In the recent edition of AFP guidelines for evaluation of abdominal pain is published. Though this article is meant to be for primary care doctors, i think we should know this too.
Specific clinical recommendations for practice, all of level of evidence rating C, are as follows:
- Appendicitis cannot be ruled out by a normal white blood cell count.
- In patients with epigastric pain, simultaneous amylase and lipase measurements are recommended.
- For evaluation of patients with acute right upper quadrant abdominal pain, ultrasonography is the imaging study of choice.
- For evaluating patients with acute right lower quadrant or left lower quadrant abdominal pain, CT is the imaging study of choice.
1 comments:
Thanks thats a fantastic comprehensive summry on all possible causes of an acute abdomen.A must know for all GP's.
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