Essa Mayyas, Ahmad S Sbaihat, Firas Khori.
Threatening signals in acute abdomen.
Rawal Med J Jan ;35(2):160-4.

Objective: To determine the most significant factors in clinical and laboratory investigations that can help in pointing presence or absence of serious surgical condition. MethodS: It`s a retrospective analysis of 210 patients who were admitted to Prince Rashid Ben Al-Hassan hospital, Irbid, Jordan as a case of acute abdominal pain from January 2008 to January 2009. Results: Out of 210 patients, 127 were female and 83 male. The ages ranged from 15 to 65 year. One hundred and four patients (49.5% of total) were diagnosed to have acute surgical pathology. Of these, 49 (47.1%) had acute appendicitis where appendectomy done. Seventy one (33.8% of total) were labeled to have acute non specific abdominal pain. Nausea and vomiting presented in 72.1% of patients who have acute surgical pathology followed by localized tenderness or guarding in (70.2%), leukocytosis (62.5%) and tachycardia in 54.8% of patients. Conclusions: Nausea and vomiting, localized tenderness or guarding, leukocytosis, and tachycardia were associated with significant pathology. Patients without these variables were unlikely to have significant pathology requiring further active medical or surgical intervention. (Rawal Med J 2010;35:160-164).

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