Sandbox/abdpain
< Sandbox
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2], Amr Marawan, M.D. [3]
Definitions
| Terms | Definitions |
|---|---|
| Acute abdominal pain | Severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause. Duration of less than several days. |
| Acute abdomen | (also known as surgical abdomen) It is defined as a sudden, abrupt onset of severe localized or generalized abdominal pain with abdominal rigidity.[1] It is less than 24 hours in duration and requires urgent evaluation and diagnosis because it may indicate a need for immediate surgical intervention.[2] |
| Subacute abdominal pain | It's a type of abdominal pain that has a duration of more than several days but less than six months. |
| Chronic abdominal pain | It has a duration of more than six months, either constantly or intermittently.[3] |
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
- Abdominal aortic aneurysm
- Acute bowel obstruction
- DKA
- Ectopic pregnancy
- Mesenteric ischemia
- Myocardial infarction
- Perforated viscus (including peptic ulcer, bowel, esophagus, or appendix)
- Placental abruption
- Splenic rupture (It is usually secondary to trauma, EBV or leukemia)
- Volvulus
Common Causes
- Acute pancreatitis
- Adnexal pathology (cyst or tumor that caused torsion, bleeding or rupture)
- Appendicitis
- Biliary disease (Acute cholecystitis)
- Bladder distension
- Chronic heroin or morphine use
- Crohn's disease
- Diverticulitis
- Dyspepsia
- Endometriosis
- Endometritis
- Hemophilia
- Hiatus hernia
- High dose steroids
- HIV infection (affecting the GI and hepatobiliary systems)
- Kidney stones
- Mesenteric infarction
- Pelvic inflammatory disease
- Peritonitis
- Sickle cell disease (as a part of vasoocclusive crisis)
- Splenic abscess
- Splenic infarction
- Ulcerative colitis
Common extraabdominal diseases
- Diabetic ketoacidosis
- Alcoholic ketoacidosis
- Pneumonia (involving the lower lobes)
- Pulmonary embolus
- Herpes zoster
Management
Do's
Don'ts
References
- ↑ "ICD-10 Version:2010".
- ↑ Venes, Donald (2013). Taber's Cyclopedic Medical Dictionary (Thumb-indexed Version) (Taber's Cyclopedic Medical Dictionary (Thumb Index Version)). Philadelphia, PA: F.A. Davis Company. ISBN 0-8036-2977-X.
- ↑ Lawrence S. Cohen MD; Mark W. Green MD (2010). Sleisenger and Fordtran's Gastrointestinal and Liver Disease- 2 Volume Set: Pathophysiology, Diagnosis, Management, Expert Consult Premium Edition - Enhanced ... & Liver Disease (Sleisinger/Fordtran)). Philadelphia: Saunders. ISBN 1-4160-6189-4.