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Appendiceal endometriosis as a rare cause of abdominal pain - a case report and literature review

Denadai, Rafael; Ferraz, Rafael Aliceda; Goulart, Ricardo de Álvares; Saad-Hossne, Rogério; Teixeira, Fábio Vieira
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 324-328
ENG
Relevância na Pesquisa
66.23%
Endometriosis is an estrogen-dependent inflammatory disease, common in young women, characterized by the presence of endometrial tissue outside the uterine cavity. This ectopic endometrial tissue is most commonly found in the ovaries, peritoneum, uterosacral ligaments and rectovaginal cul-de-sac, with extremely rare involvement of the appendix. The main symptom is chronic abdominal pain, and the diagnosis is often made later, after the result of the histopathological examination. This study reports a 34-year-old patient complaining of chronic pelvic pain refractory to medical treatment, having undergone diagnostic laparotomy. During the surgery, we observed the presence of endometrioma fixed to the uterine wall, and the appendix was enlarged, but without evidence of inflammation. Endometrioma resection and appendectomy were performed, with good postoperative recovery. The anatomopathological exam showed endometriosis in the cecal appendix.

Dor abdominal crônica, dispepsia não ulcerosa e infecção pelo Helicobacter pylori em crianças e adolescentes

Silva, Renato Guilherme Silveira Corrêa
Fonte: Universidade Estadual Paulista (UNESP) Publicador: Universidade Estadual Paulista (UNESP)
Tipo: Dissertação de Mestrado Formato: 58 f.
POR
Relevância na Pesquisa
56.33%
Pós-graduação em Patologia - FMB; Aims: To investigate if the use of refined clinical characteristics of chronic abdominal pain can identify patients for further investigation of Helicobacter pylori (H. pylori) infection. An observational study on children and adolescents with chronic non-ulcer dyspepsia was performed to investigate the potential association between specific gastrointestinal symptoms and H. pylori infection. The hypothesis was that the use of demographics and clinical data with defined criteria for chronic abdominal pain (CAP) and dyspeptic syndrome, could be of help in identifying patients with H. pylori infection. Methods: A cohort of 721 consecutive new cases of children and adolescents with CAP were investigated. Of them, 240 with clinical criteria for chronic non-ulcer dyspeptic syndrome and suggestive of organic underlying disease were enrolled into the study. Data were collected by using standardized demographic, clinical laboratory, endoscopic and histopathological protocols. Results: H. pylori infection was identified in 123 children (52%), being 76 with pangastritis (61.7%) and 47 with antral gastritis (38.3%). Symptoms duration longer than 12 months was significantly more frequent in children with pangastritis than in those with antral gastritis (p< 0.05). Dyspeptic symptoms did not differ between antral predominant and pangastritis. A significant association was observed between nausea and H. pylori infection (p<0.03). Retrosternal pain was significantly more frequent in the non-infected group (p<0.05) than in patients with H. pylori infection. No association between demographic variables and H. pylori infection was found. Conclusions: The prevalence of H. pylori infection was high among children with dyspepsia...

Recurrent abdominal pain: when an epileptic seizure should be suspected?

Franzon,Renata C.; Lopes,Camila F.; Schmutzler,Kátia M.R.; Morais,Maria Isabel R.; Guerreiro,Marilisa M.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2002 EN
Relevância na Pesquisa
66.44%
Recurrent episodes of abdominal pain are common in childhood. Among the diagnostic possibilities are migraine and abdominal epilepsy (AE). AE is an infrequent syndrome with paroxystic episodes of abdominal pain, awareness disturbance, EEG abnormalities and positive results with the introduction of antiepileptic drugs. We present one 6 year-old girl who had short episodes of abdominal pain since the age of 4. The pain was followed by cry, fear and occasionally secondary generalization. MRI showed tumor in the left temporal region. As a differential diagnosis, we report a 10 year-old boy who had long episodes of abdominal pain accompanied by blurring of vision, vertigo, gait ataxia, dysarthria, acroparesthesias and vomiting. He received the diagnosis of basilar migraine. In our opinion, AE is part of a large group (partial epilepsies) and does not require a special classification. Pediatric neurologists must be aware of these two entities that may cause abdominal pain.

