Is abdominal wall tenderness a useful sign in the diagnosis of non-specific abdominal pain?

Abstract:

:Pain arising from the abdominal wall has been implicated as a cause of non-specific abdominal pain (NSAP), and the presence of abdominal wall tenderness (AWT) has been proposed as an accurate diagnostic test for NSAP. One hundred and fifty eight patients admitted to hospital with abdominal pain were tested for the presence of positive AWT. In 53 patients the final diagnosis was appendicitis and positive AWT was found in five. Thirty eight patients were found to have a variety of other recognised pathological diagnoses, none of whom had a positive AWT. In 67 patients a diagnosis of NSAP was made in the absence of other pathological diagnosis, 19 of whom had positive AWT, which was significantly different from the other diagnostic groups. This study confirms the presence of AWT in up to 28% of patients with NSAP, and suggests that testing for AWT is of value in patients with abdominal pain, although a positive AWT is not as accurate a predictor of NSAP as previously reported.

journal_name

Ann R Coll Surg Engl

authors

Gray DW,Dixon JM,Seabrook G,Collin J

subject

Has Abstract

pub_date

1988-07-01 00:00:00

pages

233-4

issue

4

eissn

0035-8843

issn

1478-7083

journal_volume

70

pub_type

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