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Dtsch Med Wochenschr 2017; 142(06): 432-441
DOI: 10.1055/s-0042-110648
CME-Fortbildung
© Georg Thieme Verlag KG Stuttgart · New York

Das akute Abdomen

Acute Abdominal Pain
Peter Becker
,
Knut A. Böttcher
,
Dieter Schilling
Further Information

Publication History

Publication Date:
22 March 2017 (online)

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Abstract

Acute abdominal pain is a potentially life-threatening condition that requires a concise and quick workup. Patient history, physical examination and laboratory studies help to establish a working diagnosis. If abdominal Ultrasound is not conclusive, contrast-enhanced Computertomography should be performed. Every patient should be treated aggressively for pain control and fluid substitution independent of the diagnostic workflow. In cases of severe disease, initiation of broad spectrum antibiotic therapy should be considered early.

Mit akuten Bauchschmerzen stellen sich viele Patienten in Praxen und Kliniken vor. Den Beschwerden können eine Vielzahl verschiedenster Erkrankungen zugrunde liegen, sowohl harmlose als auch akut lebensbedrohliche. Der folgende Artikel gibt eine Übersicht der wichtigsten Aspekte von Ursachen, Diagnostik und therapeutischem Vorgehen und stellt einen rationalen diagnostischen Algorithmus dar.

Schlüsselwörter

akutes Abdomen - Notfalllabor - Arbeitsdiagnose - Notfallsonografie - diagnostische Laparoskopie

Key words

acute abdominal pain - emergency laboratory studies - working diagnosis - ultrasound - diagnostic laparoscopy
 

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