Review highlights coordinated care strategies for acute abdomen diagnosis, improving patient outcomes and accuracy.
Background: Acute abdominal pain is a common and challenging presentation in emergency medicine, encompassing a wide spectrum of conditions from benign, self-limiting issues to life-threatening surgical emergencies. Its diverse etiologies include inflammatory, obstructive, vascular, and infectious processes, making accurate and timely diagnosis critical. Aim: This article aims to synthesize an interdisciplinary framework for the diagnosis and management of the acute abdomen, emphasizing the integration of clinical assessment, radiological imaging, laboratory correlation, and administrative support to optimize patient outcomes. Methods: A comprehensive review of the evaluation process is presented, covering the pathophysiology of abdominal pain, systematic history-taking, and physical examination. The analysis details the strategic use of diagnostic tools, including point-of-care ultrasound, laboratory tests, and advanced cross-sectional imaging like CT scans, tailored to the pain's location and patient-specific risk factors. Results: Successful management hinges on a structured, team-based approach. Rapid resuscitation, timely analgesia, and early surgical consultation are paramount for unstable patients. Diagnostic accuracy is greatly enhanced by correlating clinical findings with targeted imaging and lab results, allowing for the swift identification of time-sensitive conditions such as mesenteric ischemia, ruptured aortic aneurysm, and appendicitis. Conclusion: The effective management of acute abdominal pain requires a coordinated, multidisciplinary effort. Disciplined clinical evaluation, guided by an understanding of pain mechanisms and supported by appropriate diagnostics, ensures that critical conditions are rapidly identified and treated, thereby reducing morbidity and mortality.
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Khiswi et al. (2024) studied this question.
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