Abstract
The treatment for pain before arriving the #diagnosis in patients with
acute abdominal pain still remains controversial. Many recent studies
have showed that the treatment of pain does not negatively influence
either the diagnosis or subsequent treatment of these patients; however,
current practice patterns continue to favour withholding pain
medication prior to diagnosis and surgical treatment decision [1]. Pain
is a complex phenomenon with various causes and issues associated with
its incidences. This complexity is especially true for those who have
#chronic pain. In light of the #multifactorial nature of this problem, the
treatment plan has to be individualized for each patient [2]. Any
doctor doing practice in emergency #medicine should be skilled in the
assessment of abdominal pain and related diseases. Although a common
presentation, abdominal pain must be approached in a serious manner, as
it is often a symptom of serious disease and misdiagnosis may occur.
Abdominal pain is the presenting issue in a high percentage of medico
legal actions against both general and paediatric emergency medicine
#physicians [3,4]. The modern physician should be humbled by the fact
that, despite diagnostic and therapeutic advances (computed tomography,
#ultrasonography\, interventional radiology and #laparoscopy\), the
misdiagnosis rate of the most common surgical emergency, acute
appendicitis, has changed little over time [5].
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Acute Abdominal Pain by Thamilselvam in BJSTR
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