I am currently being posted on Casualty shift duty in an industrial hospital. I frequently encounter cases of Acute abdomen during my night shifts and Sunday duties. There is only one surgeon available over here. Either he is too busy or doesn't want to come, He wants me to manage or refer the case. Many a time the calls are not picked up and left unanswered. Patients and relatives expect me to manage and are often unwilling to shift.I will narrate a typical case to prove my point.
Middle-aged to elderly person with acute Pain Abdomen.Vitals-stable.No guarding/rigidity.Epigastric tenderness present or absent. Distension-present.Bowel sounds-Normal. I treated with inj.Diclofenac 3cc IM followed by IV Pantoprazole and then Dicyclomine as in there wasabsolutely no relief of pain. Patient and their relatives say pain is not subsiding and want immediate relief. USG Abdomen is often not…
