Indications directory

Basic evaluations:

Blood:

Full blood count, ESR or CRP, sodium, potassium, chlorine, calcium, GOT, GPT, AP, gamma-GP, LDH, bilirubin, creatinine, urea, glucose, troponin T, d-dimers, amylase, lipase, pancreas-elastase (more sensitive than amylase or lipase), PTT, INR, haptoglobin

Urine:
Urine status- and sedimentation, porphobilinogen and total porphyrine in the spontaneous urine (acute intermittent porphyria can be life-threatening)

Stool: (Occult) blood

Examinations as per clinical suspicion:

Pains in the upper abdomen:

Cholecystitis, gallstones, abscesses, ulcer perforation, hiatus hernia, esophagus perforation, appendicitis, pancreatitis, spleen infarction, also angina pectoris, posterior myocardial infarction, Malta fever

Lower epigastric pains:

Appendicitis, kidney stones, acute intermittent porphyria (porphobilinogen and total porphyrine in the spontaneous urine), Crohn’s disease, gall bladder perforation, psoas abscess, rupture of the aneurism, gynecological illnesses (adnexitis, ovarial cyst with twisting of pedicle, extra-uterine gravidity), mechanical ileus, sigma-diverticulitis

Please also refer to section “chronic abdominal pains”