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Abdominal pain

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4461: 207:, dull, or aching. The characteristic of cramping abdominal pain is that it comes in brief waves, builds to a peak, and then abruptly stops for a period during which there is no more pain. The pain flares up and off periodically. The most common cause of persistent dull or aching abdominal pain is edema or distention of the wall of a hollow viscus. A dull or aching pain may also be felt due to a stretch in the liver and spleen capsules. 2913:
pregnancy. Secondly, pregnancy modifies the natural history and clinical manifestation of numerous abdominal disorders. Third, pregnancy modifies and limits the diagnostic assessment. For instance, concerns about fetal safety during pregnancy are raised by invasive exams and radiologic testing. Fourth, while receiving therapy during pregnancy, the mother's and the fetus' interests need to be taken into account.
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like these can avoid future abdominal issues, resulting in the need of professional assistance. In the emergency department, a person presenting with abdominal pain may initially require IV fluids due to decreased intake secondary to abdominal pain and possible emesis or vomiting. Treatment for abdominal pain includes analgesia, such as non-opioid (ketorolac) and opioid medications (
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Unique clinical challenges arise when pregnant women experience abdominal pain. First off, there are many possible causes of abdominal pain during pregnancy. These include intraabdominal diseases that arise incidentally during pregnancy as well as obstetric or gynecologic disorders associated with
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The challenge of obtaining a sufficient history from an elderly patient can be attributed to multiple factors. Reduced memory or hearing could make the issue worse. It is common to encounter stoicism combined with a fear of losing one's independence if a serious condition is discovered. Changes in
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The management of abdominal pain depends on many factors, including the etiology of the pain. Some dietary changes that some may participate in are: resting after a meal, chewing food completely and slowly, and avoiding stressful and high excitement situations after a meal. Some at home strategies
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Each subsection of the gut has an associated visceral afferent nerve that transmits sensory information from the viscera to the spinal cord, traveling with the autonomic sympathetic nerves. The visceral sensory information from the gut traveling to the spinal cord, termed the visceral afferent, is
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The onset of abdominal pain can be abrupt, quick, or gradual. Sudden onset pain happens in a split second. Rapidly onset pain starts mild and gets worse over the next few minutes. Pain that gradually intensifies only after several hours or even days has passed is referred to as gradual
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More time and resources are used on older patients with abdominal pain than on any other patient presentation in the emergency department (ED). Compared to younger patients with the same complaint, their length of stay is 20% longer, they need to be admitted almost half the time, and they need
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One well-known aspect of primary health care is its low prevalence of potentially dangerous abdominal pain causes. Patients with abdominal pain have a higher percentage of unexplained complaints (category "no diagnosis") than patients with other symptoms (such as
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associated with both non-serious and serious medical issues. Since the abdomen contains most of the body's vital organs, it can be an indicator of a wide variety of diseases. Given that, approaching the examination of a person and planning of a
4528: 4513: 4498: 2875:(ED) visits in the United States for abdominal pain increased 18% from 2006 through to 2011. This was the largest increase out of 20 common conditions seen in the ED. The rate of ED use for nausea and vomiting also increased 18%. 1867:
non-specific and overlaps with the somatic afferent nerves, which are very specific. Therefore, visceral afferent information traveling to the spinal cord can present in the distribution of the somatic afferent nerve; this is why
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The location of abdominal pain can provide information about what may be causing the pain. The abdomen can be divided into four regions called quadrants. Locations and associated conditions include:
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Somatic-visceral referral: pain in the skin, muscles, and bone that causes referred pain in the viscera (of the abdomen such as the stomach, kidneys, bladder, etc.)
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is a condition where there is a sudden onset of severe abdominal pain requiring immediate recognition and management of the underlying cause. The underlying cause may involve infection,
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initially presents with T10 periumbilical pain when it first begins and becomes T12 pain as the abdominal wall peritoneum (which is rich with somatic afferent nerves) is involved.
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Discussing with the patient any health-related behaviors (e.g. tobacco use, alcohol consumption, drug use, and sexual activity) that might make certain diagnoses more likely.
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If diagnosis remains unclear after history, examination, and basic investigations as above, then more advanced investigations may reveal a diagnosis. Such tests include:
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Viscero-visceral referral: happens when one organ with afferent nerves close to another organ is sensitized or inflamed (in this case any of the abdominal viscera)
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can worsen some intra-abdominal processes. Patients presenting to the emergency department with abdominal pain may receive a "GI cocktail" that includes an
2098:(Buscopan) is used to treat cramping abdominal pain with some success. Surgical management for causes of abdominal pain includes but is not limited to 764: 1910:
Discussing with the patient any family history of disease processes, focusing on conditions that might resemble the patient's current presentation.
