Protocolo diagnóstico y terapéutico del dolor agudo en fosa ilíaca derecha

  1. Arteaga Perlata, V. 1
  2. De la Plaza Llamas, R. 1
  3. Ramia Angel, J.M. 1
  1. 1 Servicio de Cirugía General y del Aparato Digestivo. Hospital Universitario de Guadalajara. Guadalajara. España. Universidad de Alcalá. Alcalá de Henares. Madrid. España.
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2019

Issue Title: Medicina de urgencias (I)Atención al paciente urgente. Urgencias abdominales

Series: 12

Issue: 87

Pages: 5126-5128

Type: Article

DOI: 10.1016/J.MED.2019.10.005 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Right lower quadrant abdominal pain is a frequent cause of consultation in Emergency Care Units. Given their multiple differential diagnostics, many of them of urgent etiology, their management is a diagnostic challenge. In this paper, we review the literature and propose a diagnostic algorithm in order to facilitate the management of this clinical picture.

Bibliographic References

  • Bourcier JE, Gallard E, Redonnet JP, Majourau M, Deshaie D, Bourgeois JM. Diagnostic performance of abdominal point of care ultrasound performed by an emergency physician in acute right iliac fossa pain. Crit Ultrasound J. 2018;10(1):31.
  • Gans SL, Pols MA, Stoker J, Boermeester MA, Group OB of the ES. Guideline for the diagnostic pathway in patients with acute abdominal pain. Dig Surg. 2015;32(1):23-31.
  • Howell JM, Eddy OL, Lukens TW, Thiessen MEW, Weingart SD, Decker WW. Clinical policy: critical issues in the evaluation and management of emergency department patients with suspected appendicitis. Ann Emerg Med. 2010;55(1):71-116.
  • Laméris W, Randen A van, Es HW van, Heesewijk JPM van, Ramshorst B van, Bouma WH. Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. BMJ. 2009;338:b2431.
  • Natesan S, Lee J, Volkamer H, Thoureen T. Evidence based medicine approach to abdominal pain. Emerg Med Clin North Am. 2016;34(2):165-90.
  • Ohle R, O’Reilly F, O’Brien KK, Fahey T, Dimitrov BD. The Alvarado score for predicting acute appendicitis: a systematic review. BMC Med. 2011;9:139.
  • Trentzsch H, Werner J, Jauch K-W. Der akute abdominalschmerz in der notfallambulanz : ein klinischer algorithmus für den erwachsenen patienten. Zentralblatt Für Chir. 2011;136(02):118-28
Data source: Dialnet