Acute Abdomen: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of the eye) [jaundice/ jaundice]. Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible … Acute Abdomen: Examination

Acute Abdomen: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance). … Acute Abdomen: Test and Diagnosis

Acute Abdomen: Drug Therapy

Therapeutic target Symptomatic therapy Therapy recommendations Intensive care monitoring of vital signs during conservative therapy or postoperatively. Analgesia (analgesics/painkillers) according to WHO staging scheme until definitive therapy when diagnosis is confirmed: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. If necessary, butylscopolamine … Acute Abdomen: Drug Therapy

Acute Abdomen: Diagnostic Tests

Obligatory medical device diagnostics. Abdominal ultrasonography (ultrasound examination of abdominal organs) – as a standard diagnostic tool for abdominal pain [including free fluid, free air (suspicion of cavity perforation; here, CT as an alternative if necessary), bowel wall changes (e.g., ileitis/chronic inflammatory bowel disease, diverticulitis/inflammation of protrusions of the bowel), changes in the gallbladder, bile … Acute Abdomen: Diagnostic Tests

Acute Abdomen: Symptoms, Complaints, Signs

The following complaints describe the “acute abdomen” symptom complex: Abdominal pain* (abdominal pain) – acute onset or pain that persists progressively over 24 h. Defensive tension (due toperitonitis/peritonitis). Disturbance of intestinal peristalsis: possibly paralytic ileus/paralytic intestinal obstruction (absent bowel sounds, possibly meteorism/ flatulence); nausea (nausea)/vomiting. Circulatory disturbances up to the shock symptomatology * Abdominal pain … Acute Abdomen: Symptoms, Complaints, Signs

Anal Discomfort (Anorectal Pain)

Anorectal pain – colloquially called anal discomfort – (synonyms: anal discomfort; anal discomfort; anal pain syndrome; anal pain; anorectal pain syndrome; anus irritation; anus pain; perineal pain; proctalgia; proctalgia; proctodynia; rectal discomfort; rectal pain; rectal pain; rectal pain; ICD-10-GM K62. 8: Other specified diseases of the anus and rectum; ICD-10-GM R10.2: Pelvic and perineal pain) … Anal Discomfort (Anorectal Pain)

Wrist Pain

Wrist pain (synonym: wrist arthralgia; ICD-10-GM M25.53: joint pain: forearm) is a commonly reported complaint that can have many causes. Anatomically and functionally affected by the wrist are: Joint between the forearm and proximal carpus (articulatio radiocarpalis) and the articular junction between the proximal and distal row of carpal bones (articulatio mediocarpalis). Ligaments between the … Wrist Pain

Wrist Pain: Medical History

Medical history (history of illness) is an important component in the diagnosis of wrist arthralgia (wrist pain). Family history Are there any bone/joint conditions in your family that are common? Social history What is your profession? Do you work physically hard in your profession? Current medical history/systemic history (somatic and psychological complaints). Where is the … Wrist Pain: Medical History

Wrist Pain: Or something else? Differential Diagnosis

Musculoskeletal system and connective tissue (M00-M99). Osteoarthritis, e.g., rhizarthrosis (thumb saddle joint arthrosis) [load-dependent pain at the junction of the thumb (1st metacarpal bone) and the wrist] Chondrocalcinosis (synonym: pseudogout); gout-like disease of the joints caused by deposition of calcium pyrophosphate in cartilage and other tissues; leads, among other things, to joint degeneration (often of … Wrist Pain: Or something else? Differential Diagnosis

Wrist Pain: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Joint (abrasions/wounds, swelling (tumor), redness (rubor), hyperthermia (calor); injury indications such as hematoma formation, arthritic joint lumpiness, leg … Wrist Pain: Examination