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{{Infobox_Disease |
__NOTOC__
  Name        = Abdominal pain |
{| class="infobox" style="float:right;"
  ICD10      = {{ICD10|R|10||r|10}} |
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  ICD9        = {{ICD9|789.0}} |
| [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br>
}}
| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
|}
{| class="infobox" style="float:right;"
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| [[File:Critical_Pathways.gif|88px|link=Abdominal pain critical pathways]]|| <br> || <br>
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{{Abdominal pain}}


{{Abdominal pain}}
{{CMG}}; {{AE}} {{CZ}}; {{MUT}}; {{IQ}} {{ADS}}


{{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}  {{MUT}}
{{SK}} Abdominal cramping; abdominal cramps; belly ache; abdominal discomfort; abdominal fullness


==[[Abdominal pain overview|Overview]]==
==[[Abdominal pain overview|Overview]]==
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==[[Abdominal pain classification|Classification]]==
==[[Abdominal pain classification|Classification]]==


:[[Acute abdomen| Acute]] | [[Recurrent Abdominal pain|Recurrent]] | [[Chronic Functional Abdominal pain| Chronic]]
==[[Abdominal pain pathophysiology|Pathophysiology]]==
 
==[[Abdominal pain causes|Causes]]==
[[Causes of diffuse abdominal pain|Diffuse]]
| [[Causes of left upper quadrant abdominal pain|Left Upper Quadrant]]
| [[Causes of left flank pain|Left Flank]]
| [[Causes of left lower quadrant abdominal pain|Left Lower Quadrant]]
| [[Causes of epigastric abdominal pain|Epigastric Region]]
| [[Causes of umbilical region pain|Umbilical Region]]
| [[Causes of pelvic pain|Pelvic Region]]
| [[Causes of right upper quadrant abdominal pain|Right Upper Quadrant]]
| [[Causes of right flank pain|Right Flank]]
| [[Causes of right lower quadrant abdominal pain|Right Lower Quadrant]]


==[[Abdominal pain pathophysiology| Pathophysiology]]==
==[[Abdominal pain differential diagnosis|Differentiating Abdominal pain from other Diseases]]==


==Causes Based Upon Location==
==[[Abdominal pain epidemiology and demographics|Epidemiology and Demographics]]==


:[[Causes of Diffuse Abdominal pain|Diffuse Abdominal pain]] | [[Intraperitoneal Causes of Acute Abdominal pain|Intraperitoneal]] | [[Extraperitoneal Causes of Acute Abdominal pain|Extraperitoneal]] | [[Causes of Epigastric and Upper Quadrant Abdominal pain|Epigastric and Upper Quadrant]] | [[Causes of Right Upper Quadrant Abdominal pain|Right Upper Quadrant]] | [[Causes of Right Lower Quadrant Abdominal pain|Right Lower Quadrant]] | [[Causes of Left Upper Quadrant Abdominal pain|Left Upper Quadrant]] | [[Causes of Left Lower Quadrant Abdominal pain|Left Lower Quadrant]] | [[Causes of Pelvic and Hypogastric Abdominal pain|Pelvic/Hypogastric Region]] | [[Causes of Abdominal pain by Organ System|Causes by Organ System]]
==[[Abdominal pain risk factors|Risk Factors]]==
 
==[[Abdominal pain screening|Screening]]==
 
==[[Abdominal pain natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==Diagnosis==
==Diagnosis==
[[Abdominal pain history and symptoms|History and Symptoms]] | [[Abdominal pain physical examination|Physical Examination]] | [[Abdominal pain laboratory findings|Laboratory Findings]] | [[Abdominal pain electrocardiogram|Electrocardiogram]] | [[Abdominal pain x ray|X Ray]] | [[Abdominal pain other imaging findings|Other Imaging Findings]] | [[Abdominal pain other diagnostic studies|Other Diagnostic Studies]]


:[[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]]
==Treatment==
[[Abdominal pain medical therapy|Medical Therapy]] | [[Abdominal pain surgery|Surgery]] | [[Abdominal pain primary prevention|Primary Prevention]] | [[Abdominal pain secondary prevention|Secondary Prevention]] | [[Abdominal pain cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Abdominal pain future or investigational therapies|Future or Investigational Therapies]]


==Selected causes==
==Case Studies==
*Parietal [[peritoneal]] [[inflammation]]
[[Abdominal pain case study one|Case #1]]
**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==
==Related Chapters==
*[[Irritable Bowel Syndrome]]
*[[Irritable Bowel Syndrome]]
*[[Bowelgina]]
*[[Bowelgina]]
==Additional Reading==
* Apley J, Naish N: Recurrent abdominal pains: A field survey of 1,000 school children. ''Arch Dis Child'' 1958;33:165 - 170.
* [http://www.health.am/gyneco/chronic-pelvic-pain/ 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.
*[http://www.suburbanchicagonews.com/beaconnews/lifestyles/438133,2_5_AU22_DUNCAN_S1.article] Stomach ache or abdominal pain can be misdiagnosed.Consult a Gastroenterologist rather than ER doctor if Pain persists more than a day.


{{Gastroenterology}}
{{Gastroenterology}}
[[de:Schmerz#Bauchschmerzen]]
[[eu:Tripako min]]
[[fr:Douleur abdominale]]
[[ko:복통]]
[[ja:腹痛]]
[[pt:Dor abdominal]]
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[[Category:Emergency medicine]]
[[Category:Gastroenterology]]
[[Category:Gynecology]]
[[Category:Gynecology]]
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[[Category:Signs and symptoms]]
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[[Category:Surgery]]

Latest revision as of 20:13, 29 July 2020
Resident
Survival
Guide
File:Critical Pathways.gif

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

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Abdominal pain On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Google Images

American Roentgen Ray Society Images of Abdominal pain

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Abdominal pain

CDC on Abdominal pain

Abdominal pain in the news

Blogs on Abdominal pain

Directions to Hospitals Treating Abdominal pain

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]; Iqra Qamar M.D.[4] Amandeep Singh M.D.[5]

Synonyms and keywords: Abdominal cramping; abdominal cramps; belly ache; abdominal discomfort; abdominal fullness

Overview

Classification

Pathophysiology

Causes

Diffuse | Left Upper Quadrant | Left Flank | Left Lower Quadrant | Epigastric Region | Umbilical Region | Pelvic Region | Right Upper Quadrant | Right Flank | Right Lower Quadrant

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 | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

Template:Gastroenterology

Template:WikiDoc Sources

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