ABSTRACT
Abdominal symptoms are a frequent cause for surgical consultation. The underlying cause may be acute, presenting with the euphemistically termed ‘acute abdomen’; subacute, indicating an evolving disorder; or longstanding, suggesting a functional or degenerative condition. The advent of telemedicine and online remote consultation does not alter the basic art and science of consultation; however, the inability to perform a ‘physical’ examination may hamper arrival at a proper diagnosis. The patient must be allowed to explain the presenting complaint without interruption, after which carefully directed questions are used to further refine the history. The past history is important because it may have a bearing on the diagnosis and management. Some drugs will have an effect on the symptoms and signs or may have to be discontinued before surgery. The use of alcohol and illicit drugs, smoking and occupation are important.
