Abdominal pain (geriatrics): Difference between revisions
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''For standard adult patients see [[Special:MyLanguage/Abdominal pain|Abdominal pain]].'' | ''For standard adult patients see [[Special:MyLanguage/Abdominal pain|Abdominal pain]].'' | ||
==Background== | ==Background== <!--T:2--> | ||
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[[File:Abdominal Quadrant Regions.jpg|thumb|Side-by-side comparison of quadrants and regions.]] | [[File:Abdominal Quadrant Regions.jpg|thumb|Side-by-side comparison of quadrants and regions.]] | ||
[[File:1506 Referred Pain Chart.jpg|thumb|Chart of commonly reported referred pain sites.]] | [[File:1506 Referred Pain Chart.jpg|thumb|Chart of commonly reported referred pain sites.]] | ||
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==Elderly== | ==Elderly== <!--T:4--> | ||
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*60% are surgical | *60% are surgical | ||
*Acute onset associated with catastrophe | *Acute onset associated with catastrophe | ||
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==See Also== | ==See Also== <!--T:6--> | ||
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*[[Special:MyLanguage/Geriatrics (Main Page)|Geriatrics (Main Page)]] | *[[Special:MyLanguage/Geriatrics (Main Page)|Geriatrics (Main Page)]] | ||
*[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]] | *[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]] | ||
==External Links== | ==External Links== <!--T:8--> | ||
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*[https://www.aliem.com/ten-tips-for-approaching-abdominal-pain-in-the-elderly/ ALiEM: 10 Tips for Approaching Abdominal Pain in the Elderly] | *[https://www.aliem.com/ten-tips-for-approaching-abdominal-pain-in-the-elderly/ ALiEM: 10 Tips for Approaching Abdominal Pain in the Elderly] | ||
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[[Category:Misc/General]] | [[Category:Misc/General]] | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Symptoms]] | [[Category:Symptoms]] | ||
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Revision as of 14:23, 5 January 2026
For standard adult patients see Abdominal pain.
Background
- Elderly patients
- Surgical emergencies are more common in elderly than in any other patient population
- Viral gastroenteritis is uncommon
- Conservative admission strategy is strongly advocated
- Patients with immunosuppression often have delayed or atypical presentations
- Fever is not a reliable marker for surgical disease
Elderly
- 60% are surgical
- Acute onset associated with catastrophe
- Med list is important
- Abdominal exam generally unhelpful/difficult to localize pain
- Misc 25%
- Biliary disease - 21%
- Unknown - 20%
- Obstruction - 12%
- previous surgery adhesions, internal/external hernia, malignancy
- sigmoid/cecal volvulus - persistent pain, can be subacute, nausea and vomiting, may not have fever
- Perforated viscus - 7%
- Diverticular - 10%
- Appendicitis - 5%
- 60% perforation in OR, lacking rebound/guarding
- Renal colic - 4%
See Also