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ACUTE ABDOMEN IN THE EMERGENCY DEPARTMENT

Muhanad Khalid Kondarji , Mohammed Khalid Kondarji , Abdullah Mohammed Alzahrani , Hussa Ali Alrashid , Turki Ghaleb Al Ahmadi , Faisal Mohammed Hinkish , Fisal Amjed Abdulaziz , Hamoud Marzuq Alrougi , Rayan Tareq Alrefai , Hassan Ibrahim Alasmari

Introduction: 7% of the patients come to the emergency department with the chief complain of acute abdominal pain. They can have minor causes, but also be due to very serious causes, which requires urgency in care and serious diagnosis and management. Acute abdominal emergencies are a big contributor to morbidity and mortality. Aim of the work: In this study, we aim to understand the standard way to approach a case of acute abdominal pain in the emergency department. Methodology: we conducted this review using a comprehensive search of MEDLINE, PubMed and EMBASE from January 1970 to March 2017. The following search terms were used: acute abdomen, abdominal pain management, clinical evaluation of abdominal pain, management acute abdomen Conclusion: Acute abdomen is an extremely common presentation in the emergency department. However, it is not easy to assess, diagnose, and manage. Rate of misdiagnoses and fatalities are high; therefore, physicians should always consider all possible and start with more serious etiologies. Proper assessment and management of acute abdomen can lead to significant improvement of morbidity and mortality. Keywords: acute abdomen, gastro intestinal emergencies, emergency evaluation

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