Numerous causes, ranging from acute, life-threatening emergencies to chronic functional disease and disorders of several organ systems, can generate abdominal pain. Evaluation of acute pain requires rapid assessment of likely causes and early initiation of appropriate therapy. A more detailed and time-consuming approach to diagnosis may be followed in less acute situations. Table 37-1 lists the common causes of abdominal pain.
Approach to the Patient: Abdominal Pain History: History is of critical diagnostic importance. Physical examination may be unrevealing or misleading, and laboratory and radiologic examinations delayed or unhelpful. |
Section 3. Common Patient Presentations