O’quv mashg‘ulotida ta’lim texnologiyasi modeli

R - 34 yoshli (RYo) qorinda kuchli og‘riq bulgan bemor

I - utkir qorinni baxolash shkalasi (Alvorado) - (leykotsitoz, EChT)

S - palpatsiya: peritoneal simptomlar (S-reaktiv oksil)

O - utkir jarroxlik patologiyasi yo‘qligini aniklash (appensitsit, xoletsistit)

PICO savoli: jarroxlik patologiyasi yo‘qligini aniklash uchun yo‘qligini aniklash uchun qanday tekshirishlar zarur kuprok optimal/informativ?
tashxislash (terapevtlar uchun)
34 yoshli (RYe) qorinda kuchli og‘riq bulgan bemorda xoletsistit yo‘qligini aniklash

• 
  R - 34 yoshli (RYo) qorinda kuchli og‘riq bulgan bemor
  
• 
  I - jismoniy simptomatika (ortner, Myussi simptomi va b.)
  
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  S-UTT
  
• 
  O — xoletsistit tashxisini tasdiklash
  

PICO savoli: boshqa patologiyalar yo‘qligini aniklash uchun yo‘qligini aniklash uchun qanday tekshirishlar zarur kuprok optimal/informativ?
Isbotlangan tibbiyot saytida izlanishlar natijalari: Tanlangan manzillar
1. Early laparoscopy versus active observation in acute abdominal pain: systematic review and meta-analysis.
Maggio AQ, Reece-Smith AM, Tang TY, Sadat U, Walsh SR. Department of General Surgery, Addenbrooke's Hospital, Cambridge, UK. INTRODUCTION: Patients with acute abdominal pain account for half of acute general surgical admissions. About one-third have no clear diagnosis at the time of presentation. Traditionally, such patients were managed by active observation and repeated clinical assessment over a period of time. More recently, the use of early laparoscopy has been advocated. METHODS: The Medline and PubMed databases, trial registries and conference proceedings were searched to
identify randomised controlled trials comparing early laparoscopy to active observation in patients with undifferentiated acute abdominal pain. RESULTS: The systematic review identified four eligible trials (811 patients). Early laparoscopy reduced the number of patients discharged without a final diagnosis (pooled odds ratio: 0.13; 95% CI: 0.03-0.51; p=0.003).
There were no statistically significant effects on complications, readmission rates or hospital
stay. There was evidence of significant heterogeneity between the trials. CONCLUSION: There
is insufficient evidence to recommend routine use of early laparoscopy as the gold standard in
patients with undifferentiated acute abdominal pain. Conversely, there is no evidence of harm.
Further large clinical trials are required to determine the role of laparoscopy in this clinical
situation.Ushbu obzor qorinda og‘riq utkir og‘riq bulgan bemorlarda laporoskopik aralashuvlar utkazish maksadga muvofikligini kursatadi. 811ta bemorda randomizirlangan tekshirishlar utkazilgan.
7. RECOMMENDATIONS
MAJOR RECOMMENDATIONSThe major recommendations for the emergency department
management of women of childbearing age presenting with undifferentiated vaginal bleeding
and/or abdominal pain suggestive of ectopic pregnancy are provided in the form of an algorithm,
"Undifferentiated Vaginal Bleeding/Abdominal Pain Suggestive of Ectopic Pregnancy Clinical
Pathway." The grades of the strength and consistency of evidence (Al, A2, Bl, B2, CI, C2, D) are defined at the end of the "Major Recommendations" field.
Definitions Quantitative beta human chorionic gonadotropin (beta-hCG): expressed in mIU/mL per the World Health Organization Third International Standard (International Reference Preparation)