When to refer

• All cases of acute abdominal pain where urgent surgical intervention is required; special urgency and early diagnosis is important with:

o ruptured ectopic pregnancy o ruptured abdominal aortic aneurysm o mesenteric artery occlusion o ruptured viscus o perforated peptic ulcer o strangulated obstructed bowel o intussusception

• All cases where the diagnosis is not apparent

• All cases where surgery is necessary

• Medical causes such as diabetic ketoacidosis and porphyria

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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