Evaluation and Treatment of Acute Abdominal Pain in the Emergency Department
Author(s): Hassan Goodarzi, Fahimeh Shahjooie*, Ghorbanali Bandani, Sadrollah Mahmudi, Hamidreza Javadzadeh, Soleyman Heydari and Nina Farzan
Abstract
Introduction: The aim of this study was to improve accurate diagnosis and higher quality of treatment in patients with acute abdominal pain.
Methods: 350 patients with acute abdominal pain (AP) referred to emergency department (ED) of Baqiyatallah Hospital were studied during the last three months of 2016. For each patient, the form of hospitalization was completed and symptoms, location of pain, pain intensity, gender and age were recorded.
Results: Of the 350 patients, 168 cases (48%) were male and 182 (52%) were female. In addition, 84 cases (24%) were ultimately diagnosed with acute surgical pain and required action was taken. The most common cause of surgical acute paint was obtained appendicitis with 29 cases (34.53%) and the least cases were pancreatitis. Authors showed that AP was diagnosed in 266 (76%) patients as an internal source, most cases referred to ED with pain in right lower quadrant (RLQ) 134 cases (10.5%) and the least cases with diffuse pain (7 cases) (2%). The most frequent causes of AP in patients was kidney stone disease 27 cases (10.5%), and the lowest cause was herpes zoster with one case (0.38%), hypothyroidism and etc.
Conclusion: The frequency of the causes of surgery acute AP was similar to reviewed studies.