Abdominal pain: Difference between revisions

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:[[Abdominal pain History|History]] | [[Abdominal pain physical examination|Physicial Examination]] | [[Abdominal pain Electrolyte and Biomarker Studies|Electrolyte and Biomarker Studies]] | [[Abdominal pain Electrocardiogram|Electrocardiogram]] | [[Abdominal pain Chest X Ray|Chest X Ray]] | [[Abdominal pain Other Imaging Findings|Other Imaging Findings]]
:[[Abdominal pain History|History]] | [[Abdominal pain physical examination|Physicial Examination]] | [[Abdominal pain Electrolyte and Biomarker Studies|Electrolyte and Biomarker Studies]] | [[Abdominal pain Electrocardiogram|Electrocardiogram]] | [[Abdominal pain Chest X Ray|Chest X Ray]] | [[Abdominal pain Other Imaging Findings|Other Imaging Findings]]
==Selected causes==
*Parietal [[peritoneal]] [[inflammation]]
**Due to [[infection]]: inflamed or suppurative [[vermiform appendix|appendix]] in [[appendicitis]], [[pelvic inflammatory disease]]
**Due to chemical irritation: perforated [[gastric ulcer|gastric]] or [[peptic ulcer]]; [[pancreatitis]], ''[[Mittelschmerz]]'', ruptured [[ectopic pregnancy]]
**Miscellaneous ([[familial Mediterranean fever]])
*Inflammation of bowel wall [[Crohn's disease]], [[ulcerative colitis]], microscopic colitis, [[diverticulitis]], [[gastroenteritis]]
*[[Autoimmune]]: [[sarcoidosis]], [[vasculitis]]
*Mechanical obstruction of hollow viscera such as the [[small intestine]], the appendix associated with appendicitis, the [[large intestine]] (e.g. by [[intussusception]]), the [[biliary tree]] (e.g. by [[gallstone]]s), or the [[ureter]] (e.g. by urinary calculi)
*[[Blood vessel|Vascular]] disturbances (leading to [[ischemia]]): [[embolism]], [[thrombosis]], vascular rupture, torsional occlusion ([[volvulus]]), [[sickle cell anemia]], left renal vein entrapment, superior mesenteric artery syndrome (nutcracker syndrome)
*[[Abdominal wall]] injury/disruption: mesenteric traction, muscle trauma, muscular infection, [[abdominal cutaneous nerve entrapment syndrome]] (ACNES), also known as intercostal neuralgia; [[diverticulosis]] (rare)
*[[Digestive]]: [[lactose intolerance]], [[Celiac sprue]]
*Distention of visceral surfaces such as the [[hepatic]] or [[renal capsule]]
*[[Referred pain]] from the [[thorax]] ([[pneumonia]], [[myocardial infarction|coronary occlusion]]), the [[vertebral column|spine]] (radiculitis secondary to [[arthritis]]), [[genitals]] ([[testicular torsion]])
*Metabolic disturbance: [[lead poisoning]], Black widow spider bite, [[uremia]], [[diabetic ketoacidosis]], [[porphyria]], C1-esterase inhibitor deficiency, adrenal insufficiency
*Neurogenic pain: [[tabes dorsalis]], [[herpes zoster]], [[Lyme disease]] (Lyme radiculitis or Bannwarth syndrome)
*Functional pain, [[Irritable Bowel Syndrome]] (affecting up to 20% of the population, IBS is the most common cause of recurrent, intermittent abdominal pain)
*Reproductive organs (in women): [[mittelschmerz]], torsion of the ovary, ectopic pregnancy,
*[[Pelvic inflammatory disease]]
*[[Endometriosis]]
*Post-surgical [[Adhesion (medicine)|adhesions]]
*[[Diarrhea]]
*[[Meningitis]]


==See also==
==See also==

Revision as of 16:16, 21 August 2012

Abdominal pain
ICD-10 R10
ICD-9 789.0

Abdominal pain Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Diffuse Abdominal Pain
Left Upper Quadrant
Left Flank
Left Lower Quadrant
Epigastric Quadrant
Umbilical Region
Pelvic Region
Right Upper Quadrant
Right Flank
Right Lower Quadrant
Intraperitoneal
Extraperitoneal

Differentiating Abdominal pain from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

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Risk calculators and risk factors for Abdominal pain

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2] M.Umer Tariq [3]

Overview

Classification

Acute abdomen | Recurrent | Chronic Functional

Pathophysiology

Causes Based Upon Location

Diffuse Abdominal pain | Intraperitoneal | Extraperitoneal | Epigastric and Upper Quadrant | Right Upper Quadrant | Right Lower Quadrant | Left Upper Quadrant | Left Lower Quadrant | Pelvic/Hypogastric Region | Causes by Organ System

Diagnosis

History | Physicial Examination | Electrolyte and Biomarker Studies | Electrocardiogram | Chest X Ray | Other Imaging Findings

See also

Additional Reading

  • Apley J, Naish N: Recurrent abdominal pains: A field survey of 1,000 school children. Arch Dis Child 1958;33:165 - 170.
  • Chronic Pelvic Pain and Recurrent Abdominal Pain in Female Adolescents
  • Boyle JT, Hamel-Lambert J: Biopsychosocial issues in functional abdominal pain. Pediatr Ann 2001;30:1.
  • [4] Stomach ache or abdominal pain can be misdiagnosed.Consult a Gastroenterologist rather than ER doctor if Pain persists more than a day.

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