Properties In Evaluation Of The Acute Abdomen. Surgical Treatment
SURGICAL TREATMENT
22. If the patient is sick (and not getting better), what should be done?
Show answer
After fluid resuscitation, the patient’s abdomen should be explored. An exploratory laparotomy has been touted as the logical conclusion of a complete physical examination.
23. Is a negative laparotomy harmful?
Show answer
Yes, but patients can uncomfortably survive a negative laparotomy, whereas missed bowel infarction (or appendicitis) can be life-threatening.
24. Name the most challenging problem in all of medicine.
Show answer
An acute abdomen.
References
WEB SITE
http://www.acssurgery.com/abstracts/acs/acs0301.htm
BIBLIOGRAPHY
1. D’Agostino J: Common abdominal emergencies in children. Emerg Med Clin N Am 20:139-153, 2002. Full article
2. Dhillon S, Halligan S, Goh V, et al: The therapeutic impact of abdominal ultrasound in patients with acute abdominal symptoms. Clin Radiol 57:268-271, 2002. Medline Similar articles Full article
3. Gajic O, Urrutia LE, Sewani H, et al: Acute abdomen in the medical intensive care unit. Crit Care Med 30:1187-1190, 2002. Medline Similar articles Full article
4. Rozycki GS, Tremblay L, Feliciano DV, et al: Three hundred consecutive emergent celiotomies in general surgery patients: Influence of advanced diagnostic imaging techniques and procedures on diagnosis. Ann Surg 235:681-689, 2002. Medline Similar articles Full article
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