Ver el código de «Abdominal pain»

''For pediatric patients see [[Abdominal pain (peds)]]. See also [[abdominal pain (geriatrics)]] and [[Abdominal pain in pregnancy]].''
==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

{{Abdominal pain location}}

==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==
{{Abdominal Pain DDX Diffuse}}
{{Abdominal Pain DDX Epigastric}}
{{DDX RUQ}}
{{DDX LUQ}}
{{Abd DDX RLQ}}
{{LLQ DDX}}
{{Pelvic 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
*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.

==See Also==
*[[Abdominal Pain (Geriatrics)]]
*[[Abdominal Pain (Peds)]]
*[[Abdominal Trauma]]
*[[Abdominal pain in pregnancy]]
*[[Pelvic Pain]]

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