Relationship of cryptosporidiosis to abdominal pain and diarrhea in Mayan Indians

Bentley,Camille; Laubach,Harold; Spalter,Joel; Ginter,Elisa; Jensen,Lauritz
Fonte: Instituto de Medicina Tropical Publicador: Instituto de Medicina Tropical
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2004 EN
Relevância na Pesquisa
66.46%
Demonstration of cryptosporidiosis in Mayan Indians living around Lake Atitlan provided an opportunity to correlate infection with abdominal pain and/or diarrhea in different age groups of children. 94 subjects experiencing abdominal pain and/or diarrhea, between the ages of 2 and 13 were studied in towns around Lake Atitlan, Guatemala, over a two-year period. Cryptosporidium oocysts were found in the feces of 29% of children who presented with abdominal pain and 21% with diarrhea. Of the 60 infected subjects, 45% were experiencing abdominal pain and 33% diarrhea, 22% had abdominal pain and diarrhea. Both abdominal pain and diarrhea were significantly higher in children under 10 years of age and were most prevalent in the 6-9 year old age group but the correlation of symptoms to infection was not significantly different as the ages of the children increased. The high frequency of abdominal pain and/or diarrhea with infection in children was consistent with cryptosporidiosis, a disease considered as one of several common intestinal infections that produce these symptoms.

Longitudinal clinical and serological survey of abdominal angiostrongyliasis in Guaporé, southern Brazil, from 1995 to 1999

Graeff-Teixeira,Carlos; Goulart,Aline Hamilton; Brum,Charles de Ornellas; Laitano,Antonio Carlo; Sievers-Tostes,Charlotte; Zanini,Graziela Maria; Bered,Patrícia Leão; Morassutti,Alessandra; Geiger,Stefan; Abrahms-Sandi,Elizabeth; Oliveira,Fernanda Teixe
Fonte: Sociedade Brasileira de Medicina Tropical - SBMT Publicador: Sociedade Brasileira de Medicina Tropical - SBMT
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2005 EN
Relevância na Pesquisa
56.22%
Abdominal angiostrongyliasis is a zoonotic infection caused by Angiostrongylus costaricensis, a nematode with an intra-vascular location in the mesentery. Our objective was to address several aspects of the natural history of this parasitosis, in a longitudinal clinical and seroepidemiological study. A total of 179 individuals living in a rural area with active transmission in southern Brazil were followed for five years (1995-1999) resulting in yearly prevalence of 28.2%, 4.2%, 10%, 20.2% and 2.8% and incidences of 0%, 5.9%, 8% and 1.5%, respectively. Both men and woman were affected with higher frequencies at age 30-49 years. In 32 individuals serum samples were collected at all time points and IgG antibody reactivity detected by ELISA was variable and usually persisting not longer than one year. Some individual antibody patterns were suggestive of re-infection. There was no association with occurrence of abdominal pain or of other enteroparasites and there was no individual with a confirmed (histopathologic) diagnosis. Mollusks were found with infective third-stage larvae in some houses with an overall prevalence of 16% and a low parasitic burden. In conclusion, abdominal angiostrongyliasis in southern Brazil may be a frequent infection with low morbidity and a gradually decreasing serological reactivity.

