Routine Rectal Palpation in Acute Abdomen has no Proven Value: A Review of the Literature [Swedish]

Routine Rectal Palpation in Acute Abdomen has no Proven Value: A Review of the Literature [Swedish]

A digital rectal examination (DRE) is standard practice in cases of acute abdomen in adult patients. We analyzed the evidence for this by a systematic literature search, and identified 16 relevant original studies. These studies showed that there is no evidence for a diagnostic value of DRE in adult patients with acute abdomen. We should…

Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation

Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation

Background There is a circadian and circaseptal (weekly) variation in the onset of acute coronary syndrome (ACS). The aim of this study was to elucidate whether the likelihood of ACS among emergency department (ED) chest pain patients varies with the time of presentation. Methods All patients presenting to the Lund ED at Skåne University Hospital…