*Corresponding author:Thamilselvam P, Department of Surgery, Head of Department, National defence University of Malaysia, Malaysia
Received: September 07, 2018; Published: September 14, 2018
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The treatment for pain before arriving the diagnosis in patients with acute abdominal pain still remains controversial. Many recent studies have showed that the treatment of pain does not negatively influence either the diagnosis or subsequent treatment of these patients; however, current practice patterns continue to favour withholding pain medication prior to diagnosis and surgical treatment decision . Pain is a complex phenomenon with various causes and issues associated with its incidences. This complexity is especially true for those who have chronic pain. In light of the multifactorial nature of this problem, the treatment plan has to be individualized for each patient . Any doctor doing practice in emergency medicine should be skilled in the assessment of abdominal pain and related diseases. Although a common presentation, abdominal pain must be approached in a serious manner, as it is often a symptom of serious disease and misdiagnosis may occur.
Abdominal pain is the presenting issue in a high percentage of medico legal actions against both general and paediatric emergency medicine physicians [3,4]. The modern physician should be humbled by the fact that, despite diagnostic and therapeutic advances (computed tomography, ultrasonography, interventional radiology and laparoscopy), the misdiagnosis rate of the most common surgical emergency, acute appendicitis, has changed little over time . Our purpose of this article is to help and provide clinicians with a framework for evaluating the complaint of acute abdominal pain and recognizing patients who require expedited evaluation for the treatment and further management.