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Oberbauchschmerz – ein häufiges und facettenreiches Leitsymptom in der internistisch-hausärztlichen Praxis

Upper abdominal pain: a frequent and multifaceted leading symptom in primary care internal medicine

  • Schwerpunkt: Hausärztliche Medizin – Teil II
  • Published:
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Zusammenfassung

Obere gastrointestinale Beschwerden sind einer der häufigsten Gründe für die Vorstellung in einer internistisch-hausärztlichen Praxis und stellen den niedergelassenen Hausarzt häufig vor Herausforderungen in der korrekten Diagnosefindung. Neben der Anamneseerhebung und Symptomevaluation ist die körperliche Untersuchung grundsätzlich notwendig, um eine erste Arbeitsdiagnose zu stellen. Daran anschließend sind der Ultraschall des Oberbauchs sowie Laboruntersuchungen essenzielle Werkzeuge für die Differenzialdiagnose.

Abstract

Upper gastrointestinal symptoms are among the most common reasons for medical consultation and represent a challenge for general practitioners in the outpatient care setting. History taking, symptom evaluation and physical examination are the crucial steps toward establishing an initial working diagnosis. The subsequent abdominal ultrasound and laboratory analyses are essential tools for the differential diagnosis.

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  1. Internistisch-hausärztliche Praxis mit Schwerpunkt Diabetes, Vorhonig 5, 65620, Waldbrunn, Deutschland

    G. Fröhlich &  H. Fröhlich

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D. Burchert, Mainz

G. Hasenfuß, Göttingen

E. Märker-Hermann, Wiesbaden

J. Mössner, Leipzig

C.C. Sieber, Nürnberg

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Fröhlich, G., Fröhlich, H. Oberbauchschmerz – ein häufiges und facettenreiches Leitsymptom in der internistisch-hausärztlichen Praxis. Internist 62, 3–16 (2021). https://doi.org/10.1007/s00108-020-00917-7

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