Recepción, evaluación, diagnóstico y tratamiento del paciente con dolor abdominal agudo en el Servicio de Emergencias del HRIA-Loja. Junio - octubre 2013.
Acute abdominal pain is a common condition in daily practice in hospitals, particularly emergency services, it becomes a challenge for the physician, for the many diseases that cause it, most benign origin, but percentage consequences and need more aggressive surgical treatment, and however, a large...
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| Format: | bachelorThesis |
| Język: | spa |
| Wydane: |
2013
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| Hasła przedmiotowe: | |
| Dostęp online: | http://dspace.unl.edu.ec/jspui/handle/123456789/17875 |
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Dodaj etykietę | Streszczenie: | Acute abdominal pain is a common condition in daily practice in hospitals, particularly emergency services, it becomes a challenge for the physician, for the many diseases that cause it, most benign origin, but percentage consequences and need more aggressive surgical treatment, and however, a large number of patients are discharged with abdominal pain of unknown origin. This study aims to determine the receipt, evaluation, diagnosis and treatment of patients with acute abdominal pain in the emergency department. A qualitative study, prospective, observational and transversal. We evaluated a group of patients who presented to the emergency room for a month (September 6 to October 6, 2013) with acute abdominal pain in the Regional Hospital “Isidro Ayora “Loja. They were among 130 patients and results we have: The 26.9 % were diagnosed with nonspecific pain, and 73.1 % had a final diagnosis, where bacterial acute gastroenteritis was first diagnosed, followed by urinary tract infections and gastritis, the total 5.4 % underwent surgery. The average time to be served was 5 hours (13.5%), mostly in less than 2 hours (28.5 %), and they called attention to the type of good (37.7 %) to fair (30%). The time of onset of pain was less than 24 hours (26.2 %), frequent location was in mesogastrium Hypogastrium and epigastrium. The intensity was described as very intense (53.1 %). The 17.7 % reported self-medication; the type of pain that was found was visceral (80.8 %). At 80.8 % of them performed some type of laboratory test, of which at 38.1 % of the patients underwent blood test urine and feces. The echo of the abdomen was the most accomplished. The treatment is used for emergency tramadol with 40.8 %. It was concluded that the patient wait time affects the perception of the quality of care , medical history and physical examination is of great importance to assess pain , the main causes are pain-producing gastrointestinal and urinary track infections , the use of diagnostic methods are very common, and most widely used treatment is tramadol. Keywords: acute abdominal pain, assessment, diagnosis, treatment. |
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