Protocolo diagnóstico de la epigastralgia aguda

  1. I. Rodríguez-Lago 1
  2. J.L. Cabriada 1
  1. 1 Hospital de Galdakao - Usansolo
    info

    Hospital de Galdakao - Usansolo

    Galdácano, España

    ROR https://ror.org/025714n80

Aldizkaria:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Argitalpen urtea: 2016

Zenbakien izenburua: Enfermedades del aparato digestivo (II): Patología gastroduodenal (I)

Saila: 12

Zenbakia: 2

Orrialdeak: 92-95

Mota: Artikulua

DOI: 10.1016/J.MED.2016.01.014 DIALNET GOOGLE SCHOLAR

Beste argitalpen batzuk: Medicine: Programa de Formación Médica Continuada Acreditado

Garapen Iraunkorreko Helburuak

Laburpena

Introduction Acute epigastric pain is one of the most frequent reasons for consultation in the Emergency Department and also in Primary Care. In addition there is a wide differential diagnosis, not only from the gastrointestinal tract, as possible causes for the pain. Aetiology The initial assessment should focus the study on severe and life threatening causes as acute mesenteric ischemia, perforation, obstruction and local inflammatory conditions. Furthermore some extraintestinal causes as acute coronary syndrome and pulmonary thromboembolism may be considered. Diagnostic process Once the patient is stabilized and these causes are excluded, the clinical information should guide further examinations in order to obtain a correct diagnosis. In this publication we have summarized the most important clinical data and findings on physical examination signs that should be considered in all cases. In addition we have carried out an approximation of the most common investigations in this setting. Here we emphasize the importance of the multidisciplinary work involved in the diagnosis and treatment of such cases in daily practice.

Erreferentzia bibliografikoak

  • Kamin RA, Nowicki TA, Courtney DS, Powers RD. Pearls and pitfalls in the emergency department evaluation of abdominal pain. Emerg Med Clin North Am. 2003;21:61-72.
  • Feldman M, Friedman LS, Brandt LJ. Sleisenger and Fordtran’s gastrointestinal and liver disease: pathophysiology, diagnosis, management. New York: Elsevier Health Sciences; 2015.
  • Cartwright SL, Kundson MP. Dolor abdominal agudo en los adultos. Am Fam Physician. 2008;77:971-8.
  • Srinivasan R, Greenbaum DS. Chronic abdominal wall pain: a frequently overlooked problem. Am J Gastroenterol. 2002;97:824-30.
  • Purcell TB. Nonsurgical and extraperitoneal causes of abdominal pain. Emerg Med Clin North Am. 1989;7:721-40.
  • Jones RS, Claridge JA. Acute abdomen. Townsend Sabiston text-book of surgery. 17th ed. Philadelphia, Pa: Saunders; 2004. p. 1219-40.
  • Bree RL, Foley WD, Gay SB; for the Expert Panel on Gastrointestinal Imaging. American College of Radiology ACR appro-priateness criteria. Right upper quadrant pain. 2007.
Datuen iturria: Dialnet