Consultation of internist in surgical practice: routine necessity

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Abstract

We analyzed the results of 3239 autopsies in three major hospitals in 2003-2006. The frequency of comorbidity in surgical patients reaches 33%, which creates additional difficulties in diagnosis and management of these patients and leads to the high frequency of divergence in diagnoses. The example of two clinical cases demonstrated the need for a unified strategy and tactics of physician and surgeon in the surgical clinic, which contributes to the correct diagnosis and choice of optimal treatment tactics.

References

  1. Верткин А.Л., Брискин Б.С., Алексанян Л.А. и др. Рациональная фармакотерапия неотложных состояний. М., 2007. 648 с.
  2. Верткин А.Л., Зайратьянц О.В., Вовк Е.И. Окончательный диагноз. М., 2009. 576 с.
  3. Вовк Е.И., Наумов А.В., Гребенева Л.С. и др. Лечение и профилактика поражений слизистой оболочки желудочно-кишечного тракта // Врач скорой помощи. 2008. № 2. С. 20-46.
  4. Верткин А.Л., Тихоновская Е.Ю., Скворцова А.А. и др. Особенности клинического течения и фармакотерапии алкогольной болезни печени, сердца и головного мозга у больных с соматической патологией // Лечащий врач. 2009. № 7.
  5. Верткин А.Л., Скворцова А.А., Скотников А.С. Особенности клинического течения и фармакотерапии алкогольной болезни сердца у больных с соматической патологией // Неотложная терапия. 2009. № 1-2.
  6. Goldhaber SZ, Morpurgo M. Diagnosis, treatment and prevention of pulmonary embolism. Report of the WHO/ ISFC Task Force. JAMA 1992;268:1727-33.
  7. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet 1999;353:1386-89.
  8. Karwinski B, Svendsen E. Comparison of clinical and postmortem diagnosis of pulmonary embolism. J Clin Path 1989;42:135-39.
  9. Mandelli V, Schmid C, Zogno C, et al. False negatives' and 'false positives in acute pulmonary embolism: A clinicalpostmortem comparison. Cardiologia 1997;42:205-10.
  10. Nicolaides AN, Arcelus J, Belcaro G, et al. Prevention of venous thromboembolism. European consensus conference. Int Angiology 1992;11:151-59.
  11. Samama ChM, Samama MM. Prevention of venous thromboembolism. Congress of European Society of Anaesthesiology. Amsterdam 1999:39-43.
  12. Stein PD, Henry JW. Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest 1995;108:78-81.
  13. Task Force on Pulmonary Embolism, European Society of Cardiology. Eur Heart J 2000;21:1301-36.
  14. Tibbut DA, Chesterman CN. Pulmonary embolism: current therapeutic concepts. Drugs 1976;11:161-92.

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