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Table 2 Allocation of the Individual Diagnoses at Each Stage n (%)

From: Decision making in patients with acute abdominal pain at a university and at a rural hospital: does the value of abdominal sonography differ?

Diagnosis

UH (n = 106)

RH (n = 55)

Stage I

(Basic clinical examination)

Stage II

(Sonography)

Stage III

(Working diagnosis)

Stage IV

(Histo; Operating surgeon report; Clinical process)

  

1

2

3(*)

  

Appendicitis

      

UH

50 (47%)

19 (18%)

0 (0%)

31 (29%)°

24 (23%)A

23 (22%)

RH

18 (33%)

11 (20%)

2 (4%)

7 (13%)°

13(24%)

12 (22%)

Cholecystitis

      

UH

23 (22%)

11 (10%)

0 (0%)

12 (11%)1

11 (10%)

11 (10%)

RH

6 (11%)

2 (4%)

1 (2%)

4 (7%)1

3 (5%)

3 (5%)

Gyn. Disease

      

UH

12 (11%)

8 (8%)

2 (2%)

2 (2%) 2

10 (9%)

10 (9%)

RH

7(13%)

3 (5%)

1 (2%)

4 (7%) 2

4 (7%)

4 (7%)

Nephrolithiasis

      

UH

13 (12%)

8 (8%)

0 (0%)

5 (5%)3

12 (11%) B

12 (11%)

RH

5 (9%)

3 (5%)

2 (4%)

3 (5%)3

5 (9%)

5 (9%)

  1. (*) 1: affirmed with sonography
  2. 2: newly diagnosed by sonography (initially an other diagnosis at Stage I)
  3. 3: excluded with sonography
  4. ° 10 × Constipation/15 × Gastroenteritis/2 × NSAP/4 × Diverticulitis (UH)
  5. 1 × Mesenterialinfarct/3 × Gastroenteritis/2 × NSAP/1 × Diverticulitis (RH)
  6. 16 × Gastroenteritis/1 × Musculoskeletal/4 × Constipation/1 × Spleen infarction (UH)
  7. 2 × NSAP/1 × Musculoskeletal/1 × Liver Cancer (RH)
  8. 22 × Urinary tract infection
  9. 1 × Adhesive ileus/1 × Coecumvolvulus/1 × Nephrolithiasis/1 × Appendicitis perf (RH)
  10. 31 × Pyelonephritis/3 × Condition after nephrolith loss, diagnosis with CT/1 × praevesical Concrement missed by sonography (UH)
  11. 1 × Gastritis/1 x NSAP/1 × Musculoskeletal (RH)
  12. A 5 × the diagnosis was made by the surgeon on call despite negative ultrasonography, in some cases after additional tests (eg blood tests)
  13. B 4 × the diagnosis was made by the surgeon on call despite negative ultrasonography, in some cases after additional tests (eg blood tests)