Ostryy zhivot: diagnoz i differentsial'nyy diagnoz v praktike terapevta

The article discusses in detail the primary diagnosis of acute abdomen syndrome (AAS) at the pre-hospital stage, and the problem of differential diagnosis of diseases of internal organs with clinical picture that may mimic an acute surgical pathology, often encountered in the therapeutic practice. The relevance of timely diagnosis of the AAS is emphasized; it is associated with a direct dependence of postoperative lethality on the time from onset of illness to the admission of the patient in a surgical hospital and performing necessary surgery. It is shown that the solution to this problem is directly related to skills of physical examination of patient and ability of physician, taking part in the initial diagnosis of the syndrome, to correctly interpret the results of this examination.

acute abdomen syndrome, peritonitis, direct examination of the patient