Author/Editor		Skok, Pavel
Title		Akutna bolečina v zgornjem delu trebuha: algoritem odločanja
Translated title		Acute upper abdominal pain: decision algorithm
Type		članek
Source		In: Grmec Š, Kupnik D, editors. Akutna stanja. Maribor: Zdravstveni dom dr. Adolfa Drolca, Center za nujno medicinsko pomoč in reševalne prevoza,
Publication year		2007
Volume		str. 218-26
Language		slo
Abstract		Diseases of abdominal organs and digestive tract account for a significant proportion of patients seeking medical care in general practice and emergency departments. Among them are also patients with sudden acute abdominal pain. By definition, acute abdominal pain is previous undetected pain in the abdominal cavity, which lasts less than 7 days, usually less than 48 hours. The purpose of this article is to ovewview the most frequent causes of acute upper abdominal pain in adults and to recommend decision algorithm. The clinicians should utilize different diagnostic tests, laboratory and imaging, to confirm clinical suspicion and provide the most effective management of this patients. In rare cases treatment decisions must be made according to the clinical picture and physical examination only.
Summary		Bolezni trebušnih organov in prebavne cevi sodijo med pogoste, saj pomemben del bolnikov prihaja v ambulante splošne medicine ter nujne medicine zaradi teh težav. Med njimi so tudi bolniki z akutno bolečino v zgornjem delu trebuha. Akutna bolečina v trebuhu označuje prej nepojasnjeno bolečino, ki se je pojavila nenandoma in je trajala manj kot 7 dni, običajno manj kot 48 ur. Namen prispevka je predstaviti najpomembnejše vzroke akutne bolečine v zgornjem delu trebuha pri odraslih in predlagati algoritem obravnave. Pri kliničnem odločanju je smiselno uporabiti različne preiskavne metode, laboratorijske in slikovne, da potrdimo naša diagnostična razmišljanja ali pridobimo podatke, ki bodo omogočili najprimernejše zdravljenje teh bolnikov. Izjemoma moramo sprejeti odločitve le na osnovi anamnestičnih podatkov in kliničnega pregleda.
Descriptors		ABDOMINAL PAIN ACUTE DISEASE