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Natl J Integr Res Med. 2014; 5(5): 57-63

Evaluation of Patients of Acute Pain in Abdomen Attending the Emergency Medicine Department at SSG Hospital, Baroda

Shreyas K.Patel*, Parth Patel**, A.K.Saxena***, Rina B.Parikh****, Arun Chaudhari******, Pooja Patel******.

Background: Present study was aimed to study the clinical pattern, etiology and management
outcomes of patients presenting with acute pain in abdomen in the Emergency Medicine Department (EMD),
SSG Hospital. Aims: 1) To study Acute Pain in Abdomen, and various clinical presentation of acute abdominal
pain in patients attending casualty at S.S.G.hospital. 2) to compare clinical judgment with radiological,
intraoperative, and histopathological findings. Methods: A prospective observational study of total 700
patients was carried out from January 2013 to October 2013. All patients of acute pain in abdomen, except
pregnant women & penetrating /blunt abdominal injury, comes to EMD in the casualty, at SSG Hospital were
included. Results: Majority of female patients presented with generalised, colicky (predominantly) or dull
aching pain, in mild to moderate intensity, within three days of onset of pain; while majority of male patients
presented with generalised, dull aching (predominantly) or colicky pain, in severe to excruciating intensity,
after the three days of onset of abdominal pain. Conclusion: In our study, majority of patients presenting to
EMD with Abdominal Pain were male and belong to age group of 21-50 years. Patients with generalised
abdominal pain and Left Upper Quadrant pain were found to be having Nonspecific Abdominal Pain. Patients
diagnosed as Acute Pancreatitis had come with pain in periumbilical area, Epigastric region, & back; while
patients with Right Upper Quadrant, Right Lower Quadrant and Flank pain turned out to be Acute
Cholecystitis, Acute Appendicitis, and Ureteric Colic, respectively. Patients with generalised abdominal pain,
nausea, vomiting and fever were found to be having Acute Appendicitis. Patients diagnosed as Bowel
Obstruction had come with Abdominal Distension and Constipation; with anorexia, were diagnosed
Nonspecific Abdominal Pain; with jaundice, were diagnosed Liver Abscess; with burning micturition, all were
diagnosed Nonspecific Abdominal Pain. [Patel S NJIRM 2014; 5(5):57-63]

Key words: Abdominal Pain, Acute Abdomen, USG, CT scan.

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