Books > Medicine > Other branches of medicine > Accident & emergency medicine > Intensive care medicine
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Acute Disorders of the Abdomen - Diagnosis and Treatment (Paperback, 1980 ed.)
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Acute Disorders of the Abdomen - Diagnosis and Treatment (Paperback, 1980 ed.)
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The acute abdomen often perplexes the expert as well as the young
physician. There are few areas in medicine in which Hippocrates'
aphorism-the art is long, life is short, decision difficult, and
delay perilous-is more applicable than here. Too often the harried
physician fails to listen to the patient who is trying desperately
to suggest the diagnosis. The significance of various types and
location of pain often are neglected by the doctor. Physical
findings are influenced by experience; the presence or absence of
tenderness or a mass may be answered in entirely different ways by
various observers. Because solid facts frequently are lacking,
attempts to resolve diagnostic dilemmas by computer analysis or by
algorithms are not likely to be successful. Fortunately, in the
great majority of cases, unusual and difficult diagnostic
procedures are not necessary for the identification of the acute
abdomen and of the major disease. Astute clinical judgment must be
based primarily upon careful attention to the pa tient's words and
detailed observation."
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