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Revista médica de Chile

versão impressa ISSN 0034-9887


DUCLOS H, Jaime. Acute abdominal pain of difficult diagnosis: Report of one case and reflections about evidence based medicine. Rev. méd. Chile [online]. 2006, vol.134, n.9, pp.1197-1199. ISSN 0034-9887.

Evidence based medicine is strongly positioned in medical practice. However we must remember that it should be just a part of our knowledge and skills and that a close relationship with our patients is essential. I report a 52 years old male that presented with abdominal pain in the right upper quadrant lasting seven days, that started after participating in a celebration dinner. Abdominal ultrasound was normal and biochemical tests were within normal limits. An upper gastrointestinal endoscopy showed a toothpick that was perforating the gastric wall. The toothpick was withdrawn and the pain subsided. The patient was discharged asymptomatic three days later

Palavras-chave : Abdominal pain; Evidence-based medicine; Foreign-body reaction.

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