Innovative technique for the study of pneumoperitoneum in the evaluation of abdominal pain after chemical irritation with zymozan

Crema,Eduardo; Silva,Bruna Ferrante; Silva,Pauliana Lamounier e; Rodrigues Júnior,Virmondes; Cunha,Fernando
Fonte: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia Publicador: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2008 EN
Relevância na Pesquisa
56.16%
PURPOSE: To assess the influence of pneumoperitoneum in mice submitted to peritoneal irritation provoked by the biological agent Saccharomyces cerevisae, by counting the number of abdominal contractions elicited. METHODS: To study the effects of pneumoperitoneum analgesic action, 60 mice were divided into two groups: the experimental group, subjected to pneumoperitoneum; and the control group, without pneumoperitoneum. The both groups received intraperitoneal injection of zymosan at a dose of 1mg/0,2ml/mouse. RESULTS: The sum of the number of abdominal contractions of the experimental group (with pneumoperitoneum) was significantly lower than that of the control group (without pneumoperitoneum). In the experimental group, a lower number of contractions occurred in each min compared to the control. CONCLUSION: The observation of the analgesic effect of pneumoperitoneum using CO2 in mice submitted to peritoneal irritation by zymosan was verified.

Appendicular endometriosis as a cause of chronic abdominal pain alone in the right iliac fossa: case report and literature review

Basso,Marcelo Pandolfi; Christiano,Adriana Borgonovi; Oliveira,André Luís Cozetto de; Cunrath,Geni Satomi; Netinho,João Gomes
Fonte: Sociedade Brasileira de Coloproctologia Publicador: Sociedade Brasileira de Coloproctologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2012 EN
Relevância na Pesquisa
56.1%
Endometriosis is a disease characterized by the presence of ectopic endometrial glands and stroma. Although its etiology is undefined, it is suggested to be a result of coelomic metaplasia, retrograde menstruation, to provide a genetic component, or to be one that occurs due to blood or lymphatic spread. The involvement of the gastrointestinal tract is common. However, appendicular endometriosis is a rare condition. It is usually asymptomatic. Recurrent pain in the right iliac fossa is an unusual clinical manifestation. There are no non-invasive complementary tests to confirm the diagnosis. Laparoscopy is the main option for research, due to its diagnostic and therapeutic features. A histopathological examination is necessary for the diagnosis. Although surgical and drug therapies have special indications, the combination therapy showed lower symptom recurrence. This study reports a case of appendicular endometriosis that was diagnosed and treated in the service of Coloproctology of the Base Hospital at Faculdade de Medicina of São Jose do Rio Preto. There is also a literature review about this situation.

Appendiceal endometriosis as a rare cause of abdominal pain: a case report and literature review

Denadai,Rafael; Ferraz,Rafael Aliceda; Goulart,Ricardo de Álvares; Saad-Hossne,Rogério; Teixeira,Fábio Vieira
Fonte: Sociedade Brasileira de Coloproctologia Publicador: Sociedade Brasileira de Coloproctologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2012 EN
Relevância na Pesquisa
66.23%
Endometriosis is an estrogen-dependent inflammatory disease, common in young women, characterized by the presence of endometrial tissue outside the uterine cavity. This ectopic endometrial tissue is most commonly found in the ovaries, peritoneum, uterosacral ligaments and rectovaginal cul-de-sac, with extremely rare involvement of the appendix. The main symptom is chronic abdominal pain, and the diagnosis is often made later, after the result of the histopathological examination. This study reports a 34-year-old patient complaining of chronic pelvic pain refractory to medical treatment, having undergone diagnostic laparotomy. During the surgery, we observed the presence of endometrioma fixed to the uterine wall, and the appendix was enlarged, but without evidence of inflammation. Endometrioma resection and appendectomy were performed, with good postoperative recovery. The anatomopathological exam showed endometriosis in the cecal appendix.

