Abdominal pain physical examination: Difference between revisions
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| [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br> | |||
| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | |||
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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}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
When a physician assesses a patient to determine the etiology and subsequent treatment for abdominal pain the | When a physician assesses a patient to determine the etiology and subsequent treatment for abdominal pain, the patient's history of the presenting complaint and their [[physical examination]] should derive a diagnosis in over 90% of cases. It is important also for a physician to remember that abdominal pain can be caused by problems outside the abdomen, especially [[heart attack]]s and [[pneumonia]]s which can occasionally present as abdominal pain. | ||
It is important also for a physician to remember that abdominal pain can be caused by problems outside the abdomen, especially [[heart attack]]s and [[pneumonia]]s which can occasionally present as abdominal pain. | |||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | |||
* Patient's body position tends to relieve the pain | |||
* Signs of [[dehydration]] and [[fever]] | * Signs of [[dehydration]] and [[fever]] | ||
===Abdomen=== | |||
* [[Physical examination|Bowel sounds]] | |||
* [[Abdominal distention|Distention]] | * [[Abdominal distention|Distention]] | ||
* [[ | * [[Abdominal guarding|Guarding]] | ||
* [[Palpitation]] for masses and [[organomegaly]] | * [[Palpitation]] for masses and [[organomegaly]] | ||
* [[ | * [[Rebound tenderness]] | ||
* [[Tenderness]] | * [[Tenderness]] | ||
* [[ | * [[Physical examination|Tympany]] | ||
===Acute Abdomen=== | |||
In cases of ischemic acute abdomen, bowel sounds will be absent. | |||
==References== | |||
{{Reflist|2}} | |||
{{Gastroenterology}} | |||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[Category:Emergency medicine]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Gynecology]] | |||
[[Category:Medicine]] | |||
[[Category:Surgery]] | |||
Latest revision as of 20:14, 29 July 2020
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Resident Survival Guide |
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Abdominal pain Microchapters |
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Diagnosis |
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Case Studies |
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Abdominal pain On the Web |
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American Roentgen Ray Society Images of Abdominal pain |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
When a physician assesses a patient to determine the etiology and subsequent treatment for abdominal pain, the patient's history of the presenting complaint and their physical examination should derive a diagnosis in over 90% of cases. It is important also for a physician to remember that abdominal pain can be caused by problems outside the abdomen, especially heart attacks and pneumonias which can occasionally present as abdominal pain.
Physical Examination
Appearance of the Patient
- Patient's body position tends to relieve the pain
- Signs of dehydration and fever
Abdomen
- Bowel sounds
- Distention
- Guarding
- Palpitation for masses and organomegaly
- Rebound tenderness
- Tenderness
- Tympany
Acute Abdomen
In cases of ischemic acute abdomen, bowel sounds will be absent.