Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Emergency Medicine

Answer 1
  1. Nonspecific abdominal pain. Nonspecific abdominal pain accounts for 40% to 60% of the discharge diagnoses for patients initially presenting to the ED with acute abdominal pain.1 After excluding a serious surgical cause or life-threatening illness, the physician must accept that often a specific diagnosis cannot be made at the time and that the best course is to arrange careful follow-up rather than force an incorrect diagnosis. The key to confirming the diagnosis of nonspecific abdominal pain is a repeat examination in 24 hours to confirm that the abdomen is still benign. Appendicitis is the most common surgical diagnosis.

     Brewer BJ, Golden GT, Hitch DC, et al: Abdominal pain: an analysis of 1000 consecutive cases in a university hospital emergency room. Am J Surg 1976;131:219223.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj