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Gastric ultrasound for preoperative assessment

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domingo, 11 de marzo de 2018

Abdominal Cutaneous Nerve Entrapment Syndrome

CORE EM
CORE EM - March 7, 2018 - By Carl Preiksaitis
"Definition: Abdominal cutaneous nerve entrapment syndrome (ACNES) is an under recognized cause of chronic abdominal pain. It results when the cutaneous branches of the lower intercostal nerves become entrapped in the lateral border of the rectus muscle...
Take Home Points
  • ACNES is an under recognized cause of chronic abdominal pain in patients presenting to the ED
  • Consider in patients with localized, positional pain without symptoms suggestive of an intra-abdominal pathology
  • Diagnosis is based on characteristic history and physical exam findings including positive Carnett’s test
  • Trigger point injection with anesthetic and steroid can both confirm the diagnosis and provide symptomatic relief"