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Related Experiment Videos

Evaluation of abdominal pain.

M S Hickey1, G J Kiernan, K E Weaver

  • 1University of California, San Francisco.

Emergency Medicine Clinics of North America
|August 1, 1989
PubMed
Summary

This guide details evaluating abdominal pain in the Emergency Department (ED). It covers pain types, symptoms like anorexia, nausea, and vomiting, and diagnostic tests for accurate intra-abdominal process identification.

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Area of Science:

  • Emergency Medicine
  • Gastroenterology
  • Clinical Diagnosis

Background:

  • Abdominal pain is a common Emergency Department (ED) presentation.
  • Accurate diagnosis requires understanding pain physiology and symptom correlation.
  • Evaluation is challenging in uncooperative or unresponsive patients.

Purpose of the Study:

  • To outline an approach for evaluating abdominal pain in the ED.
  • To review the pathophysiology of different pain types (visceral, somatic, referred).
  • To highlight the diagnostic significance of associated symptoms and laboratory findings.

Main Methods:

  • Review of physiologic differences in pain perception.
  • Correlation of historical data, symptom patterns, and physical examination findings with intra-abdominal conditions.
  • Recommendations for essential laboratory and diagnostic studies.
  • Emphasis on interpreting clinical data in complex patient populations.

Main Results:

  • Understanding pain physiology aids in diagnosis.
  • Anorexia, nausea, and vomiting have clinical significance.
  • Specific pain patterns correlate with intra-abdominal processes.
  • High-yield diagnostic studies expedite diagnosis.

Conclusions:

  • A systematic approach integrating clinical symptoms, physical signs, and diagnostic data is crucial.
  • Proficiency in interpreting diverse findings improves diagnostic accuracy for abdominal pain.
  • Effective evaluation is essential for timely management of acutely ill patients.

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