White Blood Cell Counts in Patients Undergoing Abdominal Surgery

Blennerhassett, Lewis; Hall, Joanne M.; Hall, John C.

doi:10.1111/j.1445-2197.1996.tb01213.x

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…The FBC may also reveal a previously undiagnosed or unsuspected anaemia (decrease in red blood cells [RBC]) which might be indicative of an underlying gastrointestinal malignancy. [2][3][4][5][6]10 Measurement of serum urea and electrolytes (U&Es) will confirm dehydration due to fluid loss from protracted vomiting, and a random blood glucose measurement will help to exclude undiagnosed diabetes mellitus. Similarly, routinely available liver function tests (LFTs) will be helpful (elevated bilirubin indicate jaundice, liver transaminase enzymes [AST, ALT] indicate liver inflammation, elevated alkaline phosphatase is associated with an obstructed bile duct) in the immediate management of patients with right upper quadrant abdominal pain probably due to gallstones.…”

Section: Laboratory Investigationsmentioning

confidence: 99%

The Acute Abdomen: Assessment, Diagnosis and Pitfalls

Poston¹

2005

Clinical Risk

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Section: Laboratory Investigationsmentioning

confidence: 99%

The Acute Abdomen: Assessment, Diagnosis and Pitfalls

Poston¹

2005

Clinical Risk

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Peritoneal and Systemic Inflammatory Mediators of Laparoscopic Bowel Injury in a Rabbit Model

et al. 2004

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Abdominal Pain in Geriatric Emergency Patients: Variables Associated with Adverse Outcomes

Marco

Schoenfeld

Keyl

et al. 1998

Academic Emergency Medicine

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Abstract. Objective: To determine the diagnoses and outcomes of geriatric patients with abdominal pain, and to identify variables associated with adverse outcomes. Methods: Geriatric emergency patients (aged 65 years and older) with a complaint of abdominal pain were participants in this longitudinal case series. Eligible patients were followed by telephone contact and chart review, to determine outcomes and final diagnoses. Results: Of 380 eligible patients, follow-up information was available for 375 (97%), for the two months following the ED visit. Final diagnoses included infection (19.2%), mechanical-obstructive disorders (15.7%), ulcershypersecretory states (7.7%), urinary tract disease (7.7%), malignancy (7.2%), and others. Although 5.3% of the patients died (related to presenting condition), most (61.3%) patients ultimately recovered. Surgical intervention was required for 22.1% of the patients. Variables associated with adverse outcomes (death, and need for surgical intervention) included hypotension, abnormalities on abdominal radiography, leukocytosis. ahnormal bowel sounds, and advanced age. Most physical examination findings were not helpful in identifying patients with adverse outcomes. This study demonstrated a higher incidence of malignancy (7.2%) and a lower incidence of disease necessitating surgical intervention (22.1%) than previously reported. Conclusions: The majority of geriatric emergency patients with abdominal pain have significant disease necessitating hospital admission. Morbidity and mortality among these patients are high, and specific variables are strongly associated with death and the need for surgical intervention. Absence of these variables does not preclude significant disease. Physical examination findings cannot reliably predict or exclude significant disease. These patients should be strongly considered for hospital admission, particularly when fever, hypotension, leukocytosis, or abnormal bowel sounds are present. Key words: abdominal pain; geriatrics; elder; adverse outcomes; predictors; diagnosis. ACADEMIC EMERGENCY MEDICINE 1998; 511163-1168 ERIATRIC persons (aged 65 years and older) G represent the fastest growing segment of the population, and currently comprise 12% of the U.S. population. The diseases of geriatric emergency patients have posed significant diagnostic and management challenges, in part due to patients' tendency to delay seeking medical care, the atypical presentations, presence of coexisting diseases, atypical physical examination findings, atypical laboratory values, and higher morbidity and mortality.l-I6 Previous studies have demonstrated a diagnostic accuracy of only 40% to 65% in geriatric patients with abdominal ~a i n . * -~.~, I~We undertook this investigation to ascertain fi- nal diagnoses and outcomes of geriatric ED patients with abdominal pain. We also wanted to determine which routinely available clinical variables are associated with higher likelihood of the need for surgical intervention, and death within a two-month period among this pa...

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White Blood Cell Counts in Patients Undergoing Abdominal Surgery

Cited by 3 publications

References 5 publications

The Acute Abdomen: Assessment, Diagnosis and Pitfalls

The Acute Abdomen: Assessment, Diagnosis and Pitfalls

Peritoneal and Systemic Inflammatory Mediators of Laparoscopic Bowel Injury in a Rabbit Model

Abdominal Pain in Geriatric Emergency Patients: Variables Associated with Adverse Outcomes

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