Case report: Varicosity of the communicating vein between the left renal vein and the left ascending lumbar vein mimicking a renal artery aneurysm: Report of an unusual site of varicose veins and a novel hypothesis to explain its association with abdominal pain

Jakhere, Sandeep G; Yadav, Deepak A; Tuplondhe, Gorakhnath R
Fonte: Medknow Publications Publicador: Medknow Publications
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
56.11%
A communicating vein between the left renal vein and the left ascending lumbar vein has only rarely been reported in the imaging literature. There are very few reports of varicosity of this communicating vein. Nonetheless, awareness about this communicating vein is of utmost importance for surgeons performing aortoiliac surgeries and nephrectomies as it may pose technical difficulties during surgery or cause life-threatening retroperitoneal hemorrhage. Varicosity of this venous channel may be mistaken for paraaortic lymphadenopathy, adrenal pseudo-mass, or renal artery aneurysm. We report a case of a patient with varicosity of this communicating vein, which mimicked a left renal artery aneurysm. A novel hypothesis is also proposed to explain the relationship with abdominal pain.

Extradigit Glomus Tumor Causing Abdominal Pain -A Case Report-

Kim, Yeon Dong; Son, Ji Seon; Lee, Jung Woo; Han, Young Jin; Choi, Hoon; Jeong, Yeon Jun
Fonte: The Korean Pain Society Publicador: The Korean Pain Society
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
56.23%
Glomus tumors are small vascular tumors that are usually benign and rarely occur. They originate from glomus bodies and present in the reticular dermis. They are clinically distinguished by their small size and their ability to cause extreme pain. Most of these tumors are subungually located. However, atypical locations of the tumors sometimes cause misdiagnosis, particularly when the lesion is rarely reported. Therefore, we report a case of glomus tumor which presented with chronic abdominal pain, found in the abdominal wall that has never been reported before.

⁹⁹M Technetium labelled leukocyte scanning in acute lower abdominal pain; can it reduce the negative appendicectomy rate?; (99M) Technetium labelled leukocyte scanning in acute lower abdominal pain; can it reduce the negative appendicectomy rate?

Moore, J.; Bartholomeusz, D.; Wycherley, A.; Devitt, P.; Toouli, J.; Drew, P.
Fonte: Blackwell Scientific Publications Publicador: Blackwell Scientific Publications
Tipo: Artigo de Revista Científica
Publicado em //1995 EN
Relevância na Pesquisa
66.34%
While the incidence of ‘negative’ appendicetomy has long been justified as a necessary evil in the management of acute appendicitis, attempts to improve diagnostic accuracy have met with mixed results. In a prospective study of 34 selected patients who presented with acute lower abdominal pain the potential role of 99mTechnetium labelled leucocyte scanning in the diagnosis of acute appendicitis has been evaluated. Patient management was not based on the result of the nuclear scan. The clinical outcome was correlated with the scan diagnosis. There was one false positive and one false negative scan result with respect to the clinical diagnosis of appendicitis yielding a sensitivity of 90% and a specificity of 96%. 99mTechnetium labelled leucocyte scanning may have an important role in the assessment of selected patients presenting with acute lower abdominal pain.; James Moore, Dylan Bartholomeusz, Alan Wycherley, Peter Devitt, James Toouli and Paul Drew; Article first published online: 21 JAN 2008

Bilateral thoracoscopic division of splanchnic nerves for intractable abdominal pain

Watson, D.; Jamieson, G.
Fonte: Blackwell Scientific Publications Publicador: Blackwell Scientific Publications
Tipo: Artigo de Revista Científica
Publicado em //1995 EN
Relevância na Pesquisa
66.18%
A patient who successfully underwent bilateral thoracoscopic division of the splanchnic nerves for chronic abdominal pain is presented. This technique offers a minimally invasive surgical alternative to coeliac ganglion blockade.; D. I. Watson and G. G. Jamieson

Computed tomography in acute abdominal pain: an overused investigation?

