acute abdominal pain

2008 Oct;6(5):400-3. 2006 Sep;33(3):659-84. Combined with a lack of understanding of the physiological changes in these patients’ response to certain diseases, this means their diagnosis and treatment is often delayed, and complication and mortality rates are consequently higher.Older people usually have more long-standing comorbidities than younger adults, which can further affect their ability to mount characteristic physiological responses (this may be due to direct effects of a comorbid condition or to medications used to treat the comorbid condition). Mild cases frequently can be treated without surgery, but severe injury generally requires bile duct surgery. Patients with predicted or actual severe disease, and those with other severe comorbid medical conditions should be strongly considered for triage to an intensive care unit or intermediate medical care unit.The initial medical management of pancreatitis begins with general supportive care, consisting of vigorous fluid resuscitation, supplemental oxygen as required, correction of electrolyte and metabolic abnormalities, and pain control. April 2014 [internet publication]. http://www.ncbi.nlm.nih.gov/pubmed/3049343?tool=bestpractice.com Acute abdomen can be defined as severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause. Alternatives to ionising radiation imaging, such as ultrasound and magnetic resonance imaging, may also have important roles in these patients.Professor, Ellen Gregg Shook Culverhouse Chair in Gynecologic OncologyCAL has served on advisory boards for Celsion and Mateon Therapeutics.WJL has participated in a speakers' bureau for Astra Zeneca to discuss Lynparza for ovarian cancer.Dr Charles A. Leath III and Dr William J. Lowery would like to gratefully acknowledge Dr Aaron W. Campbell and Dr Jin H. Ra, previous contributors to this topic.For any urgent enquiries please contact our customer services team who are ready to help with any problems.Flasar MH, Cross R, Goldberg E. Acute abdominal pain. Emerg Med Clin North Am. New York, NY: Oxford Press; 1991.Association of Surgeons of Great Britain and Ireland. Although it is known that ionising radiation exposure can lead to cell death, mutation of germ cells, and carcinogenesis, there is no common modern radiographic procedure that results in radiation exposure to a level that threatens embryo or fetal well-being.It is important to discuss the risks and benefits with patients before obtaining radiographs. The diagnosis and treatment of acute abdominal pain is a collaborative effort, often starting in the emergency department (ED).

Clinicians should be aware that an early CT scan (within 72 hours of illness onset) might underestimate the amount of pancreatic necrosis. The key consideration in acute abdominal pain is the differentiation between surgical and non-surgical causes; Non-specific abdominal pain is very common but is a diagnosis of exclusion once red flags are considered. http://www.ncbi.nlm.nih.gov/pubmed/15952096?tool=bestpractice.com Prim Care. Obstet Gynecol Clin North Am. Early management often avoids later complications and sequelae, reducing the risk that these conditions will become chronic diseases.Access to the PPM Journal and newsletters is FREE for clinicians.Practical Guide To Safe Use of Nonprescription Pain MedicationsEarly Treatment of TMD May Prevent Chronic Pain and DisabilityIs Marijuana Use Associated With Non-adherence To Opioid Therapy—Insights Gained From Urine Drug MonitoringNew Rating Scale Helps Evaluate Refractory Chronic Migraine PatientsThe Effect of Prolonged Knee Extension Immobilization on Knee Active Range of Motion: A Case Study on ArthrofibrosisCan misoprostol be used for refractory chronic constipation?Recognizing the signs and symptoms of common abdominal complaints is vital in the triage of patients in pain practice and emergency departments.Practical Pain Management is a Remedy Health Media, LLC web property.

Radiate from a focal site. Analgesia in patients with acute abdominal pain.

Infections in the throat, intestines, and blood can cause bacteria to enter your digestive tract, resulting in abdominal pain. Maggio AQ, Reece-Smith AM, Tang TY, et al. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005660.pub3/full Be intermittent, sharp or dull, achy, or piercing. Obstet Gynecol Clin North Am.

1988 Jun;17(2):227-44. 2011 Jan 19;(1):CD005660. Ragsdale L, Southerland L. Acute abdominal pain in the older adult. Over 50% of complaints presenting to the ED are related to acute pain, with abdominal pain accounting for 7% of all ED visits.Pain is now recognized as the fifth vital sign, along with blood pressure, pulse, respiratory rate, and temperature.

As a vital sign, it allows physicians to monitor changes in a patient’s condition and better evaluate the clinical picture.The problem of the undertreatment of pain is more pronounced in the pediatric and elderly populations. New York, NY: Oxford Press; 1991.Jung PJ, Merrell RC. Gallbladder surgery may be complicated by injury to the bile duct, leading either to leakage of bile or scarring and blockage of the duct. Any risk must be carefully balanced against the increased risk of fetal and maternal death resulting from a delay in diagnosis and treatment.