Abdominal pain causes

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Abdominal pain Microchapters

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Patient Information

Overview

Classification

Pathophysiology

Causes

Diffuse Abdominal Pain
Left Upper Quadrant
Left Flank
Left Lower Quadrant
Epigastric Quadrant
Umbilical Region
Pelvic Region
Right Upper Quadrant
Right Flank
Right Lower Quadrant
Intraperitoneal
Extraperitoneal

Differentiating Abdominal pain from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Abdominal pain On the Web

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US National Guidelines Clearinghouse

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Directions to Hospitals Treating Abdominal pain

Risk calculators and risk factors for Abdominal pain

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The causes of abdominal pain vary with the distribution of the pain. The distribution can be determined by various methods, such as into either abdominal quadrants or nine sections.

Causes

Causes Based upon Location

Diffuse | Left Upper Quadrant | Left Flank | Left Lower Quadrant | Epigastric | Umbilical | Hypogastric | Right Upper Quadrant | Right Flank | Right Lower Quadrant

Life Threatening Causes

Conditions that may cause death or permanent disability within the next 24 hours

Common Causes

Causes by Organ System

Cardiovascular Abdominal aortic aneurysm, Budd-Chiari syndrome
Chemical / poisoning

Amanita phalloides, arsenic poisoning, barium nitrate, cresol, fluoride poisoning, grape seed extract, lead poisoning, oleander, parathion, pesticide, pyridine, snakebites, spider bite, tributyl phosphate.

Dermatologic No underlying causes
Drug Side Effect

Acetylsalicylic acid, aciclovir, aminocaproic acid, auranofin, azithromycin, bezafibrate, caspofungin, cefdinir, cefuroxime, cladribine, clidinium, clindamycin, clofibrate, contraceptive patch, dactinomycin, danazol, daptomycin, diflunisal, donepezil, drotrecogin alfa, dydrogesterone, enoxaparin, erythromycin, ethcathinone, etoposide phosphate, flucytosine, fluvastatin, halofantrine, hydroxychloroquine, idarubicin, isoniazid, itraconazole, loperamide, lopinavir, loprazolam, magnesium citrate, mercaptopurine, methimazole, methylphenidate, mifepristone, misoprostol, moxifloxacin, muscarine, nafcillin, neuromuscular-blocking drugs, niclosamide, nitazoxanide, octreotide injection, omeprazole, orlistat, pegaspargase, pentavalent antimonial, pentostatin, perindopril, phenazocine, praziquantel, prazosin and polythiazide, procainamide, procarbazine, propylthiouracil, roxithromycin, simvastatin, sorafenib, sucralfate, sulfasalazine, thiotepa, tianeptine, topiramate, topotecan, trastuzumab, triclofos, vardenafil, vigabatrin, vinblastine, voriconazole

Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic

Abdominal cramps, abdominal cutaneous nerve entrapment syndrome, abdominal mass, accessory pancreas, acute pancreatitis, appendicitis, autoimmune hepatitis, autoimmune pancreatitis, bacterial gastroenteritis, bowel obstruction, caecitis, carcinoid syndrome, celiac disease, Charcot's triad, cholangiocarcinoma, cholangitis, cholecystitis, choledochal cysts, chronic pancreatitis, cirrhosis, clostridial necrotizing enteritis, colitis, colonic polyps, colorectal cancer, constipation, Crohn's disease, diverticulitis, duodenitis, dyspepsia, enteritis, epiploic appendagitis, gastric outlet obstruction, gastritis, gastroenteritis, gastrointestinal perforation, gastrointestinal stromal tumor, hemosuccus pancreaticus, ileitis, ileus, intestinal malrotation, intestinal pseudoobstruction, intussusception (medical disorder), irritable bowel syndrome, ischemic colitis, König's syndrome, Krukenberg tumor, malabsorption, Meckel's diverticulum, mesenteric ischemia, ogilvie syndrome, pancreatic cancer, pancreatitis, peptic ulcer, peritonitis, porcelain gallbladder, proctitis, pseudomembranous colitis, pseudomyxoma peritonei, toxic megacolon, ulcerative colitis, volvulus, Whipple's disease.

Genetic

Gilbert's syndrome, marfan syndrome, periodic fever syndrome, pyruvate carboxylase deficiency, Slone's disease.

Hematologic

Capillary leak syndrome, cholesterol emboli syndrome, mastocytosis, porphyria.

Iatrogenic

Adjustable gastric band, postcholecystectomy syndrome, short bowel syndrome, transfusion-associated graft versus host disease.


Infectious Disease

African horse sickness, anisakis, ascaris infection, Astroviridae, bacillus cereus, blastocystosis, brachylaima, campylobacteriosis, cat scratch fever, cestoda, clostridium difficile, Colorado tick fever, cryptosporidium parvum, Dengue fever, ebola, entamoeba histolytica, familial mediterranean fever, fasciolopsiasis, fasciolosis, fungemia, fusarium, Giardia lamblia, hantavirus pulmonary syndrome, helicobacter pylori infection, henipavirus, hookworm, hymenolepiasis, isosporiasis, leptospirosis, mycobacterium avium complex, norovirus, opisthorchis infection, paragonimus infection, Q fever, rheumatic fever, Rocky Mountain spotted fever, salmonellosis, scarlet fever, schistosomiasis, scombrotoxic fish poisoning, shigellosis, strongyloidiasis, toxocariasis, trichomoniasis, typhoid fever, Vibrio vulnificus, viral hepatitis , Whipworm infection, yellow fever, yersiniosis.

Musculoskeletal / Ortho No underlying causes
Neurologic

Autonomic neuropathy.

Nutritional / Metabolic

Diabetic ketoacidosis, food allergy, food intolerance, lactic acidosis, metabolic acidosis, pantothenic acid, Zieve's syndrome.

Obstetric / Gynecologic

Cervical cancer, ectopic pregnancy, endometrial cancer, endometriosis, menstruation, ovarian cancer, ovarian cyst, ovarian hyperstimulation syndrome, ovarian torsion, pelvic inflammatory disease, placental abruption, pregnancy, Salpingitis, uterine fibroids, uterine rupture, uterine sarcoma.

Oncologic

Desmoplastic small round cell tumor, liposarcoma, liver tumor, mesothelioma, Sacrococcygeal teratoma.

Opthalmologic No underlying causes
Overdose / Toxicity

4-Nitrophenol, cicutoxin, cinchonism, clitocybe dealbata, colchicine, hebeloma crustuliniforme, sorbitol, statins, tegaserod, tetrodotoxin, Vitamin A.

Psychiatric No underlying causes
Pulmonary

Empyema, Pleuritis, Basal pneumonia Pulmonary embolism Pulmonary infarction Tuberculosis.

Renal / Electrolyte

Hydronephrosis, hypercalcemia, hyperkalemia, hypocalcemia, nutcracker syndrome, polycystic kidney disease, pyelonephritis, ureterocele, urinary tract infection.

Rheum / Immune / Allergy

Polyarteritis nodosa, Systemic lupus erythematosus.

Sexual No underlying causes
Trauma No underlying causes
Urologic

Prostate cancer, Prostatitis.

Miscellaneous

Alcoholic hepatitis, chronic fatigue syndrome, chronic functional abdominal pain, foreign body, ruptured spleen, side stitch, Situs inversus, Zollinger-Ellison syndrome.


Causes in Alphabetical Order

Acute Abdomen

Common causes of acute abdomen include:

Chronic Functional Abdominal Pain

Common causes of CFAP stem from:

References

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