Abdominal pain - Revision history

Danbot: Strip excess bold

2026-03-22T09:29:15Z

Strip excess bold

← Older revision		Revision as of 09:29, 22 March 2026
Line 56:		Line 56:
	==Evaluation==		==Evaluation==

	*~~'''~~Pregnancy test~~'''~~ in all females of childbearing age — this is mandatory		*Pregnancy test in all females of childbearing age — this is mandatory
	*~~'''~~Vitals:~~'''~~ Tachycardia and hypotension suggest serious pathology (hemorrhage, sepsis, perforation)		*Vitals: Tachycardia and hypotension suggest serious pathology (hemorrhage, sepsis, perforation)
	*Point-of-care ultrasound: FAST exam (free fluid), RUQ (gallbladder), aorta (AAA), renal (hydronephrosis)		*Point-of-care ultrasound: FAST exam (free fluid), RUQ (gallbladder), aorta (AAA), renal (hydronephrosis)
	*Workup is by location:		*Workup is by location:
Line 74:		Line 74:
	*'''Pain control:''' Do not withhold analgesia — multiple studies confirm it does not mask surgical findings<ref>Ranji SR, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA. 2006;296(14):1764-74.</ref>		*'''Pain control:''' Do not withhold analgesia — multiple studies confirm it does not mask surgical findings<ref>Ranji SR, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA. 2006;296(14):1764-74.</ref>
	**[[Ketorolac]] 15-30 mg IV, [[acetaminophen]] 1g IV, or opioids for severe pain		**[[Ketorolac]] 15-30 mg IV, [[acetaminophen]] 1g IV, or opioids for severe pain
	*~~'''~~Antiemetics:~~'''~~ [[Ondansetron]] 4 mg IV for nausea/vomiting		*Antiemetics: [[Ondansetron]] 4 mg IV for nausea/vomiting
	*~~'''~~IVF:~~'''~~ Fluid resuscitation for dehydrated or hemodynamically unstable patients		*IVF: Fluid resuscitation for dehydrated or hemodynamically unstable patients
	*~~'''~~NPO:~~'''~~ If surgical abdomen suspected		*NPO: If surgical abdomen suspected
	*~~'''~~Antibiotics:~~'''~~ Early if infection suspected (sepsis, perforated viscus, appendicitis)		*Antibiotics: Early if infection suspected (sepsis, perforated viscus, appendicitis)
	*~~'''~~Surgical consultation:~~'''~~ Emergent for peritonitis, perforation, ischemic bowel, ruptured AAA, ruptured ectopic		*Surgical consultation: Emergent for peritonitis, perforation, ischemic bowel, ruptured AAA, ruptured ectopic
	*Treat underlying cause		*Treat underlying cause

Line 85:		Line 85:
	==Disposition==		==Disposition==

	*~~'''~~Admit:~~'''~~ Surgical abdomen, hemodynamic instability, intractable pain/vomiting, inability to tolerate PO, suspected serious pathology requiring observation or further workup		*Admit: Surgical abdomen, hemodynamic instability, intractable pain/vomiting, inability to tolerate PO, suspected serious pathology requiring observation or further workup
	*~~'''~~Discharge:~~'''~~ Benign exam with improvement after treatment, reliable follow-up, clear return precautions (worsening pain, fever, vomiting, inability to tolerate PO)		*Discharge: Benign exam with improvement after treatment, reliable follow-up, clear return precautions (worsening pain, fever, vomiting, inability to tolerate PO)
	*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.		*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.

