Abdominal Pain and Abdominal Mass
| Autor: | Madison M. Crutcher, Mohammad F. Shaikh, Wilbur B. Bowne, Darshak S. Thosani |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Abdominal pain medicine.diagnostic_test business.industry General surgery Physical examination Working diagnosis 030230 surgery Hypochondrium Abdominal mass Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Abdominal examination Medicine Embalming Differential diagnosis medicine.symptom business |
| Zdroj: | DeckerMed Transitional Year Weekly Curriculum™. |
| Popis: | Egyptian medical scholars kept detailed notes chronicling the conditions encountered and describing the methods of abdominal examination that were based on studies of basic anatomy and embalming practices. Centuries later, in his Book of Prognostics, the Greek physician Hippocrates (ca. 400 bc) discussed the prognostic signifi cance of various types of abdominal fi ndings: The state of the hypochondrium is best when it is free from pain, soft, and of equal size on the right side and the left. But if infl amed, or painful, or distended; or when the right and left sides are of disproportionate sizes; all of these appearances are to be dreaded. A swelling in the hypochondrium, that is hard and painful, is very bad…. Such swellings at the commencement of disease prognosticate speedy death. Such swellings as are soft, free from pain, and yield to the fi nger, occasion more protracted crises, and are less dangerous than others. 2 Along with the basic methods of clinical evaluation known since antiquity, the modern surgeon has an armamentarium of sophisticated diagnostic studies that aid in the detection, diagnosis, and appropriate treatment of these frequently overlapping clinical entities. The primary goals in the management of patients with abdominal pain and/or an abdominal mass are (1) to establish a differential diagnosis through obtaining a clinical history, (2) to refi ne that differential diagnosis with a physical examination and appropriate studies, and (3) to determine the role of operative intervention in the treatment or refi nement of the working diagnosis. |
| Databáze: | OpenAIRE |
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