASES: We retrospectively studied six examples of treated children in order to discuss the reasons of our team's therapeutic approach. Some children were treated with a conservative antibiotic therapy to solve acute abdomen pain, planning a routine interval appendectomy after some months...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25340438/computed-tomography-revolutionizing-the-practice-of-medicine-for-40-years
#8
REVIEW
Geoffrey D Rubin
Computed tomography (CT) has had a profound effect on the practice of medicine. Both the spectrum of clinical applications and the role that CT has played in enhancing the depth of our understanding of disease have been profound. Although almost 90 000 articles on CT have been published in peer-reviewed journals over the past 40 years, fewer than 5% of these have been published in Radiology. Nevertheless, these almost 4000 articles have provided a basis for many important medical advances. By enabling a deepened understanding of anatomy, physiology, and pathology, CT has facilitated key advances in the detection and management of disease...
November 2014: Radiology
https://www.readbyqxmd.com/read/24554198/segmental-arterial-mediolysis
#9
REVIEW
Anil Kumar Pillai, Shams I Iqbal, Raymond W Liu, Niranjan Rachamreddy, Sanjeeva P Kalva
Segmental arterial mediolysis (SAM) is an uncommon, nonatherosclerotic, noninflammatory, large- to medium-sized arteriopathy first described in 1976. It is characterized histologically by vacuolization and lysis of the outer arterial media leading to dissecting aneurysms and vessel rupture presenting clinically with self-limiting abdominal pain or catastrophic hemorrhages in the abdomen. Patients of all ages are affected with a greater incidence at the fifth and sixth decades. There is a slight male predominance...
June 2014: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/24485592/acr-appropriateness-criteria-right-upper-quadrant-pain
#10
Gail M Yarmish, Martin P Smith, Max P Rosen, Mark E Baker, Michael A Blake, Brooks D Cash, Nicole M Hindman, Ihab R Kamel, Harmeet Kaur, Rendon C Nelson, Robert J Piorkowski, Aliya Qayyum, Mark Tulchinsky
Acute right upper quadrant pain is a common presenting symptom in patients with acute cholecystitis. When acute cholecystitis is suspected in patients with right upper quadrant pain, in most clinical scenarios, the initial imaging modality of choice is ultrasound. Although cholescintigraphy has been shown to have slightly higher sensitivity and specificity for diagnosis, ultrasound is preferred as the initial study for a variety of reasons, including greater availability, shorter examination time, lack of ionizing radiation, morphologic evaluation, confirmation of the presence or absence of gallstones, evaluation of bile ducts, and identification or exclusion of alternative diagnoses...
March 2014: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/24166027/accidentally-ingested-toothpicks-causing-severe-gastrointestinal-injury-a-practical-guideline-for-diagnosis-and-therapy-based-on-136-case-reports
#11
Catherine Steinbach, Martin Stockmann, Maximilian Jara, Jan Bednarsch, Johan Friso Lock
BACKGROUND: Ingested toothpicks are a relatively rare event, but may cause serious gut injuries with peritonitis, sepsis, or death. Numerous case reports describing the clinical course in this setting are available but there is no concise guideline. The aim of the present study was to develop practical guidelines to aid clinicians in the diagnosis and management of acute tooth pick ingestion. METHOD: Our Medline search identified 116 publications containing case reports of ingested toothpicks...
February 2014: World Journal of Surgery
https://www.readbyqxmd.com/read/24141550/evaluation-of-acute-abdominal-pain
#12
Scott J Saccomano, Lucille R Ferrara
Abdominal pain is a common complaint encountered in primary care and in the ED. Varying levels of pain dictate the immediacy of the intervention. Time is vital when making the decision to initiate therapeutic interventions. A comprehensive assessment with physical exam and diagnostic studies is required.
November 10, 2013: Nurse Practitioner
https://www.readbyqxmd.com/read/23990045/acute-abdominal-and-pelvic-pain-in-pregnancy-esur-recommendations
#13
Gabriele Masselli, Lorenzo Derchi, Josephine McHugo, Andrea Rockall, Peter Vock, Michael Weston, John Spencer
Acute abdominal pain in pregnancy presents diagnostic and therapeutic challenges. Standard imaging techniques need to be adapted to reduce harm to the fetus from X-rays due to their teratogenic and carcinogenic potential. Ultrasound remains the primary imaging investigation of the pregnant abdomen. Magnetic resonance imaging (MRI) has been shown to be useful in the diagnosis of gynaecological and obstetric problems during pregnancy and in the setting of acute abdomen during pregnancy. MRI overcomes some of the limitations of ultrasound, mainly the size of the gravid uterus...
December 2013: European Radiology
https://www.readbyqxmd.com/read/23969324/guidelines-of-diagnostics-and-treatment-of-acute-left-sided-colonic-diverticulitis
#14
REVIEW
Caroline S Andeweg, Irene M Mulder, Richelle J F Felt-Bersma, Annelies Verbon, Gert Jan van der Wilt, Harry van Goor, Johan F Lange, Jaap Stoker, Marja A Boermeester, Robert P Bleichrodt
BACKGROUND: The incidence of acute left-sided colonic diverticulitis (ACD) is increasing in the Western world. To improve the quality of patient care, a guideline for diagnosis and treatment of diverticulitis is needed. METHODS: A multidisciplinary working group, representing experts of relevant specialties, was involved in the guideline development. A systematic literature search was conducted to collect scientific evidence on epidemiology, classification, diagnostics and treatment of diverticulitis...
