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Query: UMLS:C0000727 (acute abdomen)
 3,084 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

34 consecutive patients were admitted for ischemic colitis confirmed by colonoscopy, contrast enema, laparotomy, and/or post-mortem between 1984 and 1988. 13 underwent excisional surgery, usually at an early stage, because of acute abdomen. This study is devoted to the remaining 21 patients (62%), i.e. nearly two thirds of the whole series, who were treated conservatively (intravenous hydration and antibiotics). Our results suggest that (1) ischemic colitis usually affects elderly patients in whom an underlying cardiovascular disease is seldom found; (2) the right colon is infrequently involved, and (3) outcome is generally favorable in the absence of superimposed major pathology or of peritoneal signs which would require surgical exploration.
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PMID:[Ischemic colitis. Results of conservative treatment]. 185 51

Symptoms, physical findings, and laboratory values exhibited by some older patients with acute illnesses may differ from those normally expected in a younger population. This variation in presentation can make it difficult to diagnose pneumonia or myocardial infarction and exacerbations of chronic disease, such as depression. The physician who is aware of why and how diseases can present atypically in older patients can improve outcomes by minimizing diagnostic mistakes and delays in treatment. Five common disease states in which atypical presentations may be seen include infections, cardiovascular disease, the acute abdomen, hyperthyroidism, and depression.
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PMID:Nonspecific and atypical presentation of disease in the older patient. 948 85