title: [The value of clinical and paraclinical parameters in the diagnosis of acute abdominal diseases as based on the patient material of a medical clinic].
abstract: The triad pains, tension of the abdominal wall and disturbances of the peristalsis, cited in the special literature, had no diagnostic significance for the recognition of acute abdominal diseases. In more than half of the patients examined we found leucocytosis and tachycardia as individual parameters. In about one third the simultaneous presence of several symptoms (leukocytosis, tachycardia and increase of temperature) was observed. Among the parameters got in our patients none was referring to making the diagnosis of an acute abdominal disease in the individual case. Even when the adequate symptomatology is absent in old and frail patients should be thought of an acute abdominal disease, the more so when most modern anesthetic and operative methods and an intensive postoperative care is used the prognosis of such diseases may be favourable also at older age.
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis* / Q000453:epidemiology; D000368:Aged; D001064:Appendicitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000175:diagnosis; D005859:Germany, East; D006801:Humans; D007964:Leukocytosis / Q000175:diagnosis; D008297:Male; D012189:Retrospective Studies; D013610:Tachycardia / Q000175:diagnosis; D014839:Vomiting / Q000175:diagnosis
vernacular_title: Die Wertigkeit klinischer und paraklinischer Parameter in der Diagnostik akuter Abdominalerkrankungen im Krankengut einer Medizinischen Klinik.