Danbot: Expand Evaluation (pregnancy test, POCUS), Management (pain control, surgical consult criteria), and Disposition sections

2026-03-20T23:10:50Z

Expand Evaluation (pregnancy test, POCUS), Management (pain control, surgical consult criteria), and Disposition sections

← Older revision		Revision as of 23:10, 20 March 2026
Line 56:		Line 56:
	==Evaluation==		==Evaluation==

			*'''Pregnancy test''' in all females of childbearing age — this is mandatory
			*'''Vitals:''' Tachycardia and hypotension suggest serious pathology (hemorrhage, sepsis, perforation)
			*Point-of-care ultrasound: FAST exam (free fluid), RUQ (gallbladder), aorta (AAA), renal (hydronephrosis)
	*Workup is by location:		*Workup is by location:
	**[[Special:MyLanguage/RUQ pain\|RUQ pain]]		**[[Special:MyLanguage/RUQ pain\|RUQ pain]]
Line 69:		Line 72:
	==Management==		==Management==

			*'''Pain control:''' Do not withhold analgesia — multiple studies confirm it does not mask surgical findings<ref>Ranji SR, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA. 2006;296(14):1764-74.</ref>
			**[[Ketorolac]] 15-30 mg IV, [[acetaminophen]] 1g IV, or opioids for severe pain
			*'''Antiemetics:''' [[Ondansetron]] 4 mg IV for nausea/vomiting
			*'''IVF:''' Fluid resuscitation for dehydrated or hemodynamically unstable patients
			*'''NPO:''' If surgical abdomen suspected
			*'''Antibiotics:''' Early if infection suspected (sepsis, perforated viscus, appendicitis)
			*'''Surgical consultation:''' Emergent for peritonitis, perforation, ischemic bowel, ruptured AAA, ruptured ectopic
	*Treat underlying cause		*Treat underlying cause
	*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms


Line 76:		Line 85:
	==Disposition==		==Disposition==

	*~~Depends on etiology~~		*'''Admit:''' Surgical abdomen, hemodynamic instability, intractable pain/vomiting, inability to tolerate PO, suspected serious pathology requiring observation or further workup
			*'''Discharge:''' Benign exam with improvement after treatment, reliable follow-up, clear return precautions (worsening pain, fever, vomiting, inability to tolerate PO)
	*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.		*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.

Ostermayer: Prepared the page for translation

2026-01-17T21:04:24Z

Prepared the page for translation

← Older revision		Revision as of 21:04, 17 January 2026
Line 1:		Line 1:
			<languages/>
			<translate>
	''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)\|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]].''		''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)\|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]].''


	==Background==		==Background==
Line 8:		Line 11:
	*Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an [[Special:MyLanguage/ectopic pregnancy\|ectopic pregnancy]] until proven otherwise		*Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an [[Special:MyLanguage/ectopic pregnancy\|ectopic pregnancy]] until proven otherwise

			</translate>
	{{Abdominal pain location}}		{{Abdominal pain location}}
			<translate>



Line 16:		Line 22:
	*May be associated with [[Special:MyLanguage/nausea\|nausea]], [[Special:MyLanguage/vomiting\|vomiting]] or [[Special:MyLanguage/diarrhea\|diarrhea]]		*May be associated with [[Special:MyLanguage/nausea\|nausea]], [[Special:MyLanguage/vomiting\|vomiting]] or [[Special:MyLanguage/diarrhea\|diarrhea]]
	*[[Special:MyLanguage/Fever\|Fever]] may be present in pain from infectious etiology		*[[Special:MyLanguage/Fever\|Fever]] may be present in pain from infectious etiology



	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}
			<translate>
			</translate>
	{{Abdominal Pain DDX Epigastric}}		{{Abdominal Pain DDX Epigastric}}
			<translate>
			</translate>
	{{DDX RUQ}}		{{DDX RUQ}}
			<translate>
			</translate>
	{{DDX LUQ}}		{{DDX LUQ}}
			<translate>
			</translate>
	{{Abd DDX RLQ}}		{{Abd DDX RLQ}}
			<translate>
			</translate>
	{{LLQ DDX}}		{{LLQ DDX}}
			<translate>
			</translate>
	{{Pelvic pain DDX}}		{{Pelvic pain DDX}}
			<translate>
			</translate>
	{{Extra-abdominal sources of abdominal pain DDX}}		{{Extra-abdominal sources of abdominal pain DDX}}
			<translate>



