Ver el código de «Abdominal pain (geriatrics)/en»

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''For standard adult patients see [[Special:MyLanguage/Abdominal pain|Abdominal pain]].''

==Background==

[[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.]]
*Elderly patients
**Surgical emergencies are more common in elderly than in any other patient population
**[[Special:MyLanguage/Viral gastroenteritis|Viral gastroenteritis]] is ''uncommon''
**Conservative admission strategy is strongly advocated
*Patients with immunosuppression often have delayed or atypical presentations
*[[Special:MyLanguage/Fever|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%
**[[Special:MyLanguage/MI|MI]], [[Special:MyLanguage/aortic dissection|dissection]], [[Special:MyLanguage/mesenteric ischemia|mesenteric ischemia]]
*[[Special:MyLanguage/Biliary disease|Biliary disease]] - 21%
*Unknown - 20%
*[[Special:MyLanguage/SBO|Obstruction]] - 12%
**previous surgery adhesions, internal/external [[Special:MyLanguage/hernia|hernia]], malignancy
**sigmoid/cecal [[Special:MyLanguage/volvulus|volvulus]] - persistent pain, can be subacute, [[Special:MyLanguage/nausea and vomiting|nausea and vomiting]], may not have fever
*Perforated viscus - 7%
**[[Special:MyLanguage/NSAIDs|NSAIDs]]
*[[Special:MyLanguage/diverticulitis|Diverticular]] - 10%
*[[Special:MyLanguage/Appendicitis|Appendicitis]] - 5%
**60% perforation in OR, lacking rebound/guarding
*[[Special:MyLanguage/Renal colic|Renal colic]] - 4%



==See Also==

*[[Special:MyLanguage/Geriatrics (Main Page)|Geriatrics (Main Page)]]
*[[Special:MyLanguage/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:GI]]
[[Category:Symptoms]]