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Master Thesis

Apport de l’échographie en médecine générale dans l’exploration des douleurs abdominales

Abstract : Introduction: general practitioners are becoming more and more interested in the practice of ultrasound in their daily practice. Abdominal pain remains a frequent reason for consultation and often justifies a prescription for additional imaging. It therefore seems interesting to evaluate the contribution of ultrasound in the exploration of abdominal pain during a general medical consultation. Objective: the objective was to determine the proportion of ultrasound scans that changed the patient's management after the consultation. Material and methods: the study carried out was an observational, retrospective, multicenter study about a population of general practitioners practicing ultrasound in the office. After each ultrasound, the doctor filled in a spreadsheet with differents datas (diagnostic hypotheses, paraclinical prescription, contribution of ultrasound). Ultrasound scans performed without abdominal pain were excluded from the study. Results: 68 ultrasounds were included in this study, performed by 9 general practitioners. These doctors evaluated that the management of the patient was modified in 51.5% of the cases. Confirmation of the diagnosis was possible in 48.5% of cases and optimized specialist management in 29.4% of cases. Conclusion: our study shows that the management of patients consulting for abdominal pain is modified in more than one in two cases. This therefore allows optimal management with time savings and an oriented treatment / paraclinical prescription. It would be interesting to be able to carry out large-scale studies with doctors who have received homogeneous training in order to confirm this hypothesis.
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Master Thesis
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Submitted on : Monday, September 14, 2020 - 5:54:35 PM
Last modification on : Friday, October 23, 2020 - 4:46:45 PM
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  • HAL Id : dumas-02938186, version 1




Robin Lhotellier. Apport de l’échographie en médecine générale dans l’exploration des douleurs abdominales. Médecine humaine et pathologie. 2020. ⟨dumas-02938186⟩



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