Abdominal pain (geriatrics)

Revision as of 23:41, 9 September 2013 by Abookatz (talk | contribs) (→‎See Also)

Elderly

  • 60% are surgical
  • Acute onset assoc w/ catastrophe
  • Med list is important
  • Abd exam generally unhelpful/difficult to localize pain
  • Misc 25%
    • MI, dissection, mesenteric ischemia
  • Biliary Disease - 21%
  • Unknown - 20%
  • Obstruction - 12%
    • prev surg adhesions, internal/external hernia, malignancy
    • sigmoid/cecal volv - persistant pain, can be subacute, n/v, may not have fever
  • Perforated Viscus - 7%
    • nsaids
  • Diverticular - 10%
  • Appendicitis - 5%
    • 60% perforation in OR, lacking rebound/guarding
  • Renal Colic - 4%


See Also