"The use of indirect tests such as the “cough test,” where one looks for signs of pain such as flinching, grimacing, or moving the hands to the abdomen upon coughing has a similar sensitivity but with a specificity of 79%.35 In children, indirect tests would include the “heel drop jarring” test (child rises on toes and drops weight on heels) or asking the child to jump up and down while looking for signs of abdominal pain.29,36 "
[Show abstract][Hide abstract] ABSTRACT: Evaluation of the emergency department patient with acute abdominal pain is sometimes difficult. Various factors can obscure the presentation, delaying or preventing the correct diagnosis, with subsequent adverse patient outcomes. Clinicians must consider multiple diagnoses, especially those life-threatening conditions that require timely intervention to limit morbidity and mortality. This article will review general information on abdominal pain and discuss the clinical approach by review of the history and the physical examination. Additionally, this article will discuss the approach to unstable patients with abdominal pain.
International Journal of General Medicine 09/2012; 5:789-97. DOI:10.2147/IJGM.S25936
[Show abstract][Hide abstract] ABSTRACT: Evaluation of the emergency department patient with acute abdominal pain may be challenging. Many factors can obscure the clinical findings leading to incorrect diagnosis and subsequent adverse outcomes. Clinicians must consider multiple diagnoses with limited time and information, giving priority to life-threatening conditions that require expeditious management to avoid morbidity and mortality. This article seeks to provide the clinician with the clinical tools to achieve these goals by reviewing the anatomic and physiological basis of abdominal pain and key components of the history and the physical examination. In addition, this article discusses the approach to unstable patients with abdominal pain.
Emergency medicine clinics of North America 05/2011; 29(2):159-73, vii. DOI:10.1016/j.emc.2011.01.013 · 0.78 Impact Factor
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