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Abdominal tendernes...
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Wallerstedt, Sven,1944Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine
(author)
Abdominal tenderness in ascites patients indicates spontaneous bacterial peritonitis
- Article/chapterEnglish2007
Publisher, publication year, extent ...
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Elsevier BV,2007
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-11377
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-11377URI
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https://doi.org/10.1016/j.ejim.2006.07.022DOI
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https://gup.ub.gu.se/publication/57776URI
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https://lup.lub.lu.se/record/675224URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:12386754URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-37453URI
Supplementary language notes
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Language:English
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Summary in:English
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Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background: Spontaneous bacterial peritonitis (SBP), which has been reported to be present in 10-30% of patients with cirrhotic ascites, may easily be overlooked. An important aim of our study was to determine whether there are any clinical signs which, in clinical practice, may predict or exclude SBP. Methods: We studied 133 patients with cirrhotic ascites from medical units at nine Swedish university hospitals where there had been at least one diagnostic ascites tap with analysis of polymorphonuclear leukocytes in the ascites fluid. The patients had initially been questioned about background factors and physically examined according to a standardized case record form. Samples of blood, urine, and ascites were then drawn for analysis according to a structured schedule. Results: SBP could be excluded in 80% of all the cases and was confirmed in 8% of the 133 patients in the final analysis. Abdominal pain and abdominal tenderness were more common in patients with SBP (p < 0.01), but no other physical sign or laboratory test could separate SBP cases from the others. Conclusions: SBP was present in about one-tenth of the hospitalized patients with cirrhotic ascites in this cohort. Performing repeated physical examinations and paying particular attention to abdominal tenderness may be the best way to become aware of the possible development of this complication.
Subject headings and genre
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Olsson, Rolf,1936Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine(Swepub:gu)xolrol
(author)
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Simrén, Magnus,1966Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine(Swepub:gu)xsimrm
(author)
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Broomé, Ulrika
(author)
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Wahlin, StaffanKarolinska Institutet
(author)
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Lööf, LarsUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)larsloof
(author)
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Hultcrantz, RolfKarolinska Institutet
(author)
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Sjöberg, KlasLund University,Lunds universitet,Enheten för kroniska inflammatoriska och degenerativa sjukdomar,Forskargrupper vid Lunds universitet,Chronic Inflammatory and Degenerative Diseases Research Unit,Lund University Research Groups(Swepub:lu)medf-ksj
(author)
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Sandberg Gertzén, Hanna
(author)
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Prytz, HanneLund University,Lunds universitet,Medicin, Lund,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medicine, Lund,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)med-hpr
(author)
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Almer, Sven,1953-Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Gastroenterologi och hepatologi,Endokrin- och magtarmmedicinska kliniken US(Swepub:liu)sveal38
(author)
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Göteborgs universitetInstitutionen för medicin, avdelningen för invärtesmedicin
(creator_code:org_t)
Related titles
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In:European journal of internal medicine: Elsevier BV18:1, s. 44-470953-62051879-0828
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Wallerstedt, Sve ...
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Olsson, Rolf, 19 ...
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Simrén, Magnus, ...
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Broomé, Ulrika
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Wahlin, Staffan
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Lööf, Lars
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Hultcrantz, Rolf
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Sjöberg, Klas
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Sandberg Gertzén ...
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Prytz, Hanne
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Almer, Sven, 195 ...
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