Active observation in management of acute abdominal pain in childhood.
BMJPublished 4 September 1976Open access
P. F. Jones
Citations86
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TL;DR
Out of 363 children admitted to a surgical unit with acute abdominal pain only 126 (35%) had an operation and 20 first underwent a period of "active observation," which is safe and useful and may be applied at home or in hospital.
Abstract
Out of 363 children admitted to a surgical unit with acute abdominal pain only 126 (35%) had an operation. Of these, 20 first underwent a period of "active observation." This procedure, used to help reach a diagnosis or decision in doubtful cases, is safe and useful and may be applied at home or in hospital.
Keywords
MedicineHealth Professions
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46 Citations1969P F Jones
The two conditions cannot always be distinguished on clinical grounds, leading to admission to hospital for observation and the finding of a normal appendix in 14% of operations for suspected appendicitis.
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Three children presented as acute surgical emergencies due to undiagnosed diabetes mellitus with a history of polydipsia, polyuria, and anorexia preceding the abdominal pain, the deep sighing and rapid respirations, and severe dehydration.
