Irritating material causing peritoneal inflammation
Pain transmitted by somatic nerves
Exacerbated by changes in tension of the peritoneum
Pain is sharp, well localized wi...
Nature of onset of pain
Time of onset and duration of pain
Location of pain initially and at presentation
Quality of pain (sharp, dull, cr...
Nasogastric tube decompression and bowel rest
IV fluids and electrolyte repletion
Antiemetics are important for comfort.
Narcotics or analgesics should not be withheld.
Patient unable to keep down fluids
Lack of pain control
Medical cause necessitating in-house treatment (MI, DKA)
Elderly patients are more likely to present with atypical presentations and life threatening etiologies requiring admission.
Do not consider constipation if stool is absent in the r...
Flasar MH, Cross R, Goldberg E. Acute abdominal pain. Prim Care. 2006;33(3):659–684.
McNamara R, Dean AJ. Approach to acute abdominal pain. Emerg Med Clin North Am. ...
789.00 Abdominal pain, unspecified site
789.06 Abdominal pain, epigastric
789.07 Abdominal pain, generalized
789.09 Abdominal pain, other specified site
789.01 Abdominal pain, right upper quadra...
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