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ARTICLE |

The Acute Abdomen for the Man on the Spot

Bernard Sigel, MD
JAMA. 1980;243(13):1372. doi:10.1001/jama.1980.03300390056032.
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ABSTRACT

The "man on the spot" for whom this pithy little book is intended is the house officer facing the patient with a possible acute abdomen. Angell begins by explaining his intent to warn, console, and advise the inexperienced surgeon responsible for management decisions often at times when backup support is minimal. The author describes common behavior patterns of both patients and house officers in an emergency setting. A few apt examples, and he has gained the reader's attention with his light-hearted spoof of how pomposity and ritual often belie the house officer's anxiety, fatigue, and lack of experience. There follows a clear and interesting series of statements that can be quickly consulted for advice on many of the problems encountered in caring for the patient with an acute abdomen.

The book deals with medical illnesses that resemble the acute abdomen; the diagnosis of free fluid in the peritoneal cavity, perforated

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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