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{{CMG}}; {{AE}} {{Rim}}, {{AM}}
{{CMG}}; {{AE}} {{Rim}}, {{AM}}


==Definition==
==Definitions==
* '''Acute abdominal pain''' severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause. Duration of less than several days.  
{|class="wikitable"
 
! Terms!! Definitions
* '''Acute abdomen''' (also known as '''surgical abdomen''') is defined as a sudden, abrupt onset of severe localized or generalized abdominal pain with abdominal rigidity.<ref>{{Cite web  | last =  | first =  | title = ICD-10 Version:2010 | url = http://apps.who.int/classifications/icd10/browse/2010/en#/R10.0 | publisher =  | date =  }}</ref> It is less than 24 hours in duration and requires urgent evaluation and diagnosis because it may indicate a need for immediate surgical intervention.<ref name="isbn0-8036-2977-X">{{cite book | author = Venes, Donald | authorlink = | editor = | others = | title = Taber's Cyclopedic Medical Dictionary (Thumb-indexed Version) (Taber's Cyclopedic Medical Dictionary (Thumb Index Version)) | edition = | language = | publisher = F.A. Davis Company | location = Philadelphia, PA | year = 2013 | origyear = | pages = | quote = | isbn = 0-8036-2977-X | oclc = | doi = | url = | accessdate = }}</ref>
|-
 
| '''Acute abdominal pain'''|| Severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause. Duration of less than several days.
* '''Subacute abdominal pain''' abdominal pain that has a duration of more than several days but less than six months.
|-
 
| '''Acute abdomen'''|| (also known as '''surgical abdomen''') It is defined as a sudden, abrupt onset of severe localized or generalized abdominal pain with abdominal rigidity.<ref>{{Cite web  | last =  | first =  | title = ICD-10 Version:2010 | url = http://apps.who.int/classifications/icd10/browse/2010/en#/R10.0 | publisher =  | date =  }}</ref> It is less than 24 hours in duration and requires urgent evaluation and diagnosis because it may indicate a need for immediate surgical intervention.<ref name="isbn0-8036-2977-X">{{cite book | author = Venes, Donald | authorlink = | editor = | others = | title = Taber's Cyclopedic Medical Dictionary (Thumb-indexed Version) (Taber's Cyclopedic Medical Dictionary (Thumb Index Version)) | edition = | language = | publisher = F.A. Davis Company | location = Philadelphia, PA | year = 2013 | origyear = | pages = | quote = | isbn = 0-8036-2977-X | oclc = | doi = | url = | accessdate = }}</ref>
* '''Chronic abdominal pain''' has a duration of more than six months, either constantly or intermittently.<ref name="isbn1-4160-6189-4">{{cite book | author = Lawrence S. Cohen MD; Mark W. Green MD | authorlink = | editor = | others = | title = Sleisenger and Fordtran's Gastrointestinal and Liver Disease- 2 Volume Set: Pathophysiology, Diagnosis, Management, Expert Consult Premium Edition - Enhanced ... & Liver Disease (Sleisinger/Fordtran)) | edition = | language = | publisher = Saunders | location = Philadelphia | year = 2010 | origyear = | pages = | quote = | isbn = 1-4160-6189-4 | oclc = | doi = | url = | accessdate = }}</ref>
|-
| '''Subacute abdominal pain'''|| It's a type of abdominal pain that has a duration of more than several days but less than six months.
|-
| '''Chronic abdominal pain'''|| It has a duration of more than six months, either constantly or intermittently.<ref name="isbn1-4160-6189-4">{{cite book | author = Lawrence S. Cohen MD; Mark W. Green MD | authorlink = | editor = | others = | title = Sleisenger and Fordtran's Gastrointestinal and Liver Disease- 2 Volume Set: Pathophysiology, Diagnosis, Management, Expert Consult Premium Edition - Enhanced ... & Liver Disease (Sleisinger/Fordtran)) | edition = | language = | publisher = Saunders | location = Philadelphia | year = 2010 | origyear = | pages = | quote = | isbn = 1-4160-6189-4 | oclc = | doi = | url = | accessdate = }}</ref>
|-
|}


==Causes==
==Causes==
===Life Threatening Causes===
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
* [[Abdominal aortic aneurysm]]
* [[Acute bowel obstruction]]
* [[DKA]]
* [[Ectopic pregnancy]]
* [[Mesenteric ischemia]]
* [[Myocardial infarction]]
* Perforated viscus (including [[peptic ulcer]], bowel, esophagus, or appendix)
* [[Placental abruption]]
* [[Splenic rupture]] (It is usually secondary to trauma, [[EBV]] or [[leukemia]])
* [[Volvulus]]


===Common Causes===
===Common Causes===
*[[Acute pancreatitis]]
*Adnexal pathology (cyst or tumor that caused torsion, bleeding or rupture)
*[[Appendicitis]]
*Biliary disease ([[Acute cholecystitis]])
*[[Bladder distension]]
*Chronic [[heroin]] or [[morphine]] use
*[[Crohn's disease]]
*[[Diverticulitis]]
*[[Dyspepsia]]
*[[Endometriosis]]
*[[Endometritis]]
*[[Hemophilia]]
*[[Hiatus hernia]]
*High dose [[steroids]]
*[[HIV infection]] (affecting the GI and hepatobiliary systems)
*[[Kidney stones]]
*[[Mesenteric infarction]]
*[[Pelvic inflammatory disease]]
*[[Peritonitis]]
*[[Sickle cell disease]] (as a part of vasoocclusive crisis)
*[[Splenic abscess]]
*[[Splenic  infarction]]
*[[Ulcerative colitis]]
===Common extraabdominal diseases===
*[[Diabetic ketoacidosis]]
*[[Alcoholic ketoacidosis]]
*[[Pneumonia]] (involving the lower lobes)
*[[Pulmonary embolus]]
*[[Herpes zoster]]


==Management==
==Management==

Latest revision as of 20:45, 3 March 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2], Amr Marawan, M.D. [3]

Definitions

Terms Definitions
Acute abdominal pain Severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause. Duration of less than several days.
Acute abdomen (also known as surgical abdomen) It is defined as a sudden, abrupt onset of severe localized or generalized abdominal pain with abdominal rigidity.[1] It is less than 24 hours in duration and requires urgent evaluation and diagnosis because it may indicate a need for immediate surgical intervention.[2]
Subacute abdominal pain It's a type of abdominal pain that has a duration of more than several days but less than six months.
Chronic abdominal pain It has a duration of more than six months, either constantly or intermittently.[3]

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Common extraabdominal diseases

Management

Do's

Don'ts

References

  1. ↑ "ICD-10 Version:2010".
  2. ↑ Venes, Donald (2013). Taber's Cyclopedic Medical Dictionary (Thumb-indexed Version) (Taber's Cyclopedic Medical Dictionary (Thumb Index Version)). Philadelphia, PA: F.A. Davis Company. ISBN 0-8036-2977-X.
  3. ↑ Lawrence S. Cohen MD; Mark W. Green MD (2010). Sleisenger and Fordtran's Gastrointestinal and Liver Disease- 2 Volume Set: Pathophysiology, Diagnosis, Management, Expert Consult Premium Edition - Enhanced ... & Liver Disease (Sleisinger/Fordtran)). Philadelphia: Saunders. ISBN 1-4160-6189-4.

Template:WH Template:WS

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