P017 SUSPECTED ACUTE ILEITIS. A PROSPECTIVE DIAGNOSTIC PROTOCOL

Optimized protocol for diagnosis of acute ileitis.

BACKGROUND & AIMS Suspected acute ileitis (AI) is a poorly defined clinical condition with multiple causes; its diagnostic protocol has not been standardized properly. We performed a prospective evaluation of the incidence and causes of AI to create a standard protocol for diagnosis. METHODS The definition of AI included abdominal pain, diarrhea, fever, and at least 1 confirmatory imaging met...

Clinically suspected acute recurrent pulmonary embolism: a diagnostic challenge.

It is unknown whether strategies validated for diagnosing pulmonary embolism (PE) are valid in patients with a history of PE. It was the objective of this study to investigate whether a diagnostic algorithm consisting of sequential application of a clinical decision rule (CDR), a quantitative D-dimer test and computed tomography (CT) safely ruled out a clinical suspicion of acute recurrent PE. ...

A case of acute ileitis with perforation.

Evaluation of the accuracy of physicians’ diagnostic performances in patients with suspected acute appendicitis

Introduction: With a prevalence rate of 7-8 percent, acute appendicitis is one of the most common public surgical emergencies worldwide. Given the complications of this disease because of lack of medical diagnosis and not on-time arrival of patients, this study evaluated the diagnostic performance of physicians (general or specialist) in patients with suspected appendicitis admitted in Imam Rez...

Prospective nationwide outcome audit of surgery for suspected acute appendicitis.

BACKGROUND Studies comparing laparoscopic and open appendicectomy are difficult to interpret owing to several types of bias, and the results often seem of limited clinical importance. National audits can be valuable to provide insight into outcomes following appendicectomy at a population level. METHODS A prospective, observational, resident-led, nationwide audit was carried out over a period...