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Viscero-somatic referral: any pain in the viscera that causes pain in the muscle, bone, and skin (of the abdomen in case of abdominal pain)
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Clarifying the patient's current medication regimen, including prescriptions, over-the-counter medications, and supplements.
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A thorough patient history and physical examination is used to better understand the underlying cause of abdominal pain.
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Tytgat GN (2007). "Hyoscine butylbromide: a review of its use in the treatment of abdominal cramping and pain".
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RodrĂ­guez-Lomba E, Pulido-PĂ©rez A, Ricciardi R, Marcello PW, Kuki I, Nakane S, et al. (1 February 1976).
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Neumayer L, Dangleben DA, Fraser S, Gefen J, Maa J, Mann BD (2013). "11: Abdominal Wall, Including Hernia".
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Learning about the patient's past medical history, focusing on any prior issues or surgical procedures.
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Akasaka E, Sawamura D, Rokunohe D, Sawamura D, Talukdar R, Reddy DN, et al. (1 February 2006).
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Shinar Z, Dembitsky W, Smith ME, Moak JH, Traub SJ, Saghafian S, et al. (1 September 2011).
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Viniol A, Keunecke C, Biroga T, Stadje R, Dornieden K, Bösner S, et al. (October 2014).
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in order to identify important physical signs that might clarify the diagnosis, including a
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Souza Fd, Ferreira CH, Young RC, Cerit L, Lejong M, Louryan S, et al. (1 March 2003).
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Isani MA, Kim ES, Mateu PB, Tormo FB, Thilakarathna K, Xie G, et al. (1 May 2006).
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Gulacti U, Arslan E, Ooi MW, Tuck J, Mattu A, Dubosh NM, et al. (1 February 2001).
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Advanced Health Assessment and Differential Diagnosis: Essentials for Clinical Practice
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secondary to adhesions caused by previous surgeries,
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Chandramohan R, Pari L, Schrock JW, Lum M, Ă–rnek N, Usta G, et al. (1 May 1991).
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If ruptured ectopic pregnancy, the patient may present with peritoneal irritation and
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Abdominal pain is the reason about 3% of adults see their family physician. Rates of
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Abdominal pain (sudden onset of epigastric or back pain), hypertension, new aortic
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If patient is unstable: IV fluid resuscitation, urgent surgical consultation
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Abdominal pain, flank pain, back pain, hypotension, pulsatile abdominal mass
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One can describe abdominal pain as either continuous or sporadic and as
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Hung A, Calderbank T, Samaan MA, Plumb AA, Webster G (1 January 2021).
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Peri-umbilical (the area around the umbilicus, i.e., the belly button)
1262: 915: 376: 175:. About 15% of people have a more serious underlying condition such as 164: 148: 4490: 2859:). Most people who suffer from stomach pain have a benign issue, like 2234:
Abdominal pain (sharp epigastric, shooting to back), nausea, vomiting
5166: 4694: 4517: 4502: 2893: 2413: 2328: 2240: 1987: 1856: 1776: 1743: 1673: 1581: 1406: 1032: 984: 710: 478: 443: 396: 290: 252: 19:"Stomach ache" redirects here. For the 2014 album by Frank Iero, see 3511:(Third ed.). Churchill Livingstone Elsevier. pp. 253–420. 2182:
Abdominal pain (RUQ, radiates epigastric), nausea, vomiting, fever,
48: 4625: 5001: 4850: 2007: 1917: 1832: 1808: 1748: 1691: 1650: 1294: 726: 302: 204: 4570: 3946:(179). Rockville, MD: Agency for Healthcare Research and Quality. 3557:. Philadelphia, Pennsylvania: Lippincott Williams & Wilkins. 2947:
Patterson JW, Dominique E (14 November 2018). "Acute Abdomenal".
4075:"Aging of the Immune System. Mechanisms and Therapeutic Targets" 2277: 1847:. The hindgut contains the distal half of the transverse colon, 160: 4641: 2526:
Cecal volvulus: Abdominal pain (acute onset), nausea, vomiting
309:. A common condition associated with acute abdominal pain is 56:
Abdominal pain can be characterized by the region it affects.
