Abdominal pain constitutes 5% of the causes of emergency admissions and is an important part in the practice of emergency services in all centers. Patients may suffer from acute surgical abdomen, acute abdomen with nonsurgical diseases or acute problems of chronic diseases. Abdominal pain is sometimes associated with acute trauma. Clinical assessment is a process where diagnosis and treatment m...

UNLABELLED The purpose of our review is to evaluate critically the recent literature on racial and ethnic disparities in pain and to determine how far we have come toward reducing and eliminating disparities in pain. We examined peer-reviewed research articles published between 1990 and early 2009 that focused on racial and ethnic disparities in pain in the United States. The databases used wer...

Opioids play an important role for the management of acute pain and in palliative care. The role of long-term opioid therapy in chronic non-malignant pain remains unclear and is the focus of much clinical research. There are concerns regarding analgesic tolerance, paradoxical pain and issues with dependence that can occur with chronic opioid use in the susceptible patient. In this review, we di...

Ureteric colic is a very common problem. Patients often present to A+E in significant pain, with sepsis. There are very strict guidelines produced by the BAUS and the College of Emergency Medicine. Despite this, over a quarter of UK A&E departments did not perform any radiological investigations when patients presented with renal colic. Shockingly some departments do not even offer renal colic ...

Should rheumatologists provide an acute referral service for general practitioners (GPs) and other clinical units? Is it cost effective? We prospectively studied acute referrals to one unit over 10 months, recording their source, diagnosis, management and outcome. Current rheumatology patients and cases only needing telephone advice were excluded. There were 253 referrals: 82 from GPs, nine fro...

This study evaluate the need for general practitioners referrals and self referrals of acute abdominal pain patients to emergency surgical service, the appropriateness of GP referral diagnosis and their attitudes dealing with abdominal pain. In three months period all acute abdominal pain patient referrals to our hospital emergency surgical service were audited. Data on final diagnosis, surgica...

o bjective: to determine the effects of intravenous acetaminophen (apotel®)  on pain severity and clinical findings of peritonitis in patients with acute appendicitis. m e thods: this randomized  cross-over clinical trial was carried out duringa 6-month  period from august 2012 to february 2013 and comprised 107 patients diagnosed with acute appendicitis. patients were randomly assigned to rece...