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Dołączył: 13 Gru 2010
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 Wysłany: Czw 0:02, 10 Mar 2011 Temat postu: Eight cases of acute abdomen misdiagnosed women le |
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Eight cases of acute abdomen misdiagnosed women learned
A routine abortion about 1 month after abdominal pain, the doctor is only concerned about menopause, history of abdominal pain,[link widoczny dla zalogowanych], abortion does not take full account of bureaucratic postoperative adhesions cervical hemorrhage caused by bureaucratic possibility of misdiagnosed as ectopic pregnancy. 2.2.2 Physical examination is not comprehensive: gynecological acute abdomen in patients with abdominal pain is often more severe, the condition and specific treatment needs to be done, some gynecologists only concerned about the neglect of the abdominal gynecological examination of other parts of the examination, or failure to carefully check Patients with peritoneal irritation sign the most obvious parts. The group 1 patients had the history of menopause and abdominal pain, but the doctor ignored the patient on the abdominal mass, the result of ectopic pregnancy misdiagnosed as HCC rupture. 2.2.3 lack of vigilance on the acute abdomen: gynecologic acute abdomen due to surgery and the clinical manifestations are similar, the two confusing. 2 patients in this group would be misdiagnosed as acute abdomen of gynecologic acute abdomen, indicating that part of the psychiatric out-patient diagnosis thinking gynecologist first visit misdiagnosis Renjing Xuan, Liu wells year (Corning Hospital of Chaoyang City, Liaoning Chaoyang 122000) focused on gynecological diseases on the lack of knowledge of the acute abdomen. When confronted with atypical cases,[link widoczny dla zalogowanych], especially those with menopause, history and more easily misdiagnosed when lower abdominal mass. Rupture of the group 1 patients with hepatocellular carcinoma misdiagnosed as ruptured ectopic pregnancy,[link widoczny dla zalogowanych], if properly measured with hCG, B ultrasonic examination found that the abdominal mass, while taking into account the possibility of surgical acute abdomen; 1 case of appendiceal abscess misdiagnosed as ovarian tumor broken, if combined with a history of right lower abdominal pain and metastatic fixed mass in the right lower quadrant appendiceal abscess to take into account the possibility to avoid misdiagnosis. 2.2.4 atypical cases or rare diseases of the lack of knowledge: the group 1 patients ruptured rudimentary uterine horn pregnancy, 1 case of tubal torsion, as was rarely seen clinically, not diagnosed before surgery. 2.2.5 Complex disease: part of the performance of complex gynecologic acute abdomen, diagnosis more difficult. The group 1 patients with ovarian corpus luteum rupture, only by surgery and pathology in order to make accurate diagnosis. 2.3 The lessons learned from the performance of the disease is diverse,[link widoczny dla zalogowanych], complex and not typical, the disease may have different clinical manifestations of the same, the same disease can have different clinical manifestations. Therefore, clinicians should be through careful history taking, careful physical examination,[link widoczny dla zalogowanych], and medical technology with the appropriate checks to confirm the diagnosis as soon as possible. Clinicians should have a rich, comprehensive knowledge, and pay attention to the accumulation of clinical experience, broadening diagnostic thinking, in order to reduce misdiagnosis.
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