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Too much medicine


Peter Devitt


Good surgeons know how to operate, better ones when to operate, and the best when not to operate.

This expression need not be confined to those that wield the scalpel. Any form of medical interference - from ordering unnecessary investigations, prescribing medications through to undertaking surgery for dubious reasons, can be to the patient's disadvantage.

The first question the doctor should ask before ordering any investigation is: 'how is this going to influence my management?' Moving on to treatment, the question should be 'will this treatment be to the advantage of the patient?

This is a case about a patient who was presented to the Emergency Department with acute lower abdominal pain.

 This case discusses:

-Differential diagnosis of acute lower abdominal pain

-Clinical features


-Principles of management

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