Line 40:		Line 64:
	**[[Special:MyLanguage/Diffuse abdominal pain\|Diffuse abdominal pain]]		**[[Special:MyLanguage/Diffuse abdominal pain\|Diffuse abdominal pain]]
	**[[Special:MyLanguage/Flank pain\|Flank pain]]		**[[Special:MyLanguage/Flank pain\|Flank pain]]



Line 46:		Line 71:
	*Treat underlying cause		*Treat underlying cause
	*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms		*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms



Line 52:		Line 78:
	*Depends on etiology		*Depends on etiology
	*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.		*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.



Line 61:		Line 88:
	*[[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]]		*[[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]]
	*[[Special:MyLanguage/Pelvic Pain\|Pelvic Pain]]		*[[Special:MyLanguage/Pelvic Pain\|Pelvic Pain]]



Line 69:		Line 97:
	[[Category:Misc/General]]		[[Category:Misc/General]]
	[[Category:Symptoms]]		[[Category:Symptoms]]
			</translate>

Ostermayer: Removed page from translation

2026-01-17T21:03:37Z

Removed page from translation

← Older revision		Revision as of 21:03, 17 January 2026
Line 1:		Line 1:
	~~<languages/>~~
	~~<translate>~~
	~~<!--T:1-->~~
	''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)\|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]].''		''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)\|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]].''

	==Background== ~~<!--T:2-->~~		==Background==

	~~<!--T:3-->~~
	*Patients with immunosuppression often have delayed or atypical presentations		*Patients with immunosuppression often have delayed or atypical presentations
	*[[Special:MyLanguage/Fever\|Fever]] is not a reliable marker for surgical disease		*[[Special:MyLanguage/Fever\|Fever]] is not a reliable marker for surgical disease
Line 12:		Line 8:
	*Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an [[Special:MyLanguage/ectopic pregnancy\|ectopic pregnancy]] until proven otherwise		*Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an [[Special:MyLanguage/ectopic pregnancy\|ectopic pregnancy]] until proven otherwise

	~~</translate>~~
	{{Abdominal pain location}}		{{Abdominal pain location}}
	~~<translate>~~


	==Clinical Features== ~~<!--T:4-->~~		==Clinical Features==

	~~<!--T:5-->~~
	*Abdominal pain (see workup by location)		*Abdominal pain (see workup by location)
	*May be associated with [[Special:MyLanguage/nausea\|nausea]], [[Special:MyLanguage/vomiting\|vomiting]] or [[Special:MyLanguage/diarrhea\|diarrhea]]		*May be associated with [[Special:MyLanguage/nausea\|nausea]], [[Special:MyLanguage/vomiting\|vomiting]] or [[Special:MyLanguage/diarrhea\|diarrhea]]
Line 25:		Line 18:


	==Differential Diagnosis== ~~<!--T:6-->~~		==Differential Diagnosis==

	~~</translate>~~
	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}
	~~<translate>~~
	~~</translate>~~
	{{Abdominal Pain DDX Epigastric}}		{{Abdominal Pain DDX Epigastric}}
	~~<translate>~~
	~~</translate>~~
	{{DDX RUQ}}		{{DDX RUQ}}
	~~<translate>~~
	~~</translate>~~
	{{DDX LUQ}}		{{DDX LUQ}}
	~~<translate>~~
	~~</translate>~~
	{{Abd DDX RLQ}}		{{Abd DDX RLQ}}
	~~<translate>~~
	~~</translate>~~
	{{LLQ DDX}}		{{LLQ DDX}}
	~~<translate>~~
	~~</translate>~~
	{{Pelvic pain DDX}}		{{Pelvic pain DDX}}
	~~<translate>~~
	~~</translate>~~
	{{Extra-abdominal sources of abdominal pain DDX}}		{{Extra-abdominal sources of abdominal pain DDX}}
	~~<translate>~~


