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Answer: c
Numerous surgical causes exist for the patient presenting with acute abdominal pain. A recent review of nearly 1200 patients presenting for emergency evaluation of abdominal pain affords some interesting findings. The most common diagnosis was nonspecific abdominal pain, occurring in 35% of patients. Appendicitis (17%), intestinal obstruction (15%), urologic problems (6%), and gallstones (5%) were the leading surgical causes. The largest number of admissions occurred in the age groups 10–29 years old (31%) and 60–79 years old (29%). Surgical procedures were required in 47% of these patients. Large series of elderly patients presenting with acute abdominal pain have found the leading diagnoses to be cholelithiasis, nonspecific pain, malignancy, incarcerated hernia, ileus, and gastroduodenal ulcer.
Category: Surgery MCQs



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