Abdominal pain (geriatrics): Difference between revisions
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==See Also== | ==See Also== | ||
[[Geriatrics (Main Page)]] | *[[Geriatrics (Main Page)]] | ||
[[Abdominal Pain]] | *[[Abdominal Pain]] | ||
Revision as of 23:41, 9 September 2013
Elderly
- 60% are surgical
- Acute onset assoc w/ catastrophe
- Med list is important
- Abd exam generally unhelpful/difficult to localize pain
- Misc 25%
- MI, dissection, mesenteric ischemia
- Biliary Disease - 21%
- Unknown - 20%
- Obstruction - 12%
- prev surg adhesions, internal/external hernia, malignancy
- sigmoid/cecal volv - persistant pain, can be subacute, n/v, may not have fever
- Perforated Viscus - 7%
- nsaids
- Diverticular - 10%
- Appendicitis - 5%
- 60% perforation in OR, lacking rebound/guarding
- Renal Colic - 4%