Abstract
Objective: To use the etiology list of abdominal pain to help identify acute abdominal pain. Methods: to design a list of causes of acute abdominal pain as per the concept of system thinking, determine the five differential diagnosis directions of “local organ disease, adjacent organ disease, systemic disease, psychogenic disease, and female reproductive system disease”, and elaborate the application effect of the checklist in the diagnosis of acute abdominal pain by virtue of the analysis of one case of acute abdominal pain. Results: according to the list of causes of abdominal pain, the causes of acute abdominal pain were screened, and patients suffering from acute renal infarction (ARI) who presented with simple abdominal pain were diagnosed and treated timely. Conclusion: the etiology list is helpful to guide the diagnosis direction of acute abdominal pain, and make a rapid clinical diagnosis, so as to form a systematic thinking mode.
Highlights
Abdominal pain, one of the common symptoms in the Emergency Department, has complex etiological factors, usually involving internal medicine, surgical, pediatric, and gynecological diseases [1], with sudden onset and rapid changes
Results: according to the list of causes of abdominal pain, the causes of acute abdominal pain were screened, and patients suffering from acute renal infarction (ARI) who presented with simple abdominal pain were diagnosed and treated timely
The purpose of this study is to broaden the lateral thinking of emergency physicians on the diagnosis of abdominal pain and to form a thinking mode to improve the differential diagnosis of abdominal pain and reduce misdiagnosis and missed diagnosis
Summary
One of the common symptoms in the Emergency Department, has complex etiological factors, usually involving internal medicine, surgical, pediatric, and gynecological diseases [1], with sudden onset and rapid changes. The complexity of the etiology of abdominal pain makes emergency physicians really confused, and it is a very heavy task for any of them to remember and master the differential diagnosis of abdominal pain, thereby falling into a wrong. It is even more challenging for emergency physicians who are jammed for time. The purpose of this study is to broaden the lateral thinking of emergency physicians on the diagnosis of abdominal pain and to form a thinking mode to improve the differential diagnosis of abdominal pain and reduce misdiagnosis and missed diagnosis. This study is approved by the Hebei General Hospital Ethics Committee, and for the case to be introduced, the Informed Consent Form has been signed with the family members
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