Abdomen agudo ni médico ni quirúrgico: Reflexiones sobre la medicina basada en evidencias

• Jaime Duclos H ^[1]
  1. [1] Universidad de Valparaíso

     Universidad de Valparaíso

     Valparaíso, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 134, Nº. 9, 2006, págs. 1197-1199
• Idioma: español
• Títulos paralelos:
  • Acute abdominal pain of difficult diagnosis: Report of one case and reflections about evidence based medicine
• Enlaces
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• Resumen

  • Evidence based medicine is strongly positioned in medical practice. However we must remember that it should be just a part of our knowledge and skills and that a close relationship with our patients is essential. I report a 52 years old male that presented with abdominal pain in the right upper quadrant lasting seven days, that started after participating in a celebration dinner. Abdominal ultrasound was normal and biochemical tests were within normal limits. An upper gastrointestinal endoscopy showed a toothpick that was perforating the gastric wall. The toothpick was withdrawn and the pain subsided. The patient was discharged asymptomatic three days later