scholarly journals EVALUATION AND MANAGEMENT OF ACUTE ABDOMINAL PAIN

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Khaled Hassan
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Evaluation Methods ◽  
Outpatient Setting ◽  
Quality Data ◽  
Patient History ◽  
Web Based ◽  
Pain Evaluation ◽  
Life Threatening ◽  
Good Quality Data

Background: Acute abdominal pain is a public problem in the outpatient setting and can represent conditions ranging from benign to life-threatening. The patient history, physical examination, laboratory testing, and diagnostic imaging are the major evaluation methods for acute abdominal pain. There was not sufficient good-quality data for the management of acute abdominal pain, where it relies on the knowledge and expertise of the doctors. A web-based search utilizing the advanced characteristics of different databases like PubMed, Google Scholar, Embase, Scopus, and Cochrane electronic databases was carried out. Here we aimed to review the major evaluation methods for acute abdominal pain and its management protocols. Keywords: Acute, Abdominal, Pain, Evaluation, Management, Review

Celiac artery aneurysm causing an acute abdomen

2021 ◽  
Vol 14 (4) ◽  
pp. e240533
Author(s):  
Rute Castelhano ◽  
Khine Myat Win ◽  
Sara Carty
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Artery Aneurysm ◽  
Celiac Artery ◽  
Common Presentation ◽  
Accident And Emergency ◽  
Life Threatening ◽  
Celiac Artery Aneurysm ◽  
Accident And Emergency Department ◽  
Surgical Conditions

Abdominal pain is a very common presentation in the accident and emergency department. However, vasculitis is not the usual first differential diagnosis. This paper discusses a case of polyarteritis nodosa presenting with acute abdominal pain alone. Common surgical conditions were obviously considered, but they were not found to cause the patient’s problems. We describe how investigations led to this diagnosis discussed in detail in this paper. It is important to remember that prompt recognition of unusual life-threatening conditions can lead to timely intervention.

Medication-Induced Acute Abdominal Pain: Evaluation with CT Imaging

2011 ◽  
Vol 7 (2) ◽  
pp. 136-147
Author(s):  
Nam Kyung Lee ◽  
Suk Kim ◽  
Jun Woo Lee ◽  
Ki Ho Oh ◽  
Sang Wook Kwak ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Ct Imaging ◽  
Pain Evaluation

scholarly journals Causes and Management of Acute Abdominal Pain in Children: A Review Article

2021 ◽  
pp. 14-22
Author(s):  
May Abdullah S. Alanazi ◽  
Abdulaziz Muslih Muhaylan Alsharari ◽  
Ibrahim Awadh R. Alanazi ◽  
Abdulaziz Mashan R. Alanazi
Keyword(s):  
Abdominal Pain ◽  
Emergency Room ◽  
Acute Abdominal Pain ◽  
Symptomatic Treatment ◽  
Review Article ◽  
Pain Site ◽  
Life Threatening ◽  
Laboratory Investigations ◽  
Surgical Conditions

Acute abdominal pain is one of the commonest prevalent grievances in children, and it frequently requires emergency room diagnosis and management. Abdominal pain in children differs with age, concomitant symptoms, and pain site. While most cases of acute abdominal embarrassment are self-limiting and benevolent, there are certain diseases that can be life-threatening and necessitate instant care, such as appendicitis, intussusception, or intestinal obstruction. To decide the cause of acute abdominal pain and recognize children with surgical conditions, scrupulous history taking and numerous physical checkups are mandatory.The most important and realistic first goal in the evaluation of acute AP is to distinguish between surgical and nonsurgical situations, which are further divided into urgent and non-urgent categories. A thorough history and physical examination, laboratory investigations to evaluate comorbidity, and imaging scans are usually used for these purposes. Management decisions should necessitate teamwork between the emergency room physician, a surgeon, and a radiologist. Consecutivereassessment and symptomatic treatment with hardworking follow-up are necessary for management as soon aspossible in urgent disorder.

scholarly journals Nonspecific abdominal pain: Do I have to allocate a specific diagnosis for every patient?

2022 ◽  
Keyword(s):  
Abdominal Pain ◽  
Care Setting ◽  
Acute Abdominal Pain ◽  
Scoring Systems ◽  
Acute Care Setting ◽  
Acute Setting ◽  
The World ◽  
Threatening Condition ◽  
Chief Complaints ◽  
Life Threatening

Acute abdominal pain is one of the most common chief complaints in the acute setting all over the world. The definitive diagnoses of these patients vary depending on age, gender, geographical and sociodemographic characteristics etc. Apart from these, aging of the population, obesity, advanced diagnostic imaging modalities and changes in nutritional habits also have an impact on the rates of specific diagnoses. On the other hand, nonspecific abdominal pain constitutes almost half of all visits due to acute abdominal pain in the acute care setting. This phenomenon is the main differential diagnostic problem in the management of these patients because missing a life-threatening condition can cause enormous medicolegal problems for the caregivers. Certain diagnostic scoring systems have also been developed to facilitate recognition and management of these conditions. This article aims to review the entity and underline the challenges it can bring to the scene.

scholarly journals Abdominal Pain: A Silent and Unlikely Cause

2021 ◽  
Vol 9 ◽  
pp. 232470962110452
Author(s):  
Kristen Farraj ◽  
Atul Sinha ◽  
Aboud Kaliounji ◽  
Deepthi Kagolanu ◽  
Kaleem Rizvon ◽  
...  
Keyword(s):  
Small Intestine ◽  
Abdominal Pain ◽  
Rare Disease ◽  
Surgical Management ◽  
Large Intestine ◽  
Acute Abdominal Pain ◽  
Common Phenomenon ◽  
Quadrant Abdominal Pain ◽  
Life Threatening

