Das akute Abdomen ist ein häufiges und unter Umständen dramatisches klinisches Krankheitsbild,
das bei nicht zeitgerechter Diagnostik einen fatalen Verlauf nehmen kann. Wegweisend
ist hierbei die zügige und gezielte klinische Beurteilung einschließlich Laborbestimmungen,
Bildgebung und ggf. interventioneller Diagnostik, um die Vielzahl der Differenzialdiagnosen
abzugrenzen. Dies legt den Grundstein für eine adäquate und zeitgerechte Therapie.
Abstract
Acute abdomen is a common and sometimes dramatic clinical condition, which can be
fatal if diagnosis is not made in time. A large number of diseases can cause an acute
abdomen which makes a targeted and rapid diagnostic approach utterly important. The
initial diagnostic approach is based on the clinical assessment (including medical
history and physical examination) which allows doctors to quickly establish a suspected
diagnosis with a relatively high sensitivity but a rather low specificity. Further
diagnostics, including laboratory markers, imaging and – if necessary – interventional
diagnostics should be initiated quickly after the first clinical assessment in order
to confirm the suspected diagnosis or to further classify unclear cases. The clinical
assessment is the leading diagnostic tool that determines further diagnostic approaches
for patients with an acute abdomen and thus enables adequate and timely therapy.
Schlüsselwörter
akutes Abdomen - klinische Beurteilung - Diagnostik
Key words
acute abdomen - clinical assessment - diagnostics