Systermans, B.J.; Devitt, P.G.
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.45%
BACKGROUND: The use of computed tomography (CT) for the evaluation of patients presenting to the emergency department (ED) with acute abdominal pain has increased. We set out to investigate its effectiveness. METHODS: A prospective study conducted at a tertiary referral centre between August and September 2012, utilizing a questionnaire completed by the ordering doctors. Patients with acute abdominal pain who underwent an abdominal CT scan were included in the study, excluding those with a history of recent abdominal trauma or abdominal, pelvic, groin or scrotal surgery. RESULTS: Of the 260 patients undergoing an abdominal CT scan for the investigation of acute abdominal pain, 60 had questionnaires completed. Fifty-seven per cent of abdominal CT scans were ordered by an ED registrar or consultant. Sixty-five per cent of patients were not discussed with the surgical team prior to ED staff ordering the CT scan. 'To confirm clinical suspicion' and 'to rule out sinister aetiology' were the most important reasons for ordering an abdominal CT. In 54% of cases, there was a change in primary diagnosis post CT scan and in 50% of patients, a change in disposition. Diagnostic confidence in the primary diagnosis did not change significantly post-CT scan. There was no significant difference between which group ordered a CT scan and the probability that the scan showed nil acute pathology. DISCUSSION: Abdominal CT scans frequently changed the clinical diagnosis and patient disposition. Twenty-three per cent of patients had no identifiable cause on CT scan for their acute abdominal pain.; Brenton J. Systermans and Peter G. Devitt

Linaclotide inhibits colonic nociceptors and relieves abdominal pain via guanylate cyclase-c and extracellular cyclic guanosine 3′,5′-monophosphate; Linaclotide inhibits colonic nociceptors and relieves abdominal pain via guanylate cyclase-c and extracellular cyclic guanosine 3',5'-monophosphate

Castro, J.; Harrington, A.; Hughes, P.; Martin, C.; Ge, P.; Shea, C.; Jin, H.; Jacobson, S.; Hannig, G.; Mann, E.; Cohen, M.; MacDougall, J.; Lavins, B.; Kurtz, C.; Silos-Santiago, I.; Johnston, J.; Blackshaw, L.; Brierley, S.
Fonte: W B Saunders Co Publicador: W B Saunders Co
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
66.43%
BACKGROUND & AIMS: Linaclotide is a minimally absorbed agonist of guanylate cyclase-C (GUCY2C or GC-C) that reduces symptoms associated with irritable bowel syndrome with constipation (IBS-C). Little is known about the mechanism by which linaclotide reduces abdominal pain in patients with IBS-C. METHODS: We determined the effects of linaclotide on colonic sensory afferents in healthy mice and those with chronic visceral hypersensitivity. We assessed pain transmission by measuring activation of dorsal horn neurons in the spinal cord in response to noxious colorectal distention. Levels of Gucy2c messenger RNA were measured in tissues from mice using quantitative reverse transcription polymerase chain reaction and in situ hybridization. We used human intestinal cell lines to measure release of cyclic guanosine-3',5'-monophosphate (cGMP) by linaclotide. We performed a post-hoc analysis of data from a phase III, double-blind, parallel-group study in which 805 patients with IBS-C were randomly assigned to groups given an oral placebo or 290 μg linaclotide once daily for 26 weeks. We quantified changes in IBS-C symptoms, including abdominal pain. RESULTS: In mice, linaclotide inhibited colonic nociceptors with greater efficacy during chronic visceral hypersensitivity. Intra-colonic administration of linaclotide reduced signaling of noxious colorectal distention to the spinal cord. The colonic mucosa...

Dolor abdominal, principal motivo de consulta en obstetricia. Estudio transversal, Hospital Universitario Clínica San Rafael - Bogotá, 2011 a 2012

