...
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 ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is there a history of alcohol or drug ingestion? Alcohol and many drugs such as digitalis, aspirin, nonsteroidal anti-inflammatory ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Where is the pain located? If it is diffuse, one should consider pancreatitis, mesenteric artery occlusion, or ruptured peptic ulcer. In addition, another viscus may be perforated, such as a ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Vomiting is an involuntary forceful extrusion of stomach contents. It is a mediated by a complex reflex that is located in the vomiting center of the medulla oblongata. Reflex vomiting results when afferent... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Vomiting is the forceful expulsion of gastric contents through the mouth that involves an integrated and largely somatic motor response. It represents a protective reflex in the body's defense system. Vomiting may... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Projectile vomiting is the forceful expulsion of stomach contents classically associated with pyloric stenosis. Although pyloric stenosis is one cause, there are many other causes inside and outside the GI tract.
... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... These two should be considered together, because nausea is just a forme fruste of vomiting. This symptom lends itself well to anatomic analysis, particularly by the
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abdominal distention refers to increased abdominal girth — the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pictures
... 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... Emergency interventions
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis. ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Mechanical Bowel Obstruction
Extraluminal compression
Congenital abnormalities
Annular pancreas
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Diffuse
Gastroenteritis
Peritonitis
Pancreatitis
Leukemia
Sickle cell crisis
Early
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Central Nervous System Disorders
Increased intracranial pressure
Head trauma
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abdominal Disorders
Inflammatory disorders
Peritoneum
Peritonitis
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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 vascular... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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 times, such pain... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Vomiting
(Professional Guide to Signs & Symptoms (Fifth Edition))
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Abdominal Pain
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... 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... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Nausea and Vomiting
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Eric M. Walsh
Approach Nausea and vomiting are common presenting complaints in office practice. An effective diagnostic approach will consider causes both within the gastrointestinal (GI)... History. ... Physical examination. ... Testing. ... Diagnostic assessment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
❑ Irritable bowel syndrome
❑ Peptic ulcer disease
❑ Cholecystitis ... Diagnostic Approach ... Clinical Findings
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
Abdominal Mass
❑ Liver enlargement
❑ Spleen enlargement ... Diagnostic Approach ... Clinical Findings
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
Presenting Symptom
❑ Gastroesophageal reflux
❑ Pregnancy
... Diagnostic Approach ... Clinical Findings
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
Generalized/Periumbilical
❑ Gastroenteritis
❑ Obstipation
... Diagnostic Approach ... Clinical Findings ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Abdominal pain
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Vomiting
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis. ... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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 Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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,... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... 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... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...Regurgitation is the nonforceful expulsionof contents from esophagus or stomach, whereas vomiting is the forcefulexpulsion of gastric contents through the mouth. The first partof this chapter is... Principal Causes of Regurgitation ... Clinical Features and Diagnosis: Regurgitation ... Diagnostic Approach: Regurgitation ... Principal Causes of Vomiting ... Clinical Features and Diagnosis: Vomiting ... Diagnostic Approach: Vomiting ... References
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...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... Principal Causes of Abdominal Masses ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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,... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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 air,... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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&... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
These two should be considered together, because nausea is just a
forme fruste of vomiting. This symptom lends itself well to anatomic analysis, ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
