Practice Guidelines for Primary Care of Acute Abdomen 2015:

DOI
  • Azuhata Takeo
    Department of Acute and General Medicine, Seitokai Azuhata Hospital Division of Emergency and Critical Care Medicine, Department of Acute Medicine, Nihon University School of Medicine Practice Guidelines for Primary Care of Acute Abdomen 2015 Working Group
  • Maeda Shigenobu
    Practice Guidelines for Primary Care of Acute Abdomen 2015 Working Group
  • Yoshida Masahiro
    Practice Guidelines for Primary Care of Acute Abdomen 2015 Working Group
  • Mayumi Toshihiko
    Practice Guidelines for Primary Care of Acute Abdomen 2015 Working Group

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Other Title
  • 急性腹症診療ガイドライン2015：
  • 初期診療アルゴリズムが目指すもの
  • Goal of the Initial Diagnosis and Treatment Algorithm

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<p>The Practice Guidelines for Primary Care of Acute Abdomen 2015 (hereinafter referred to as GL) seeks to scientifically propose appropriate management strategies for acute abdomen. Within this process, the GL can be used to identify life-threatening diseases such as ischemic disease, bleeding diseases, and diffuse peritonitis in patients with abdominal pain. The “initial diagnosis and treatment algorithm” described in the GL was prepared to provide appropriate treatment without overlooking life-threatening clinical states. As a result, a 2-step method was adopted. In Step 1, urgent diseases that produce abnormalities in vital signs are identified, and appropriate resuscitation and curative treatment methods are recommended. Patients who do not exhibit abnormal vital signs then proceed to Step 2 in the diagnostic and treatment algorithm, where diseases that may require emergency surgery (bleeding, ischemia of an internal organ, panperitonitis, and acute inflammation of an organ) are identified. Herein, we clarify the aims of the “Initial Diagnosis and Treatment Algorithm.” </p>

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