• Revue médicale suisse · Aug 2010

    [When should a patient with abdominal pain be referred to the emergency ward?].

    • Wassila Oulhaci de Saussure, Elisabeth Andereggen, and François Sarasin.
    • Service de chirurgie viscérale, Département de chirurgie, HUG, 1211 Genève 14. wassila.oulhaci@hcuge.ch
    • Rev Med Suisse. 2010 Aug 25; 6 (259): 1546-9.

    AbstractWhen should a patient with abdominal pain be referred to the emergency ward? The following goals must be achieved upon managing patients with acute abdominal pain: 1) identify vital emergency situations; 2) detect surgical conditions that require emergency referral without further diagnostic procedures; 3) in "non surgical acute abdomen patients" perform appropriate diagnostic procedures, or in selected cases delay tests and reevaluate the patient after an observation period, after which a referral decision is made. Clues from the history and physical examination are critical to perform this evaluation. A good knowledge of the most frequent acute abdominal conditions, and identifying potential severity criteria allow an appropriate management and decision about emergency referral.

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