Diferencia entre revisiones de «Abdominal pain in pregnancy»

(Created page with "*Pregnant women are at risk for the same Abdominal Pathologies causing pain in all patients but also a few special issues. ==Pregnancy Specific Differenti...")
 
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*Pregnant women are at risk for the same [[Abdominal Pain|Abdominal Pathologies ]] causing pain in all patients but also a few special issues.
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==Pregnancy Specific Differential==
==Background== <!--T:1-->
*[[Ectopic Pregnancy]]
*[[Pelvic Inflammatory Disease]] is less likely due to mucus plug of pregnancy unless preexisting prior to pregnancy
*[[Tubo-Ovarian Abscess]] is also unlikely unless existing prior to pregnancy
*[[Septic Abortion]]
*[[HELLP Syndrome]]
*[[Chorioamnionitis]]
*[[Heterotopic Pregnancy]] especially if fertility enhancement was used


<!--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




[[Categories:OBGYN]]
==Clinical Features== <!--T:3-->
 
<!--T:4-->
*Abdominal pain in patient with positive pregnancy test
 
 
==Differential Diagnosis== <!--T:5-->
 
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{{Abdominal Pain Pregnancy DDX}}
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==Evaluation== <!--T:6-->
 
<!--T:7-->
*Must consider [[Special:MyLanguage/ectopic pregnancy|ectopic pregnancy]] in pregnant patient presenting with abdominal pain and no documented IUP
**Quantitative [[Special:MyLanguage/beta hCG|beta hCG]] and [[Special:MyLanguage/pelvic US|pelvic US]]
*Also consider [[Special:MyLanguage/beta hCG|beta hCG]] and [[Special:MyLanguage/pelvic US|pelvic US]] if concerned for spontaneous abortion
**Consider [[Special:MyLanguage/pelvic exam|pelvic exam]] to check for open cervical os, protruding products of conception
*[[Special:MyLanguage/Urinalysis|Urinalysis]]
*CBC, CMP, lipase, abdominal imaging depending on the differential
 
 
==Management== <!--T:8-->
 
 
==Disposition== <!--T:9-->
 
 
===Admit=== <!--T:10-->
 
<!--T:11-->
*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
 
 
===Discharge=== <!--T:12-->
 
<!--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-->
 
<!--T:18-->
<references/>
 
<!--T:19-->
[[Category:OBGYN]]
[[Category:GI]]
[[Category:Symptoms]]
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Revisión actual - 16:53 6 ene 2026

Otros idiomas:

Background

Estimated gestational age based on physical exam.
  • 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


>20 Weeks


Any time


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


Discharge


See Also


External Links

References

Obtenido de «https://www.wikem.org/w/index.php?title=Abdominal_pain_in_pregnancy&oldid=379328»