Zambrano Benítez, Claudia Patricia; Gómez Bossa, Mauricio Andrés
Fonte: Universidad Militar Nueva Granada; Facultad de Medicina; Ginecología y Obstetricia Publicador: Universidad Militar Nueva Granada; Facultad de Medicina; Ginecología y Obstetricia
Tipo: bachelorThesis; Trabajo de grado Formato: pdf
SPA
Relevância na Pesquisa
56.19%
Se realizó un estudio observacional, de corte transversal en pacientes embarazadas cuyo motivo de consulta al momento del ingreso en el servicio de urgencias obstétricas del Hospital Universitario Clínica San Rafael de la ciudad de Bogotá, fue dolor abdominal , en el período comprendido entre 1 de Junio de 2011, y 31 de Mayo de 2012, con el objetivo de determinar la prevalencia y medir la frecuencia de aquellas que requirieron manejo quirúrgico, definir factores de riesgo asociados a su presentación clínica, como: parto pretérmino, infección de vías urinarias, urolitiasis e infección vaginal y establecer la frecuencia de desenlace perinatal adverso asociado a aquellas pacientes que requirieron manejo quirúrgico.; "Was performed an observational, cross- sectional study in pregnant patients whose reason for consultation at the time of admission to the emergency obstetric in the Hospital Universitario Clinica San Rafael of Bogotá , was "" abdominal pain "" in the period between 1 June 2011 , and May 31, 2012 , with the objective of determining the prevalence and measure the frequency of those who required surgical management , identify risk factors associated with clinical presentation, such as preterm labor , urinary tract infection ...

Relação da criptosporidiose à dor abdominal e diarréia nos índios Maias; Relationship of cryptosporidiosis to abdominal pain and diarrhea in Mayan Indians

Bentley, Camille; Laubach, Harold; Spalter, Joel; Ginter, Elisa; Jensen, Lauritz
Fonte: Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo Publicador: Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/08/2004 ENG
Relevância na Pesquisa
66.51%
Demonstração da criptosporidiose entre índios Maias que vivem ao redor do lago Atitlan deu oportunidade de correlacionar a infecção com dor abdominal e/ou diarréia em crianças de diferentes grupos etários. 94 indivíduos com dor abdominal e/ou diarréia, entre as idades de 2 e 13 anos foram estudados em cidades ao redor do lago Atitlan, Guatemala, durante período de 2 anos. Oocistos de Cryptosporidium foram encontrados nas fezes de 29% das crianças que apresentaram dor abdominal e 21% daquelas com diarréia. Dos 60 infectados, 45% apresentavam dor abdominal e 33% diarréia, 22% tinham dor abdominal e diarréia. Ambos, dor abdominal e diarréia foram significativamente mais elevados em crianças abaixo de 10 anos e mais prevalentes no grupo de 6-9 anos de idade mas a correlação de sintomas à infecção não foi significativamente diferente quando as idades das crianças aumentava. A alta frequência de dor abdominal e/ou diarréia com infecção nas crianças foi compatível com criptosporidiose, doença considerada como uma das muitas infecções intestinais comuns que produzem este sintoma.; Demonstration of cryptosporidiosis in Mayan Indians living around Lake Atitlan provided an opportunity to correlate infection with abdominal pain and/or diarrhea in different age groups of children. 94 subjects experiencing abdominal pain and/or diarrhea...

The approach of recurrent pain in children; A abordagem das dores recorrentes na infância

Ferrer, Ana Paula Scoleze; Sucupira, Ana Cecília Silveira Lins
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 19/06/2010 POR
Relevância na Pesquisa
56.34%
Recurrent pain is very common in childhood, the most frequent are abdominal pain, headache and limb pain. The care of these patients is not an easy task, because of both the subjective and the vagueness of the symptom as well as the complexity of factors that may be implicated in its etiology. The aim of this paper is to present a proposal to address the children with recurrent pain.; A queixa de dores recorrentes é muito frequente na infância, sendo mais prevalentes a dor abdominal, a cefaleia e a dor em membros. O atendimento desses pacientes não é uma tarefa fácil, tanto pelo caráter vago e subjetivo do sintoma como pela complexidade de fatores que podem estar implicados em sua etiologia. O objetivo do presente artigo é apresentar uma proposta de abordagem dessas queixas de dores recorrentes em crianças.