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If patient is stable: continue diagnostic workup, establish
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Stomach ache, tummy ache, belly ache, belly pain, gastralgia
3886:"Probability of appendicitis before and after observation" 2831:
If patient is stable: medical management, consultation of
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Additional investigations that can aid diagnosis include:
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and pain originating in the muscles of the abdominal wall.
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pain. The contents of the abdomen can be divided into the
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Sherman SC, Cico SJ, Nordquist E, Ross C, Wang E (2016).
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Bates' Guide to Physical Examination & History Taking
3320:(1st ed.). United Kingdom: Oxford University Press. 2118:
Below is a brief overview of abdominal pain emergencies.
1955:, lung exam, thorough abdominal exam, and for females, a 1947:
After gathering a thorough history, one should perform a
4346:"Mechanisms and management of functional abdominal pain" 2782:), abdominal pain (LUQ), left rib pain, left flank pain 2580:, urine pregnancy test followed with quantitative blood 2524:: Abdominal pain (>2 days, distention, constipation) 1916:
Reviewing the presence of non-abdominal symptoms (e.g.,
1375:, inflammation, intestinal spasm, functional disorders, 3938:
Skiner HG, Blanchard J, Elixhauser A (September 2014).
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Collantes Celador E, Rudiger J, Tameem A, eds. (2022).
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Spangler R, Van Pham T, Khoujah D, Martinez JP (2014).
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If patient is unstable: IV fluid resuscitation, urgent
1558:(nephrolithiasis), complicated urinary tract infection 1543:(nephrolithiasis), complicated urinary tract infection 3507:
Drake RL, Vogl AW, Mitchell AW (2015). "4: Abdomen".
3461:. Philadelphia, PA: Elsevier, Inc. pp. 209–240. 2904:
mental status, whether acute or chronic, are common.
4480: 3832:"Abdominal Pain and Emergency Department Evaluation" 5188: 5165: 5103: 5070: 5027: 4984: 4977: 4920: 4842: 4683: 4580: 4484: 4298:"Abdominal pain in the ED: a 35 year retrospective" 3269:"Referred Muscle Pain: Basic and Clinical Findings" 3045: 3043: 76: 60: 38: 33: 3940:"Trends in Emergency Department Visits, 2006–2011" 3781:A V, C K, T B, R S, K D, S B, et al. (2014). 3603: 3601: 3578:Karen M. Myrick, Laima Karosas (6 December 2019). 1932:) that can further clarify the diagnostic picture. 191:. In a third of cases, the exact cause is unclear. 4085:(Suppl 5). American Thoracic Society: S422–S428. 2491:Imaging (abdominal X-ray or CT showing free air) 2482:Abdominal pain (sudden onset of localized pain), 2341:Clinical (history & physical exam, including 2090:. After addressing pain, there may be a role for 1907:Confirming the patient's drug and food allergies. 215:The most frequent reasons for abdominal pain are 5297:Symptoms and signs: Digestive system and abdomen 3751: 3749: 3747: 3530: 3528: 3486:. Philadelphia, PA: Elsevier. pp. 157–231. 3151:"Abdominal emergencies in the geriatric patient" 1882:The process of gathering a history may include: 3745: 3743: 3741: 3739: 3737: 3735: 3733: 3731: 3729: 3727: 3640:"Indigestion: MedlinePlus Medical Encyclopedia" 3548: 3546: 3217:, Treasure Island (FL): StatPearls Publishing, 2422:Clinical (history and physical exam, including 3610:"Evaluation of acute abdominal pain in adults" 665:A more extensive list includes the following: 4653: 3452: 3450: 3448: 3446: 3444: 3442: 3209:Patterson JW, Kashyap S, Dominique E (2023), 968:abdominal cutaneous nerve entrapment syndrome 8: 4124:"Sensitivity to Pain in Relationship to Age" 3668: 3666: 3664: 3662: 3660: 3584:. Springer Publishing Company. p. 250. 2632:If patient is stable: admit for observation 4190:Emergency Medicine Clinics of North America 3836:Emergency Medicine Clinics of North America 3267:Arendt-Nielsen L, Svensson P (March 2001). 