Abdominal pain (geriatrics): Difference between revisions
ClaireLewis (talk | contribs) No edit summary |
Elcatracho (talk | contribs) |
||
| Line 30: | Line 30: | ||
*[[Geriatrics (Main Page)]] | *[[Geriatrics (Main Page)]] | ||
*[[Abdominal Pain]] | *[[Abdominal Pain]] | ||
==External Links== | |||
*[https://www.aliem.com/ten-tips-for-approaching-abdominal-pain-in-the-elderly/ ALiEM: 10 Tips for Approaching Abdominal Pain in the Elderly] | |||
[[Category:Misc/General]] | [[Category:Misc/General]] | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Symptoms]] | [[Category:Symptoms]] | ||
Revision as of 23:11, 7 March 2021
Background
- Elderly patients
- Surgical emergencies are more common in elderly than in any other patient population
- Viral gastroenteritis is uncommon
- Conservative admission strategy is strongly advocated
- Patients with immunosuppression often have delayed or atypical presentations
- Fever is not a reliable marker for surgical disease
Elderly
- 60% are surgical
- Acute onset associated with catastrophe
- Med list is important
- Abdominal exam generally unhelpful/difficult to localize pain
- Misc 25%
- Biliary disease - 21%
- Unknown - 20%
- Obstruction - 12%
- previous surgery adhesions, internal/external hernia, malignancy
- sigmoid/cecal volvulus - persistent pain, can be subacute, nausea and vomiting, may not have fever
- Perforated viscus - 7%
- Diverticular - 10%
- Appendicitis - 5%
- 60% perforation in OR, lacking rebound/guarding
- Renal colic - 4%