...
Is there associated fever? The presence of fever along with chest pain should make one think of a perinephric abscess or pyelonephritis. Occasionally, however, ... DIAGNOSTIC WORKUP
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Is there a family history of migraine or epilepsy? Migraine and epilepsy both present with abdominal pain.
Is the pain colicky or persistent? Chronic colicky abdominal pain may be due to ... DIAGNOSTIC WORKUP
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Where is the pain located? If it is diffuse, one should consider pancreatitis, mesenteric artery occlusion, or ruptured peptic ulcer. ... DIAGNOSTIC WORKUP
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Is there a pelvic mass? The presence of a pelvic mass would suggest salpingo-oophoritis, ectopic pregnancy, endometriosis, uterine fibroid, or an ovarian tumor ... DIAGNOSTIC WORKUP
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... The cause of scalp tenderness is usually obvious when there is dermatitis or inflammatory disorders of the skin such as herpes zoster, pediculosis, tinea capitis, infected sebaceous cyst, and impetigo.
The tenderness is more subtle in... DIAGNOSTIC WORKUP
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Lower abdominal pain is a common complaint that must be evaluated carefully and systematically to reach the appropriate diagnosis in timely manner. All diagnoses must be considered, with the most emergent etiologies... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Upper abdominal pain is a common presenting symptom. A complete differential diagnosis should be developed based on the organs in the upper abdomen in addition to the associated history... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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In evaluating an acute abdomen, rebound tenderness is one of the most important signs of peritonitis. It is elicited by pressing deeply on the abdomen and then suddenly releasing pressure, which stretches the peritoneum and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Pain and/or tenderness on the side of the trunk from the ribs to the ileum is often associated with renal disease; however, nonrenal etiologies are very common. Of course, renal disease should be strongly... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Many disease processes, including malignancies, infections, and bowel obstruction, present with abdominal masses. The most serious and dramatic etiology is an abdominal aortic aneurysm, which is responsible for 15,000... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Pelvic pain is a common primary care complaint that should be distinguished as acute (<6 months) versus chronic (>6 months), and cyclic, noncyclic, or pregnancy-related. Gynecologic, urologic, and intestinal etiologies>... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Abdominal pain is a frequent complaint and associated with an enormous number of causes. Many causes of acute abdominal pain require surgical intervention, so a prompt diagnosis is needed. Diagnostic clues would include the location of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Abdominal masses are common presenting signs of malignant solid tumors in children and should be presumed to be such. They require urgent evaluation to rule out compression of internal organs, hemorrhage, and/or malignancy. In... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Most cases of flank pain are associated with inflammation of the kidney. As is shown in Table 29 , however, jumping to that conclusion in any given case may be hazardous.
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... The GI tract is the only “organ” that really covers the abdomen from one end to the other. Anything that causes an irritation of all or a large portion of this “tube” may cause generalized abdominal pain. Thus
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... As the physician examines the abdomen, how can he or she recall all of the causes of a mass or swelling? The physician should consider the possibilities for the mass’s composition. It may be
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... Visualizing the anatomy of the pelvic area is the key to forming a list of the causes of pelvic pain. Starting at the skin and working inward, we have the muscles and fascia, bladder, peritoneum, uterus, ovaries,
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... Abdominal distention refers to increased abdominal girth — the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Dyspepsia refers to an uncomfortable fullness after meals that's associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Abdominal pain usually results from a GI disorder, but it can be caused by a reproductive, genitourinary (GU), musculoskeletal, or vascular disorder; drug use; or ingestion of toxins. At times, such pain signals life-threatening... Emergency interventions
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... Costovertebral angle (CVA) tenderness indicates sudden distention of the renal capsule. It almost always accompanies unelicited, dull, constant flank pain in the CVA just lateral to the sacrospinalis... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Mechanical Bowel Obstruction
Extraluminal compression
Congenital abnormalities
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... Diffuse
Gastroenteritis
Peritonitis
Pancreatitis
Leukemia
Sickle cell
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... Abdominal Disorders
Inflammatory disorders
Peritoneum
Peritonitis (chemical or
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... Abdominal distention refers to increased abdominal girth—the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be localized... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a neoplasm, an abscess, a... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Dyspepsia
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Dyspepsia refers to an uncomfortable fullness after meals that’s associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Flank pain
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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... Abdominal pain usually results from a GI disorder, but it can also be caused by a reproductive, genitourinary (GU), musculoskeletal, or vascular disorder; drug use; or ingestion of toxins. At... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Costovertebral angle (CVA) tenderness indicates sudden distention of the renal capsule. It almost always accompanies unelicited, dull, constant flank pain in the CVA just lateral to the sacrospinal muscle and below the 12th rib. This... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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Abdominal Pain
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Richard W. Emerine
Abdominal pain of varying causes, ranging from the functional to the organic, is one of the top ten outpatient complaints; it is the chief complaint for 5% to 10%... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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Chronic Pelvic Pain
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Albert A. Meyer
Approach A woman has an approximate 5% chance of having chronic pelvic pain in her lifetime (1). It is defined as an episodic or continuous pain that persists for 6... History ... Physical examination ... Testing (3) ... Diagnostic assessment
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... Differential Overview
❑ Ureteral calculus
❑ Acute pyelonephritis
❑ Latissimus strain
❑ Perinephric... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Irritable bowel syndrome
