Diferencia entre revisiones de «Epigastric abdominal pain»
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==Background== | ==Background== | ||
*This page outlines the general approach to | *This page outlines the general approach to adult epigastric pain | ||
==Clinical Features== | ==Clinical Features== | ||
Revisión del 04:54 27 oct 2014
Background
- This page outlines the general approach to adult epigastric pain
Clinical Features
Differential Diagnosis
Epigastric Pain
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease with or without perforation
- Gastritis
- Pancreatitis
- Gallbladder disease
- Myocardial Ischemia
- Splenic Infarctionenlargement/rupture/aneurysm
- Pericarditis/Myocarditis
- Aortic dissection
- Hepatitis
- Pyelonephritis
- Pneumonia
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Bowel obstruction
- SMA syndrome
- Pulmonary embolism
- Bezoar
- Ingested foreign body
Workup
- CBC
- Chem
- LFTs
- Lipase
- Coags
- UA
- Urine pregnancy (females)
- ?ECG (if >50 or at risk for cardiac disease)
- ?RUQ US
- ?CXR
- Consider if at risk for perforated ulcer
Management
- Treat underlying disease process
- Consider GI cocktail
Disposition
- Disposition per underlying disease process