Clinical Case Database / Category: Patient Management

Sudden onset epigastric pain

Publication details

Miss S. Davies, Mr A. Peckham-Cooper, Mr R Wilkin, Miss A Sverrisdottir
Foundation Years Journal, volume 6, issue 4, p.54 (123Doc Education, London, April 2012)

Abstract

This article outlines a case of epigastric pain presenting to Accident & Emergency. Questions supported with short and long answers aim to challenge the reader to consider certain aspects of patient management and the associated diagnostic challenges.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Authors

Miss S. Davies

Department of General Surgery
Burton Hospital NHS Foundation Trust
Belvedere Road
Burton Upon Trent
Staffordshire
DE13 0RB

Mr A. Peckham-Cooper

Department of General Surgery
Burton Hospital NHS Foundation Trust
Belvedere Road
Burton Upon Trent
Staffordshire
DE13 0RB

Mr R Wilkin

Department of General Surgery
Burton Hospital NHS Foundation Trust
Belvedere Road
Burton Upon Trent
Staffordshire
DE13 0RB

Miss A Sverrisdottir

Department of General Surgery
Burton Hospital NHS Foundation Trust
Belvedere Road
Burton Upon Trent
Staffordshire
DE13 0RB

References

1. Gladden D, Migala A et al.; Cholecystitis eMedicine.com 2009.
2. Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, et al. ACC/ AHA 2007 guidelines for the management of patients with unstable angina/non-ST-Elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines .J Am Coll Cardiol. 2007;50(7):e1-e157.
3. Francis Morris, William J Brady. ABC of clinical electrocardiography: Acute myocardial infarction—Part I. BMJ 2002;324:831
4. Katz DS, Rosen MP, Blake MA, et al; and Expert Panel on Gastrointestinal Imaging. ACR Appropriateness Criteria® right upper quadrant pain. [online publication]. Reston (VA): American College of Radiology (ACR); 2010:
5. Sparks AR, Johnson PL, Meyer MC. Imaging of abdominal aortic aneurysms. Am Fam Physician. 2002;65(8):1565-70.
6. Dent B, Kendall RJ, Boyle AA, Atkinson PR. Emergency ultrasound of the abdominal aorta by UK emergency physicians: a prospective cohort study. Emerg Med J. 2007;24(8):547-9
7. Bingener J, Schwesinger WH, Chopra S, et al. Does the correlation of acute cholecystitis on ultrasound and at surgery reflect a mirror image?. Am J Surg. 2004;188(6):703-7
8. Chiu HH, Chen CM, Mo LR. Emphysematous cholecystitis. Am J Surg. 2004;188(3):325-6.
9. Keus F, de Jong JA, Gooszen HG, et al; Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev. 2006;(4)
10. Gurusamy KS, Samraj K; Early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Cochrane Database Syst Rev. 2006; (4)
11. Flum DR, Dellinger EP, Cheadle A, Chan L, Koepsell T. Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy. JAMA 2003; 289: 1639-44.

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.