Diferencia entre revisiones de «Abdominal pain in pregnancy»
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==Clinical Features== | ==Background== <!--T:1--> | ||
<!--T:2--> | |||
[[File:Bumm 123 lg - Copy.jpg|thumb|Estimated gestational age based on physical exam.]] | |||
*Pregnant women are at risk for the same general [[Special:MyLanguage/Abdominal Pain|abdominal pathologies]] in addition to unique complications associated with pregnancy | |||
==Clinical Features== <!--T:3--> | |||
<!--T:4--> | |||
*Abdominal pain in patient with positive pregnancy test | *Abdominal pain in patient with positive pregnancy test | ||
==Differential Diagnosis== | |||
==Differential Diagnosis== <!--T:5--> | |||
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{{Abdominal Pain Pregnancy DDX}} | {{Abdominal Pain Pregnancy DDX}} | ||
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==Evaluation== <!--T:6--> | |||
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*Must consider [[ectopic pregnancy]] in pregnant patient presenting with abdominal pain and no documented IUP | *Must consider [[Special:MyLanguage/ectopic pregnancy|ectopic pregnancy]] in pregnant patient presenting with abdominal pain and no documented IUP | ||
**Quantitative beta hCG and pelvic US | **Quantitative [[Special:MyLanguage/beta hCG|beta hCG]] and [[Special:MyLanguage/pelvic US|pelvic US]] | ||
*Also consider beta hCG and pelvic US if concerned for spontaneous abortion | *Also consider [[Special:MyLanguage/beta hCG|beta hCG]] and [[Special:MyLanguage/pelvic US|pelvic US]] if concerned for spontaneous abortion | ||
**Consider pelvic exam to check for open cervical os, protruding products of conception | **Consider [[Special:MyLanguage/pelvic exam|pelvic exam]] to check for open cervical os, protruding products of conception | ||
*Urinalysis | *[[Special:MyLanguage/Urinalysis|Urinalysis]] | ||
*CBC, CMP, lipase, abdominal imaging depending on the differential | *CBC, CMP, lipase, abdominal imaging depending on the differential | ||
==Management== <!--T:8--> | |||
==Disposition== | |||
Admit | ==Disposition== <!--T:9--> | ||
*Ruptured ectopic pregnancy | |||
*Active labor | |||
*Preeclampsia/HELLP | ===Admit=== <!--T:10--> | ||
*Placental abruption | |||
*Uterine rupture | <!--T:11--> | ||
*Ovarian torsion | *Ruptured [[Special:MyLanguage/ectopic pregnancy|ectopic pregnancy]] | ||
*[[Special:MyLanguage/delivery|Active labor]] | |||
*[[Special:MyLanguage/Preeclampsia|Preeclampsia]]/[[Special:MyLanguage/HELLP|HELLP]] | |||
*[[Special:MyLanguage/Placental abruption|Placental abruption]] | |||
*[[Special:MyLanguage/Uterine rupture|Uterine rupture]] | |||
*[[Special:MyLanguage/Ovarian torsion|Ovarian torsion]] | |||
*Surgical abdomen | *Surgical abdomen | ||
Discharge | ===Discharge=== <!--T:12--> | ||
*Ectopic pregnancy if hemodynamically stable with OB follow-up | |||
*Spontaneous abortion if hemodynamically stable with adequate pain control | <!--T:13--> | ||
*[[Special:MyLanguage/Ectopic pregnancy|Ectopic pregnancy]] if hemodynamically stable with OB follow-up | |||
*[[Special:MyLanguage/Spontaneous abortion|Spontaneous abortion]] if hemodynamically stable with adequate pain control | |||
==See Also== <!--T:14--> | |||
<!--T:15--> | |||
*[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]] | |||
*[[Special:MyLanguage/Pregnancy (main)|Pregnancy (main)]] | |||
== | ==External Links== <!--T:16--> | ||
==References== <!--T:17--> | |||
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<references/> | <references/> | ||
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[[Category:OBGYN]] | [[Category:OBGYN]] | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Symptoms]] | [[Category:Symptoms]] | ||
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Revisión actual - 16:53 6 ene 2026
Background
- Pregnant women are at risk for the same general abdominal pathologies in addition to unique complications associated with pregnancy
Clinical Features
- Abdominal pain in patient with positive pregnancy test
Differential Diagnosis
Abdominal Pain in Pregnancy
The same abdominal pain differential as non-pregnant patients, plus:
<20 Weeks
- Ectopic pregnancy
- First trimester abortion
- Complete abortion
- Threatened abortion
- Inevitable abortion
- Incomplete abortion
- Missed abortion
- Septic abortion
- Round ligament stretching
- Incarcerated uterus
- Malposition of the uterus
>20 Weeks
- Labor/Preterm labor
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Vaginal trauma
- HELLP syndrome
- Cholestasis of pregnancy
- Chorioamnionitis
- Incarcerated uterus
- Acute fatty liver of pregnancy
- Malposition of the uterus
- Placenta accreta
- Placenta increta
- Placenta percreta
Any time
- Hemorrhagic ovarian cyst
- Fibroid degeneration or torsion
- Ovarian torsion
- Constipation
Evaluation
- Must consider ectopic pregnancy in pregnant patient presenting with abdominal pain and no documented IUP
- Also consider beta hCG and pelvic US if concerned for spontaneous abortion
- Consider pelvic exam to check for open cervical os, protruding products of conception
- Urinalysis
- CBC, CMP, lipase, abdominal imaging depending on the differential
Management
Disposition
Admit
- Ruptured ectopic pregnancy
- Active labor
- Preeclampsia/HELLP
- Placental abruption
- Uterine rupture
- Ovarian torsion
- Surgical abdomen
Discharge
- Ectopic pregnancy if hemodynamically stable with OB follow-up
- Spontaneous abortion if hemodynamically stable with adequate pain control
See Also