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LOCATION of pain is starting point of abdo pain evaluation
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Is it pulm, urinary, or hepatobiliary?
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UTI/kidney stone → urinalysis
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colic/fever/steatorrhea/Murphy’s → u/s
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If suspected appendicitis, also get urgent surg consult
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Not just hx of fever/ds, physical findings too (e.g. distention, tenderness, rectal blood, etc)
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Abdo Pain
Abdominal Pain (acute and chronic) Subjective LOCATION of pain is starting point of abdo pain evaluation Is it pulm, urinary, or hepatobiliary? UTI/kidney stone → urinalysis colic/fever/steatorrhea/Murphy’s → u/s If suspected appendicitis, also get urgent surg consult Not just hx of fever/ds, physical findings too (e.g. distention, tenderness, rectal blood, etc) Onset, duration, severity, quality, exacerbating/remitting factors Pain relief w/ bowel mvnt, More freq stools w/ onset of pain, Loose stools w/ onset of pain, Passage of
Abdo Pain
Abdominal Pain (acute and chronic) Subjective LOCATION of pain is starting point of abdo pain evaluation Is it pulm, urinary, or hepatobiliary? UTI/kidney stone → urinalysis colic/fever/steatorrhea/Murphy’s → u/s If suspected appendicitis, also get urgent surg consult Not just hx of fever/ds, physical findings too (e.g. distention, tenderness, rectal blood, etc) Onset, duration, severity, quality, exacerbating/remitting factors Pain relief w/ bowel mvnt, More freq stools w/ onset of pain, Loose stools w/ onset of pain, Passage of
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