❑ Peptic ulcer disease
❑ Cholecystitis
&... Diagnostic Approach ... Clinical Findings
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... Differential Overview
Generalized/Periumbilical
❑ Gastroenteritis
❑ Obstipation
❑... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Abdominal Mass
❑ Liver enlargement
❑ Spleen enlargement
&... Diagnostic Approach ... Clinical Findings
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Flank pain
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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Abdominal pain
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Abdominal pain usually results from a GI disorder, but can also be caused by drug use, ingestion of toxins, or disorders of the reproductive, genitourinary (GU), musculoskeletal, or vascular systems. At times, such pain signals life... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Abdominal distention refers to increased abdominal girth — the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be localized... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Dyspepsia refers to an uncomfortable fullness after meals that’s associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to severe stabbing or... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Abdominal pain usually results from a GI disorder, but it can be caused by a reproductive, genitourinary (GU), musculoskeletal, or vascular disorder; drug use; or ingestion of toxins. At times,... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Costovertebral angle (CVA) tenderness indicates sudden distention of the renal capsule. It almost always accompanies unelicited, dull, constant flank pain in the CVA just lateral... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Many diseasescause abdominal pain, and clinical dilemma is to distinguish life-threateningones from those that are mild and self-limited. Best way to approach diagnosis is toconsider age of child... Principal Causes of Acute Abdominal Pain ... Clinical Features and Diagnosis: Acute Abdominal Pain ... Diagnostic Approach: Acute Abdominal Pain ... Principal Causes of Chronic or Recurrent Abdominal Pain ... Diagnostic Approach: Chronic or Recurrent Abdominal Pain ... References
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...Although vomiting, abdominal pain, GI bleeding,hematuria, and fever accompany some types of abdominal mass lesions,other types occur without any associated signs and symptoms. Thus,it is especially important to examine the abdomen on each... Principal Causes of Abdominal Masses ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Abdominal distention refers to increased abdominal girth—the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a neoplasm... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Dyspepsia refers to an uncomfortable fullness after meals that's associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Pain in the flank, the area extending from the ribs to the ilium, is a leading indicator of renal and upper urinary tract disease or trauma. Depending on the cause, this symptom may vary from a dull ache to... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abdominal pain usually results from a GI disorder, but it can be caused by a reproductive, genitourinary (GU), musculoskeletal, or vascular disorder; drug use; or ingestion of toxins. At times, such pain signals life-threatening... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Costovertebral angle (CVA) tenderness indicates sudden distention of the renal capsule. It almost always accompanies unelicited, dull, constant flank pain in the CVA just lateral to the sacrospinalis muscle and below... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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...
Most cases of flank pain are associated with inflammation of the
kidney. As is shown in Table 29, however, jumping to that
conclusion in any given case may be hazardous.
...
Pictures
...
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...
As the physician examines the abdomen, how can he or she recall all of
the causes of a mass or swelling? The physician should consider the
possibilities for the mass&... Pictures
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...
Visualizing the anatomy of the pelvic area is the key to forming a list
of the causes of pelvic pain. Starting at the skin and working inward, we
have the... Pictures
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...
The GI tract is the only “organ” that really covers the abdomen
from one end to the other. Anything that causes an irritation of all or a
large portion of this “... Pictures
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...
The cause of scalp tenderness can best be recalled utilizing the
mnemonic MINT.
M—Mental disorders such
as pseudoneurosis can be associated with diffuse scalp
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... Marina Catallozzi
Approach to the Patient with Abdominal Pain
I. Definition of the Complaint
Abdominal pain is a ... Pictures
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... I. History of Present Illness
A 13-year-old boy presented with recurrent abdominal pain. He reported
intermittent right upper quadrant ... Pictures
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... I. History of Present Illness
A 5-year-old girl was well until 2 days before presentation, when she developed
emesis and fever. On the day of ... Pictures
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... I. History of Present Illness
The patient, an 11-year-old girl, was well until 1 year before presentation,
when she was diagnosed with streptococcal pharyngitis. At that ... Pictures
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... I. History of Present Illness
A 9-year-old girl was well until 6 days before admission, when she developed
vomiting, abdominal pain, and lethargy. Four days before ... Pictures
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... I. History of Present Illness
The patient, an 8-year-old boy, was well until 4 hours before presentation. At
that time, he developed crampy periumbilical pain and bilious emesis. His
family ... Pictures
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... I. History of Present Illness
The patient, a 2-year-old girl, was well until 1 month before presentation, when
she began to experience intermittent
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... I. History of Present Illness
A 3-year-old girl of Sri Lankan descent who was born in the United States
presented to the emergency department with a fever of 40.5
°C ... Pictures
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... Author:
Michael Clemmens, MD
What to Do - Interpret the Data
Ovarian torsion is an uncommon condition with potentially serious complications. Torsion occurs when the ovary twists on its ligamentous... Suggested Readings
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... Author:
Michael S. Potter and Anthony Slonim, MD
What to Do - Gather Appropriate Data
Teen pregnancy in the United States is disproportionately more... Suggested Reading
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... Author:
Caroline Rassbach, MD
What to Do - Gather Appropriate Data
Testicular torsion and ectopic pregnancy present similarly to appendicitis,
and both have... Suggested Readings
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... Kurt A. Brown, MD Abdominal Pain - BASICS Abdominal Pain - description A child’s complaint of abdominal pain can originate from... Abdominal Pain - DIAGNOSIS ... Abdominal Pain - FOLLOW UP ... Abdominal Pain - bibliography ... Abdominal Pain - CODES
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