Abdominal pain: Difference between revisions

(Text replacement - "==References== " to "==References== <references/> ")
(17 intermediate revisions by 5 users not shown)
Line 1: Line 1:
''For pediatric patients see [[Abdominal pain (peds)]]''
==Background==
==Background==
*Pts with immunosuppression often have delayed or atypical presentations
*Patients with immunosuppression often have delayed or atypical presentations
*Fever is not a reliable marker for surgical disease
*Fever is not a reliable marker for surgical disease
*Abdominal pain may be particularly misleading in elderly or diabetics
*Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an [[ectopic pregnancy]] until proven otherwise


==Workup==
==Clinical Features==
*Is by location:
*Abdominal pain (see workup by location)
**[[RUQ pain]]
*May be associated with [[nausea]], [[vomiting]] or [[diarrhea]]
**[[RLQ pain]]
*[[Fever]] may be present in pain from infectious etiology
**[[Epigastric pain]]
**[[LUQ pain]]
**[[LLQ pain]]
**[[Diffuse abdominal pain]]
**[[Flank pain]]


==Differential Diagnosis==
==Differential Diagnosis==
{{Templated:Abdominal Pain DDX Diffuse}}
{{Abdominal Pain DDX Diffuse}}


{{Template:Abdominal Pain DDX Epigastric}}
{{Abdominal Pain DDX Epigastric}}


{{DDX RUQ}}
{{DDX RUQ}}
Line 28: Line 26:
{{Pelvic pain DDX}}
{{Pelvic pain DDX}}


===Extra-Abdominal===
{{Extra-abdominal sources of abdominal pain DDX}}
{{Extra-abdominal sources of abdominal pain DDX}}
==Evaluation==
*Workup is by location:
**[[RUQ pain]]
**[[RLQ pain]]
**[[Epigastric pain]]
**[[LUQ pain]]
**[[LLQ pain]]
**[[Diffuse abdominal pain]]
**[[Flank pain]]
==Management==
*Treat underlying cause
*Multiple studies show [[pain medicine]] should not be withheld for fear of masking symptoms
==Disposition==
*Depends on etiology


==See Also==
==See Also==
Line 38: Line 52:
*[[Pelvic Pain]]
*[[Pelvic Pain]]


==Source ==
==References==
*Tintinalli
<references/>
*ACEP Geriatric lecture series
 
[[Category:GI]]
[[Category:GI]]
[[Category:Misc/General]]
[[Category:Misc/General]]
[[Category:Symptoms]]

Revision as of 01:12, 24 July 2017

For pediatric patients see Abdominal pain (peds)

Background

  • Patients with immunosuppression often have delayed or atypical presentations
  • Fever is not a reliable marker for surgical disease
  • Abdominal pain may be particularly misleading in elderly or diabetics
  • Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an ectopic pregnancy until proven otherwise

Clinical Features

  • Abdominal pain (see workup by location)
  • May be associated with nausea, vomiting or diarrhea
  • Fever may be present in pain from infectious etiology

Differential Diagnosis

Diffuse Abdominal pain

Epigastric Pain

RUQ Pain

Left upper quadrant abdominal pain

RLQ Pain

LLQ Pain

Acute Pelvic Pain

Differential diagnosis of acute pelvic pain

Gynecologic/Obstetric

Genitourinary

Gastrointestinal

Musculoskeletal

Vascular

Extra-abdominal Sources of Abdominal pain

Evaluation

Management

  • Treat underlying cause
  • Multiple studies show pain medicine should not be withheld for fear of masking symptoms

Disposition

  • Depends on etiology

See Also

References

  1. Norris DL, Young JD. UTI. EM Clin N Am. 2008; 26:413-30.