Which of the following is NOT included in the clinical characteristics of elderly patients with acute abdomen?

May 25, 2023 Source: Cainiu Health

Dr. Li Feng

Introduction

Acute abdomen refers to acute pathological changes within the abdominal cavity, such as inflammatory conditions, perforations, and intestinal obstructions. In elderly patients, due to decreased physiological responsiveness and reduced sensitivity to pain, even when local inflammation or perforation occurs—accompanied by obvious suppuration—symptoms may present with no significant fever and without a marked increase in white blood cell count.

Generally, the clinical features of elderly patients with acute abdomen do not include a significant increase in white blood cell count. The details are as follows:

Acute abdomen refers to acute pathological changes within the abdominal cavity, such as inflammatory conditions, perforations, or intestinal obstruction. In elderly patients, due to decreased physiological responsiveness and reduced sensitivity to pain, typical signs may be absent even when serious local inflammation or perforation occurs. For instance, despite evident pus formation, fever may be mild or absent, and white blood cell counts may not rise significantly. Therefore, symptoms in the early stages are often atypical and subtle. However, if severe, unbearable pain does occur, it usually indicates that the condition has already become very serious.

In addition, acute abdominal symptoms can also arise from conditions such as intestinal obstruction or bowel necrosis. If any physical discomfort occurs, it is essential to seek timely medical evaluation. Surgery may be necessary under medical advice to prevent worsening of the condition.

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