	==Evaluation== ~~<!--T:7-->~~		==Evaluation==

	~~<!--T:8-->~~
	*Workup is by location:		*Workup is by location:
	**[[Special:MyLanguage/RUQ pain\|RUQ pain]]		**[[Special:MyLanguage/RUQ pain\|RUQ pain]]
Line 66:		Line 42:


	==Management== ~~<!--T:9-->~~		==Management==

	~~<!--T:10-->~~
	*Treat underlying cause		*Treat underlying cause
	*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms		*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms


	==Disposition== ~~<!--T:11-->~~		==Disposition==

	~~<!--T:12-->~~
	*Depends on etiology		*Depends on etiology
	*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.		*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.


	==See Also== ~~<!--T:13-->~~		==See Also==

	~~<!--T:14-->~~
	*[[Special:MyLanguage/Abdominal Pain (Geriatrics)\|Abdominal Pain (Geriatrics)]]		*[[Special:MyLanguage/Abdominal Pain (Geriatrics)\|Abdominal Pain (Geriatrics)]]
	*[[Special:MyLanguage/Abdominal Pain (Peds)\|Abdominal Pain (Peds)]]		*[[Special:MyLanguage/Abdominal Pain (Peds)\|Abdominal Pain (Peds)]]
Line 90:		Line 63:


	==References== ~~<!--T:15-->~~		==References==

	~~<!--T:16-->~~
	<references/>		<references/>
	[[Category:GI]]		[[Category:GI]]
	[[Category:Misc/General]]		[[Category:Misc/General]]
	[[Category:Symptoms]]		[[Category:Symptoms]]
	~~</translate>~~

Ostermayer: Marked this version for translation

2026-01-05T14:23:20Z

Marked this version for translation

← Older revision		Revision as of 14:23, 5 January 2026
Line 1:		Line 1:
	<languages/>		<languages/>
	<translate>		<translate>
			<!--T:1-->
	''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)\|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]].''		''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)\|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]].''

	==Background==		==Background== <!--T:2-->

			<!--T:3-->
	*Patients with immunosuppression often have delayed or atypical presentations		*Patients with immunosuppression often have delayed or atypical presentations
	*[[Special:MyLanguage/Fever\|Fever]] is not a reliable marker for surgical disease		*[[Special:MyLanguage/Fever\|Fever]] is not a reliable marker for surgical disease
Line 15:		Line 17:


	==Clinical Features==		==Clinical Features== <!--T:4-->

			<!--T:5-->
	*Abdominal pain (see workup by location)		*Abdominal pain (see workup by location)
	*May be associated with [[Special:MyLanguage/nausea\|nausea]], [[Special:MyLanguage/vomiting\|vomiting]] or [[Special:MyLanguage/diarrhea\|diarrhea]]		*May be associated with [[Special:MyLanguage/nausea\|nausea]], [[Special:MyLanguage/vomiting\|vomiting]] or [[Special:MyLanguage/diarrhea\|diarrhea]]
Line 22:		Line 25:


	==Differential Diagnosis==		==Differential Diagnosis== <!--T:6-->

	</translate>		</translate>
Line 50:		Line 53:


	==Evaluation==		==Evaluation== <!--T:7-->

			<!--T:8-->
	*Workup is by location:		*Workup is by location:
	**[[Special:MyLanguage/RUQ pain\|RUQ pain]]		**[[Special:MyLanguage/RUQ pain\|RUQ pain]]
Line 62:		Line 66:


	==Management==		==Management== <!--T:9-->

			<!--T:10-->
	*Treat underlying cause		*Treat underlying cause
	*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms		*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms


	==Disposition==		==Disposition== <!--T:11-->

			<!--T:12-->
	*Depends on etiology		*Depends on etiology
	*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.		*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.


