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Abdominal Pain in the Geriatric Patient
Phillip D Magidson1, Joseph P Martinez2
1Department of Emergency Medicine, University of Maryland Medical Center, 6th Floor, Suite 200, 110 South Paca Street, Baltimore, MD 21201, USA; Department of Medicine, University of Maryland Medical Center, 6th Floor, Suite 200, 110 South Paca Street, Baltimore, MD 21201, USA.
Emergency Medicine Clinics of North America
|August 1, 2016
Summary
Elderly patients with abdominal pain often lack typical symptoms, increasing risks. Clinicians need to recognize subtle differences in geriatric abdominal disease for prompt diagnosis and treatment.
Area of Science:
- Geriatric Medicine
- Emergency Medicine
- Gastroenterology
Background:
- The aging population is increasing the number of geriatric patients in emergency departments.
- Geriatric patients with abdominal pain frequently present with atypical symptoms and findings compared to younger individuals.
- Abdominal conditions in the elderly are associated with significant morbidity and mortality.
Purpose of the Study:
- To highlight the importance of recognizing subtle differences in the presentation of abdominal pain in geriatric patients.
- To guide emergency department clinicians in the timely diagnosis and appropriate treatment of abdominal conditions in the elderly.
Main Methods:
- This review synthesizes current knowledge on geriatric abdominal pain.
- It emphasizes the atypical presentations and diagnostic challenges in elderly patients.
- Focuses on clinical recognition and management strategies.
Main Results:
- Geriatric patients with abdominal pain are less likely to exhibit classic signs, symptoms, and laboratory results.
- Delayed diagnosis and treatment in this population lead to higher complication rates.
- Understanding age-related physiological changes is crucial for accurate assessment.
Conclusions:
- Emergency clinicians must be aware of the unique presentation of abdominal pathology in the elderly.
- Familiarity with subtle clinical differences is essential for effective management.
- Prompt and accurate diagnosis in geriatric patients with abdominal pain can reduce morbidity and mortality.
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