tailieunhanh - Chapter 014. Abdominal Pain (Part 1)

Harrison's Internal Medicine Chapter 14. Abdominal Pain Abdominal Pain: IntroductionThe correct interpretation of acute abdominal pain is challenging. Since proper therapy may require urgent action, the unhurried approach suitable for the study of other conditions is sometimes denied. Few other clinical situations demand greater judgment, because the most catastrophic of events may be forecast by the subtlest of symptoms and signs. A meticulously executed, detailed history and physical examination are of great importance. The etiologic classification in Table 14-1, although not complete, forms a useful basis for the evaluation of patients with abdominal pain. Table 14-1 Some Important Causes of. | Chapter 014. Abdominal Pain Part 1 Harrison s Internal Medicine Chapter 14. Abdominal Pain Abdominal Pain IntroductionThe correct interpretation of acute abdominal pain is challenging. Since proper therapy may require urgent action the unhurried approach suitable for the study of other conditions is sometimes denied. Few other clinical situations demand greater judgment because the most catastrophic of events may be forecast by the subtlest of symptoms and signs. A meticulously executed detailed history and physical examination are of great importance. The etiologic classification in Table 14-1 although not complete forms a useful basis for the evaluation of patients with abdominal pain. Table 14-1 Some Important Causes of Abdominal Pain Pain Originating in the Abdomen Parietal peritoneal inflammation Bacterial contamination Perforated appendix or other perforated viscus Pelvic inflammatory disease Chemical irritation Perforated ulcer Pancreatitis Mittelschmerz Mechanical obstruction of hollow viscera Obstruction of the small or large intestine Obstruction of the biliary tree Obstruction of the ureter Vascular disturbances Embolism or thrombosis Vascular rupture Pressure or torsional occlusion Sickle cell anemia Abdominal wall Distortion or traction of .