	==See Also==		==See Also== <!--T:13-->

			<!--T:14-->
	*[[Special:MyLanguage/Abdominal Pain (Geriatrics)\|Abdominal Pain (Geriatrics)]]		*[[Special:MyLanguage/Abdominal Pain (Geriatrics)\|Abdominal Pain (Geriatrics)]]
	*[[Special:MyLanguage/Abdominal Pain (Peds)\|Abdominal Pain (Peds)]]		*[[Special:MyLanguage/Abdominal Pain (Peds)\|Abdominal Pain (Peds)]]
Line 83:		Line 90:


	==References==		==References== <!--T:15-->

			<!--T:16-->
	<references/>		<references/>
	[[Category:GI]]		[[Category:GI]]

Ostermayer: Prepared the page for translation

2026-01-04T15:55:27Z

Prepared the page for translation

← Older revision		Revision as of 15:55, 4 January 2026
Line 1:		Line 1:
	''For pediatric patients see [[Abdominal pain (peds)]]. See also [[abdominal pain (geriatrics)]] and [[Abdominal pain in pregnancy]].''		<languages/>
			<translate>
			''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)\|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]].''

	==Background==		==Background==

	*Patients 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		*[[Special:MyLanguage/Fever\|Fever]] is not a reliable marker for surgical disease
	*Abdominal pain may be particularly misleading in elderly or diabetics		*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		*Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an [[Special:MyLanguage/ectopic pregnancy\|ectopic pregnancy]] until proven otherwise

			</translate>
	{{Abdominal pain location}}		{{Abdominal pain location}}
			<translate>


	==Clinical Features==		==Clinical Features==

	*Abdominal pain (see workup by location)		*Abdominal pain (see workup by location)
	*May be associated with [[nausea]], [[vomiting]] or [[diarrhea]]		*May be associated with [[Special:MyLanguage/nausea\|nausea]], [[Special:MyLanguage/vomiting\|vomiting]] or [[Special:MyLanguage/diarrhea\|diarrhea]]
	*[[Fever]] may be present in pain from infectious etiology		*[[Special:MyLanguage/Fever\|Fever]] may be present in pain from infectious etiology


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}
			<translate>
			</translate>
	{{Abdominal Pain DDX Epigastric}}		{{Abdominal Pain DDX Epigastric}}
			<translate>
			</translate>
	{{DDX RUQ}}		{{DDX RUQ}}
			<translate>
			</translate>
	{{DDX LUQ}}		{{DDX LUQ}}
			<translate>
			</translate>
	{{Abd DDX RLQ}}		{{Abd DDX RLQ}}
			<translate>
			</translate>
	{{LLQ DDX}}		{{LLQ DDX}}
			<translate>
			</translate>
	{{Pelvic pain DDX}}		{{Pelvic pain DDX}}
			<translate>
			</translate>
	{{Extra-abdominal sources of abdominal pain DDX}}		{{Extra-abdominal sources of abdominal pain DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	*Workup is by location:		*Workup is by location:
	**[[RUQ pain]]		**[[Special:MyLanguage/RUQ pain\|RUQ pain]]
	**[[RLQ pain]]		**[[Special:MyLanguage/RLQ pain\|RLQ pain]]
	**[[Epigastric pain]]		**[[Special:MyLanguage/Epigastric pain\|Epigastric pain]]
	**[[LUQ pain]]		**[[Special:MyLanguage/LUQ pain\|LUQ pain]]
	**[[LLQ pain]]		**[[Special:MyLanguage/LLQ pain\|LLQ pain]]
	**[[Diffuse abdominal pain]]		**[[Special:MyLanguage/Diffuse abdominal pain\|Diffuse abdominal pain]]
	**[[Flank pain]]		**[[Special:MyLanguage/Flank pain\|Flank pain]]


	==Management==		==Management==

	*Treat underlying cause		*Treat underlying cause
	*Multiple studies show [[pain medicine]] should not be withheld for fear of masking symptoms		*Multiple studies show [[Special:MyLanguage/pain medicine\|pain medicine]] should not be withheld for fear of masking symptoms


	==Disposition==		==Disposition==

	*Depends on etiology		*Depends on etiology
	*The two most notoriously missed conditions are [[appendicitis]] and [[small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.		*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis\|appendicitis]] and [[Special:MyLanguage/small bowel obstruction\|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.