Validity of tests performed to diagnose acute abdominal pain in patients admitted at an emergency department

Navarro Fernández,J. A.; Tárraga López,P. J.; Rodríguez Montes,J. A.; López Cara,M. A.
Fonte: Revista Española de Enfermedades Digestivas Publicador: Revista Española de Enfermedades Digestivas
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2009 ENG
Relevância na Pesquisa
66.37%
Objective: to determine the real importance of anamnesis, physical examination, and various tests in the assessment of acute abdominal pain. Methods: a retrospective observational study with patients complaining of abdominal pain at the Emergency Department, Altiplano Health Area (Murcia) was performed. In our study we considered the following variables: socio-demographic data, history of previous surgery, symptoms, place and type of pain. Imaging tests were labeled as positive, negative, or inconclusive for assumed diagnoses, which were retrospectively assessed by an external radiologist who was unaware of the patient's final diagnosis. Results: our study includes 292 patients with a mean age of 45.49 years; 56.8% of these patients were women. Regarding the frequency of the different acute abdomen diagnoses, appendicitis was the main cause (approx. 25%), followed by cholecystitis (10%). We found a significant diagnostic correlation between pain location in the right hypochondrium (RHC) and a diagnosis with cholecystitis. This location was also significant for acute appendicitis (up to 74%). Regarding clinical signs, we only observed a significant correlation between fever and viscera perforation, and between Murphy's sign and cholecystitis. Sensitivity and specificity found in relation to the psoas sign were similar to those seen in other series...

Abdominal pain: a symptom of levodopa end of dose wearing off in Parkinson's disease

Rana,AQ; Depradine,J
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2011 EN
Relevância na Pesquisa
56.23%
Long-term levodopa use is associated with the "End of Dose Wearing Off (EODWO) phenomenon wherein Parkinsonian symptoms return before a patient's next scheduled dose of levodopa. Wearing off symptoms may include a variety of autonomic, emotional, motor, psychological and sensory abnormalities. Abdominal pain may be an important wearing off symptom as an early indicator of the development of EODWO in Parkinson's disease (PD) patients. In this report, we present two patients on levodopa therapy for PD who developed acute abdominal pain as a symptom of EODWO.

Cost effectiveness of diagnostic laparoscopy in reproductive aged females suffering from non-specific acute low abdominal pain

Gaitán,Hernando; Eslava-Schmalbach,Javier; Gómez,Pio
Fonte: Instituto de Salud Publica, Faculdad de Medicina -Universidad Nacional de Colombia Publicador: Instituto de Salud Publica, Faculdad de Medicina -Universidad Nacional de Colombia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2005 EN
Relevância na Pesquisa
56.1%
OBJECTIVE: To compare the costs and effectiveness of early laparoscopy with those of conventional diagnostic methods based on clinical and paraclinical observation and diagnostic images for ascertaining the cause of non-specific acute low abdominal pain (NSALAP) in females of reproductive age from the third-party payers' (TPP) point of view. METHODS: Population: 110 reproductive aged females suffering from NSALAP. Place: Instituto Materno Infantil, perinatal and maternal attention referral hospital in Bogotá, Colombia. Research design: cost-effectiveness study of a controlled clinical trial carried out in 1998 and 1999. Outcomes to be measured: effectiveness, direct medical costs (in Colombian pesos and their equivalent in US dollars (USD-December 2004) from length of hospital stay, diagnostic procedures carried out, medical visits and managing complications. Analysis: Cost-effectiveness incremental ratio, analysing sensitivity in five different scenarios. RESULTS: Early diagnostic laparoscopy was more cost-effective in 4 out of the 5 possible scenarios. Savings varying from $21.875 to $69.834 (USD 9.42 and USD 30.1) were made per unit of increased effectiveness. CONCLUSION: Early diagnostic laparoscopy was cost-effective in 4 out of 5 scenarios dealing with managing NSALAP in reproductive aged females.