Abdominal pain (geriatrics): Difference between revisions

(Text replacement - "assoc " to "associated ")
 
(3 intermediate revisions by 2 users not shown)
Line 2: Line 2:
*Elderly patients
*Elderly patients
**Surgical emergencies are more common in elderly than in any other patient population
**Surgical emergencies are more common in elderly than in any other patient population
**Viral gastroenteritis is uncommon
**[[Viral gastroenteritis]] is ''uncommon''
**Conservative admission strategy is strongly advocated
**Conservative admission strategy is strongly advocated
*Patients with immunosuppression often have delayed or atypical presentations
*Patients with immunosuppression often have delayed or atypical presentations
*Fever is not a reliable marker for surgical disease
*[[Fever]] is not a reliable marker for surgical disease


==Elderly==
==Elderly==
Line 11: Line 11:
*Acute onset associated with catastrophe
*Acute onset associated with catastrophe
*Med list is important
*Med list is important
*Abd exam generally unhelpful/difficult to localize pain
*Abdominal exam generally unhelpful/difficult to localize pain
*Misc 25%
*Misc 25%
**MI, dissection, mesenteric ischemia
**[[MI]], [[aortic dissection|dissection]], [[mesenteric ischemia]]
*Biliary Disease - 21%
*[[Biliary disease]] - 21%
*Unknown - 20%
*Unknown - 20%
*Obstruction - 12%
*[[SBO|Obstruction]] - 12%
**previous surgery adhesions, internal/external hernia, malignancy
**previous surgery adhesions, internal/external [[hernia]], malignancy
**sigmoid/cecal volv - persistant pain, can be subacute, nausea and vomiting, may not have fever
**sigmoid/cecal [[volvulus]] - persistent pain, can be subacute, [[nausea and vomiting]], may not have fever
*Perforated Viscus - 7%
*Perforated viscus - 7%
**nsaids
**[[NSAIDs]]
*Diverticular - 10%
*[[diverticulitis|Diverticular]] - 10%
*Appendicitis - 5%
*[[Appendicitis]] - 5%
**60% perforation in OR, lacking rebound/guarding
**60% perforation in OR, lacking rebound/guarding
*Renal Colic - 4%
*[[Renal colic]] - 4%




Line 30: Line 30:
*[[Geriatrics (Main Page)]]
*[[Geriatrics (Main Page)]]
*[[Abdominal Pain]]
*[[Abdominal Pain]]
==External Links==
*[https://www.aliem.com/ten-tips-for-approaching-abdominal-pain-in-the-elderly/ ALiEM: 10 Tips for Approaching Abdominal Pain in the Elderly]


[[Category:Misc/General]]
[[Category:Misc/General]]
[[Category:GI]]
[[Category:GI]]
[[Category:Symptoms]]

Latest revision as of 23:11, 7 March 2021

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


See Also

External Links