While diverticulosis is a common phenomenon in the large intestine, it is a rare disease found in the small intestine accounting for only 0.06% to 1.3% of cases. Although most cases are asymptomatic, roughly 30% to 40%, it is crucial that it is on the differential of acute abdominal pain as it can be life-threatening and potentially require surgical management. Here, we describe a case of a 61-year-old Hispanic man who was found to have a perforated jejunal diverticula after initially presenting with left upper quadrant abdominal pain.

scholarly journals Epidemiology of acute abdominal pain: a cross-sectional study in a tertiary care hospital of Eastern India

2019 ◽  
Vol 6 (2) ◽  
pp. 345 ◽  
Author(s):  
Jiwesh Kumar Thakur ◽  
Rakesh Kumar
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Common Cause ◽  
Medical College ◽  
Pain Abdomen ◽  
Life Threatening

Background: Acute abdomen is defined as “a spectrum of surgical, medical and gynecological conditions ranging from trivial to life threatening conditions, which require hospital admission, investigations and treatment. The possible causes of acute abdomen may range from benign and psychogenic pain to life threatening aortic dissection. This study aims to find out the etiological spectrum of surgical acute pain abdomen among patients attending emergency department of a medical college of Eastern India.Methods: An institution based, cross-sectional study was conducted from January- June 2018, among patients admitted with pain abdomen in IQ City Medical College and Narayna Hospital, Durgapur, West Bengal, India. Data were collected on the day of discharge, with the help of pre-tested, semi structured Schedule.Results: Total 8688 patients were admitted through emergency during data collection period. 1236 (14.2%) of them were admitted with complains of pain abdomen. Frequency of surgical and non-surgical pain abdomen was 6.0% and 8.2% respectively. Most consistent symptom and sign were pain abdomen and abdominal tenderness respectively. Most common cause of acute abdomen was acute appendicitis. It was present in 38.9% of cases followed by gall bladder pathology, renal/ ureteric colic, perforation peritonitis, intestinal obstruction, bowel ischemia in 21.0%, 14.2%, 13.7%, 7.8%, and 4.4% of cases respectively.Conclusions: About 15.0% of all emergency hospitalization is due to acute abdominal pain and about 40.0% of all acute abdominal pain was due to surgical causes. Most common cause of surgical acute abdomen was acute appendicitis.

Gastrointestinal emergencies

2021 ◽  
pp. 429-444
Author(s):  
Jennie Burch ◽  
Brigitte Collins
Keyword(s):  
Abdominal Pain ◽  
Clinical Practice ◽  
Gastrointestinal Tract ◽  
Nursing Care ◽  
Acute Abdominal Pain ◽  
Treatment Options ◽  
Emergency Situations ◽  
Life Threatening

The gastrointestinal emergencies chapter explores a number of emergency situations that can occur with the gastrointestinal tract. These situations can occur quickly and be life-threatening. Nursing care is essential in emergency situations, for example, when there is bleeding in the upper portion of the gut, that is, haematemesis, such as from varices. Treatment can be performed via endoscopy or surgery, for example. Acute abdominal pain may be the result of a perforation or an obstruction within the bowel. A perforation of the bowel might result in peritonitis. These emergencies are explored with consideration of symptoms, causes, investigations, and treatment options. Succinct explanation of gastrointestinal emergencies within this chapter can be used within clinical practice by the nurse.

Abdominal Pain

2014 ◽  
Vol 25 (3) ◽  
pp. 266-278 ◽  
Author(s):  
Helen F. Brown ◽  
Lynn Kelso
Keyword(s):  
Abdominal Pain ◽  
Patient Outcomes ◽  
Systematic Approach ◽  
Acute Abdominal Pain ◽  
Final Diagnosis ◽  
Multiple Organ ◽  
Appropriate Treatment ◽  
Organ Systems ◽  
Life Threatening ◽  
Cardinal Symptom

Acute abdominal pain represents the cardinal symptom of a large number of intra-abdominal pathologies. Because of multiple organ systems, varied pathology from life threatening to benign, and differences in presentation related to sex and age, identifying a final diagnosis is a challenge. The clinician’s goal for patients with acute abdominal pain is to rapidly identify whether the underlying cause requires an urgent or immediate surgical intervention. By developing a systematic approach to evaluating patients with abdominal pain, clinicians can generate a differential diagnosis to ensure appropriate treatment and improved patient outcomes. The purpose of this article is to provide clinicians with a framework for evaluating the complaint of acute abdominal pain and recognizing patients who require expedited evaluation.

scholarly journals Rectus sheath hematoma: a potentially life threatening complication following caesarean delivery

2018 ◽  
Vol 7 (10) ◽  
pp. 4289
Author(s):  
Sonal Dube ◽  
Meenakshi Dube ◽  
Saumitra Dube
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Caesarean Delivery ◽  
Acute Abdominal Pain ◽  
Rectus Sheath ◽  
Present Patient ◽  
Acute Presentation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Rectus Sheath Hematoma

Rectus sheath hematoma (RSH) is a rare but potentially life threatening complication of caesarean delivery. The nonspecific nature of entity, lower incidence of disorder and acute presentation may posses’ difficulty in timely recognizing this. Present patient presented as acute abdominal pain 38 hours post caesarean section. This is an attempt to increase the awareness of this rare but potentially grave condition, as timely diagnosis and fast intervention saved present patient.

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