Nederlands tijdschrift voor geneeskunde
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A detailed anamnesis and a complete physical examination are essential for establishing the cause of recurrent abdominal pain in a child. Often no medical abnormalities will be found and additional diagnostic procedures may be limited. ⋯ The recently established Rome II criteria for the classification of functional abdominal pain in children can be used to diagnose this disorder. The literature provides little evidence for the effectiveness of medication in treating functional recurrent abdominal pain.
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Ned Tijdschr Geneeskd · Jun 2003
[Resuscitations in the hospital: reporting using the Utstein-style form and a study of 183 patients in the St. Radboud University Medical Center, Nijmegen, the Netherlands, between 1997-2000].
To evaluate the completion of the Utstein-style forms after cardiopulmonary resuscitation (CPR) in the St Radboud University Medical Center, Nijmegen (UMCN), the Netherlands, and to assess the outcomes of the CPR attempts. ⋯ The variables on the Utstein-style form relating to the acute phase were poorly completed, and even fewer variables were completed for later phases. CPR was successful in 57% of the patients, and 30% left the hospital alive.
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Ned Tijdschr Geneeskd · Jun 2003
[Epiploic appendagitis: an underestimated self-limiting acute abdominal condition].
To describe the clinical findings in patients with epiploic appendagitis and to evaluate its natural course. ⋯ Due to the increased use of diagnostic imaging in patients with acute abdominal symptoms, epiploic appendagitis is much more frequently diagnosed than before. Presenting symptoms of epiploic appendagitis are non-specific, leading to misdiagnosis in most cases. Epiploic appendagitis has a benign natural course and if patients are correctly diagnosed using ultrasonography and CT, unnecessary surgery and medical treatment may be avoided.