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AbdominalPain

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UOTW #41 – Ultrasound of the Week

A 24 y/o female presents with c/o vaginal spotting and severe abdominal pain. LMP 2 months ago. BP 82/40. You lie the patient supine and are unable to visualize the uterus, but obtain this clip instead. What’s your next step?  
ultrasoundoftheweek.com
over 6 years ago
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Lab tests and ultrasounds identify children who need surgical treatment for appendicitis

Data from two standard diagnostic tests commonly obtained in children evaluated for abdominal pain - when combined - can improve the ability of emergency department physicians and pediatric...  
medicalnewstoday.com
over 6 years ago
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Children with IBS have higher prevalence of celiac disease

Researchers have found that, compared with other types of abdominal pain, IBS in children is linked with a much higher prevalence of celiac disease, a heritable condition.  
medicalnewstoday.com
over 6 years ago
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Quick pediatrics: Causes for acute abdominal pain in more than 2 years old

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
over 6 years ago
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Quick pediatrics: Causes for acute abdominal pain in less than 2 years old

Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...  
youtube.com
over 6 years ago
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Back Pain

Ultra-short presentation on abdominal pain. The presentation is only a overview rather than a comprehensive presentation of all the causes of back pain.  
Debkumar Chowdhury
over 6 years ago
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Acute Abdominal pain. Acute Abdomen information. Patient | Patient

For acute abdomen pain See also the separate article abdominal Pain . Acute abdominal pain has painful severe symptoms. Read about Acute Abdomen and abdominal pain  
Patient.co.uk
over 6 years ago
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The Importance Of Clinical Skills

In the USA the issue of indiscriminate use of expensive, sophisticated, and time consuming test in lieu of, rather than in addition to, the clinical exam is being much discussed. The cause of this problem is of course multifactorial. One of the factors is the decline of the teaching of clinical skills to our medical students and trainees. Such problems seem to have taken hold in developing countries as well. Two personal anecdotes will illustrate this. In the early nineties I worked for two years as a faculty member in the department of ob & gyn at the Aga Khan University Medical School in Karachi, Pakistan. One day, I received a call from the resident in the emergency room about a woman who had come in because of some abdominal pain and vaginal bleeding. While the resident told me these two symptoms her next sentence was: “… and the pelvic ultrasound showed…” I stopped her right in her tracks before she could tell me the result of the ultrasound scan. I told her: “First tell me more about this patient. Does she look ill? Is she bleeding heavily? Is she in a lot of pain and where is the pain? What are her blood pressure and pulse rate? How long has she been having these symptoms? When was her last menstrual period? What are your findings when you examined her ? What is the result of the pregnancy test?”. The resident could not answer most of these basic clinical questions and findings. She had proceeded straight to a test which might or might not have been necessary or even indicated and she was not using her clinical skills or judgment. In another example, the resident, also in Karachi, called me to the emergency room about a patient with a ruptured ectopic pregnancy. He told me that the patient was pale, and obviously bleeding inside her abdomen and on the verge of going into shock. The resident had accurately made the diagnosis, based on the patient’s history, examination, and a few basic laboratory tests. But when I ran down to see the patient, he was wheeling the patient into the radiology department for an ultrasound. "Why an ultrasound?" I asked. “You already have made the correct diagnosis and she needs an urgent operation not another diagnostic procedure that will take up precious time before we can stop the internal bleeding.” Instead of having the needless ultrasound, the patient was wheeled into the operating room. What I am trying to emphasize is that advances in technology are great but they need to be used judiciously and young medical students and trainees need to be taught to use their clinical skills first and then apply new technologies, if needed, to help them to come to the right diagnosis and treatment. And of course we, practicing physicians need to set the example. Or am I old fashioned and not with it? Medico legal and other issues may come to play here and I am fully aware of these. However the basic issue of clinical exam is still important. Those wanting to read more similar stories can download a free e book from Smashwords. The title is: "CROSSCULTURAL DOCTORING. ON AND OFF THE BEATEN PATH." You can access the e book here.  
DR William LeMaire
about 7 years ago
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Causes of Acute Abdomen

Picture showing different causes of abdominal pain in the areas which they tend to affect. (note: some of the causes in the Left and right iliac fossa can affect both sides although they are only drawn in one!) http://leadonpaper.blogspot.co.uk/2014/01/the-acute-abdomen.html#more  
Caren Chu
over 7 years ago
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Abdominal (GI) Examination OSCE Station Guide

The abdominal examination aims to pick up on any gastrointestinal pathology that may be causing a patient's symptoms e.g. abdominal pain or altered bowel habit.  
OSCE Skills
over 7 years ago
Www.bmj
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A man with a palpable abdominal mass and night sweats

A 78 year old man presented with an eight week history of left sided abdominal pain and back pain, associated with anorexia, 3 kg weight loss, and night sweats. He was previously well, had no medical history of note, was taking no regular drugs, and was an ex-smoker.  
bmj.com
over 7 years ago