Der akute Bauchschmerz: zwischen banal und hochgefährlich

Bauchschmerzen sind eines der häufigsten Symptome in Praxis, Notfallsprechstunde und Klinik. In der präklinischen Versorgung von Patienten mit akuten Bauchschmerzen ist jedoch die Differentialdiagnose schwierig, weil Anamnese und Befund nicht so aussagefähig sind wie allgemein erwartet. Das zeigt zumindest die Analyse der Post-Testwahrscheinlichkeit verschiedener Tests unter Auswertung der SESAM-Studie und der einschlägigen Literatur.

Abdominal pain is one of the more frequent symptoms seen in the doctor's office, medical emergency centres and hospitals. With regard to the pre-hospital management of patients with acute abdominal pain, however, the differential diagnosis proves difficult, since the medical history and the current findings are not as informative as is generally expected. This, at least, is the finding of an analysis of the post-test probability of a range of tests in the evaluation of the SESAM study and in the relevant literature.

abdominal pain - pimary care - emergency care - bayes analysis - medical decision making

Literatur

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