https://wikem.org/w/index.php?action=history&feed=atom&title=Abdominal_pain%2FenAbdominal pain/en - Revision history2026-04-30T13:47:20ZRevision history for this page on the wikiMediaWiki 1.38.2https://wikem.org/w/index.php?title=Abdominal_pain/en&diff=379313&oldid=prevFuzzyBot: Updating to match new version of source page2026-01-05T14:29:00Z<p>Updating to match new version of source page</p>
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''For pediatric patients see [[Special:MyLanguage/Abdominal pain (peds)|Abdominal pain (peds)]]. See also [[Special:MyLanguage/abdominal pain (geriatrics)|abdominal pain (geriatrics)]] and [[Special:MyLanguage/Abdominal pain in pregnancy|Abdominal pain in pregnancy]].''<br />
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==Background==<br />
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*Patients with immunosuppression often have delayed or atypical presentations<br />
*[[Special:MyLanguage/Fever|Fever]] is not a reliable marker for surgical disease<br />
*Abdominal pain may be particularly misleading in elderly or diabetics<br />
*Consider pain in any abdominal or pelvic region in a female of child-bearing age, including pre-teens, is an [[Special:MyLanguage/ectopic pregnancy|ectopic pregnancy]] until proven otherwise<br />
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{{Abdominal pain location}}<br />
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==Clinical Features==<br />
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*Abdominal pain (see workup by location)<br />
*May be associated with [[Special:MyLanguage/nausea|nausea]], [[Special:MyLanguage/vomiting|vomiting]] or [[Special:MyLanguage/diarrhea|diarrhea]]<br />
*[[Special:MyLanguage/Fever|Fever]] may be present in pain from infectious etiology<br />
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==Differential Diagnosis==<br />
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{{Abdominal Pain DDX Diffuse}}<br />
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{{Abdominal Pain DDX Epigastric}}<br />
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{{DDX RUQ}}<br />
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{{DDX LUQ}}<br />
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{{Abd DDX RLQ}}<br />
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{{LLQ DDX}}<br />
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{{Pelvic pain DDX}}<br />
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{{Extra-abdominal sources of abdominal pain DDX}}<br />
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==Evaluation==<br />
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*Workup is by location:<br />
**[[Special:MyLanguage/RUQ pain|RUQ pain]]<br />
**[[Special:MyLanguage/RLQ pain|RLQ pain]]<br />
**[[Special:MyLanguage/Epigastric pain|Epigastric pain]]<br />
**[[Special:MyLanguage/LUQ pain|LUQ pain]]<br />
**[[Special:MyLanguage/LLQ pain|LLQ pain]]<br />
**[[Special:MyLanguage/Diffuse abdominal pain|Diffuse abdominal pain]]<br />
**[[Special:MyLanguage/Flank pain|Flank pain]]<br />
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==Management==<br />
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*Treat underlying cause<br />
*Multiple studies show [[Special:MyLanguage/pain medicine|pain medicine]] should not be withheld for fear of masking symptoms<br />
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==Disposition==<br />
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*Depends on etiology<br />
*The two most notoriously missed conditions are [[Special:MyLanguage/appendicitis|appendicitis]] and [[Special:MyLanguage/small bowel obstruction|small bowel obstruction]].<ref>Macaluso CR and McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012; 5: 789–797. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/</ref>. When discharging patients with abdominal pain, clear instructions should be given for return if there are red flags.<br />
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==See Also==<br />
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*[[Special:MyLanguage/Abdominal Pain (Geriatrics)|Abdominal Pain (Geriatrics)]]<br />
*[[Special:MyLanguage/Abdominal Pain (Peds)|Abdominal Pain (Peds)]]<br />
*[[Special:MyLanguage/Abdominal Trauma|Abdominal Trauma]]<br />
*[[Special:MyLanguage/Abdominal pain in pregnancy|Abdominal pain in pregnancy]]<br />
*[[Special:MyLanguage/Pelvic Pain|Pelvic Pain]]<br />
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==References==<br />
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<references/><br />
[[Category:GI]]<br />
[[Category:Misc/General]]<br />
[[Category:Symptoms]]</div>FuzzyBot