2013: Digestive Surgery
https://www.readbyqxmd.com/read/23899706/-conservative-treatment-of-acute-diverticulitis
#15
Nienke Busser, Koen van Hee, Hendrik H M van Dullemen, D L Lucette Schipper
Scientific evidence concerning the treatment of acute diverticulitis is scarce. We describe 2 patients with this condition in this article. The first, a 64-year-old man, came to the emergency room because he had experienced persistent abdominal pain for the previous 4 days. He was diagnosed with uncomplicated diverticulitis. The second patient, a 58-year-old woman, had had pain in her left lower abdomen for 4 weeks; the pain appeared to have been caused by complicated diverticulitis. Both patients were treated conservatively...
2013: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/23814464/influence-of-anatomic-location-of-lidocaine-patch-5-on-effectiveness-and-tolerability-for-postherpetic-neuralgia
#16
Srinivas Nalamachu, Matthew Wieman, Leah Bednarek, Surya Chitra
PURPOSE: Lidocaine patch 5% is recommended as a first-line therapy for postherpetic neuralgia pain in neuropathic pain guidelines. Postherpetic neuralgia can occur anywhere on the body but often follows acute herpes zoster occurring in trigeminal and brachial plexus dermatomes. An analysis was conducted to determine whether the anatomic location of lidocaine patch 5% is associated with variations in effectiveness or tolerability in patients with postherpetic neuralgia. METHODS: This was a post hoc analysis by anatomic site of patch placement (head [including neck], trunk [chest, abdomen, back, hips], and extremities [arm, leg]) of a 4-week, multicenter, open-label study that enrolled patients with persistent pain following herpes zoster infection...
2013: Patient Preference and Adherence
https://www.readbyqxmd.com/read/23404248/-epidemiology-and-clinical-presentation-of-acute-cholecystitis
#17
REVIEW
K Götzky, P Landwehr, J Jähne
Acute cholecystitis is the most common complication of cholecystolithiasis. With some 64,000 patients per year requiring surgical inpatient treatment it remains a prevalent surgical disease. The presentation varies between mild, severe and life-threatening forms and predominantly in old and morbid patients. Gallbladder perforation is a possible complication which is often only diagnosed during surgery. Typical clinical symptoms are pain in the upper abdomen, fever and leucocytosis. Ultrasonography may often be used to confirm the clinical diagnosis...
March 2013: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/23165250/rare-extragonadal-teratomas-in-children-complete-tumor-excision-as-a-reliable-and-essential-procedure-for-significant-survival-clinical-experience-and-review-of-the-literature
#18
REVIEW
Guglielmo Paradies, Francesca Zullino, Antonio Orofino, Samuele Leggio
BACKGROUND: Extragonadal teratomas are rare tumors in neonates and infants and can sometimes show unusual, distinctive feature such as an unusual location, a clinical sometimes acute, presentation and a "fetiform" histotype of the lesion. We have extrapolated, from our entire experience of teratomas, 4 unusual cases, mostly operated as emergencies; 2 of them were treated just after birth. Aim of this paper is to report the clinical and pathological findings, to evaluate the surgical approach and the long-term biological behaviour in these cases, in the light of survival and current insights reported in the literature...
January 2014: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/23113412/-analysis-of-the-medical-decision-in-abdominal-pain-suggestive-of-acute-appendicitis
#19
E Díaz Moreno, M García Gómez, J Castejón Casado, E Liceras Liceras, F Martín Cano, M A Muñoz Miguelsanz
OBJECTIVES: Application of the theorem of Bayes for the study of the usefulness of complementary quantitative and qualitative assessment of the effectiveness of ultrasound diagnosis in order to provide the clinician with a tool to accurately assess the effectiveness of these tests in diagnosing abdominal pain appendix subject box. METHODS: Retrospective cohort of 184 patients treated from January 2009 to June 2010 for abdominal pain suggestive of acute abdomen, of which 145 were operated...
January 2012: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/22736283/laparoscopic-approach-to-acute-abdomen-from-the-consensus-development-conference-of-the-societ%C3%A3-italiana-di-chirurgia-endoscopica-e-nuove-tecnologie-sice-associazione-chirurghi-ospedalieri-italiani-acoi-societ%C3%A3-italiana-di-chirurgia-sic-societ%C3%A3-italiana-di
#20
Ferdinando Agresta, Luca Ansaloni, Gian Luca Baiocchi, Carlo Bergamini, Fabio Cesare Campanile, Michele Carlucci, Giafranco Cocorullo, Alessio Corradi, Boris Franzato, Massimo Lupo, Vincenzo Mandalà, Antonino Mirabella, Graziano Pernazza, Micaela Piccoli, Carlo Staudacher, Nereo Vettoretto, Mauro Zago, Emanuele Lettieri, Anna Levati, Domenico Pietrini, Mariano Scaglione, Salvatore De Masi, Giuseppe De Placido, Marsilio Francucci, Monica Rasi, Abe Fingerhut, Selman Uranüs, Silvio Garattini
BACKGROUND: In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. METHODS: Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association...
August 2012: Surgical Endoscopy
keyword
keyword
57807
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"