	==See Also==		==See Also==
	*[[Abdominal Pain (Geriatrics)]]
	*[[Abdominal Pain (Peds)]]		*[[Special:MyLanguage/Abdominal Pain (Geriatrics)\|Abdominal Pain (Geriatrics)]]
	*[[Abdominal Trauma]]		*[[Special:MyLanguage/Abdominal Pain (Peds)\|Abdominal Pain (Peds)]]
	*[[Abdominal pain in pregnancy]]		*[[Special:MyLanguage/Abdominal Trauma\|Abdominal Trauma]]
	*[[Pelvic Pain]]		*[[Special:MyLanguage/Abdominal pain in pregnancy\|Abdominal pain in pregnancy]]
			*[[Special:MyLanguage/Pelvic Pain\|Pelvic Pain]]


	==References==		==References==

	<references/>		<references/>
	[[Category:GI]]		[[Category:GI]]
	[[Category:Misc/General]]		[[Category:Misc/General]]
	[[Category:Symptoms]]		[[Category:Symptoms]]
			</translate>

Rossdonaldson1: /* Differential Diagnosis */

2024-01-31T22:35:33Z

Differential Diagnosis

← Older revision		Revision as of 22:35, 31 January 2024
Line 15:		Line 15:
	==Differential Diagnosis==		==Differential Diagnosis==
	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}

	{{Abdominal Pain DDX Epigastric}}		{{Abdominal Pain DDX Epigastric}}

	{{DDX RUQ}}		{{DDX RUQ}}

	{{DDX LUQ}}		{{DDX LUQ}}

	{{Abd DDX RLQ}}		{{Abd DDX RLQ}}

	{{LLQ DDX}}		{{LLQ DDX}}

	{{Pelvic pain DDX}}		{{Pelvic pain DDX}}

	{{Extra-abdominal sources of abdominal pain DDX}}		{{Extra-abdominal sources of abdominal pain DDX}}

Rossdonaldson1 at 22:34, 31 January 2024

2024-01-31T22:34:58Z

← Older revision		Revision as of 22:34, 31 January 2024
Line 9:		Line 9:

	==Clinical Features==		==Clinical Features==
	~~[[File:Abdominal Quadrant Regions.jpg\|thumb\|Side-by-side comparison of quadrants and regions.]]~~
	~~[[File:1506 Referred Pain Chart.jpg\|thumb\|Chart of commonly reported referred pain sites.]]~~
	*Abdominal pain (see workup by location)		*Abdominal pain (see workup by location)
	*May be associated with [[nausea]], [[vomiting]] or [[diarrhea]]		*May be associated with [[nausea]], [[vomiting]] or [[diarrhea]]

Rossdonaldson1: /* Background */

2024-01-31T22:34:33Z

Background

← Older revision		Revision as of 22:34, 31 January 2024
Line 5:		Line 5:
	*Abdominal pain may be particularly misleading in elderly or diabetics		*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		*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

			{{Abdominal pain location}}

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Evaluation */

2024-01-31T22:34:19Z

Evaluation

← Older revision		Revision as of 22:34, 31 January 2024
Line 39:		Line 39:
	**[[Diffuse abdominal pain]]		**[[Diffuse abdominal pain]]
	**[[Flank pain]]		**[[Flank pain]]

	~~{{Abdominal pain location}}~~

	==Management==		==Management==