3155:International Journal of Emergency Medicine 2795:Diagnostic peritoneal aspiration and lavage 2734:Diagnostic peritoneal aspiration and lavage 2094:treatment in some cases of abdominal pain. 4981: 4660: 4646: 4638: 4481: 4302:The American Journal of Emergency Medicine 4128:Journal of the American Geriatrics Society 3963:Journal of the American Geriatrics Society 2062:is dependent on the cause of the pain, as 313:. Here is a list of acute abdomen causes: 255:(1%). More common in those who are older, 47: 30: 4379: 4361: 4244:Gastroenterology Clinics of North America 4098: 3798: 3351:"Gynecologic causes of the acute abdomen" 3284: 3176: 3166: 3125: 2998: 2976: 2974: 2972: 2970: 2968: 2966: 765:postural orthostatic tachycardia syndrome 4350:Journal of the Royal Society of Medicine 3608:Cartwright SL, Knudson MP (April 2008). 2892:Age does not reduce the total number of 2291:Imaging (abdominal X-ray, abdominal CT) 2145:Abdominal pain, nausea, vomiting, fever 2120: 1594: 315: 4079:Annals of the American Thoracic Society 3539:. Baltimore, MD: Wolters Kluwer Health. 2939: 2214:General surgery consultation, possible 2162:General surgery consultation, possible 1886:Identifying more information about the 2791:examination, CT of abdomen and pelvis 2730:examination, CT of abdomen and pelvis 2651:Imaging: Chest X-ray (showing widened 2006:Imaging including chest and abdominal 1827:. The midgut contains portions of the 3355:The Surgical Clinics of North America 2785:Clinical (history and physical exam) 2724:Clinical (history and physical exam) 2649:Clinical (history and physical exam) 2617:Clinical (history and physical exam) 2574:Clinical (history and physical exam) 2530:Clinical (history and physical exam) 2489:Clinical (history and physical exam) 2289:Clinical (history and physical exam) 2237:Clinical (history and physical exam) 2188:Clinical (history and physical exam) 2151:Clinical (history and physical exam) 1763:Abdominal pain can be referred to as 7: 3758:Atlas of Clinical Emergency Medicine 3247:The Lecturio Medical Concept Library 3204: 3202: 3200: 3198: 3196: 3027:Merriam-Webster (Medical dictionary) 2687:Medications: reduce blood pressure ( 2565:Abdominal and pelvic pain, bleeding 2295:Patient made NPO (nothing by mouth) 2250:Patient made NPO (nothing by mouth) 2209:Patient made NPO (nothing by mouth) 2157:Patient made NPO (nothing by mouth) 2147:Periumbilical pain, migrates to RLQ 4134:(11). J Am Geriatr Soc: 1037–1044. 2246:Imaging (abdominal CT, ultrasound) 761:superior mesenteric artery syndrome 223:(8%), urinary tract problems (5%), 4403:Pediatric Clinics of North America 4140:10.1111/j.1532-5415.1964.tb00652.x 3975:10.1111/j.1532-5415.1987.tb04660.x 3459:The Developing Human Tenth Edition 3425:. US: McGraw-Hill Companies, Inc. 3400:. American College of Physicians. 3326:10.1093/med/9780198799443.001.0001 2502:Aggressive IV fluid resuscitation 2444:Aggressive IV fluid resuscitation 2363:Aggressive IV fluid resuscitation 2276:Abdominal pain (diffuse, crampy), 14: 4240:"Abdominal pain during pregnancy" 3537:Essentials of General Surgery, 5e 4459: 3969:(5). J Am Geriatr Soc: 398–404. 3702:10.2165/00003495-200767090-00007 3675:Essentials of Family Medicine 6e 3482:Hansen JT (2019). "4: Abdomen". 3318:Essential Notes in Pain Medicine 3286:10.1097/00002508-200103000-00003 2532:Imaging (abdominal X-ray or CT) 2461:Unstable patient: consultation ( 2384:Unstable patient: consultation ( 1045:C1-esterase inhibitor deficiency 4186:"Abdominal Pain in the Elderly" 4025:The American Journal of Surgery 1267:Gallbladder and biliary tract: 121:ischaemic myocardial conditions 4091:10.1513/AnnalsATS.201602-095AW 4073:Weyand CM, Goronzy rJ (2016). 2669:transesophageal echocardiogram 2625:magnetic resonance angiography 1346:Inferior myocardial infarction 1: 4308:(7). W.B. Saunders: 711–716. 4256:10.1016/S0889-8553(02)00064-X 3902:10.1016/S0196-0644(05)81603-8 3848:10.1016/S0733-8627(05)70171-1 3484:Netter's Clinical Anatomy, 4e 3367:10.1016/s0039-6109(16)44484-1 2821:consultation with subsequent 2760:consultation with subsequent 2323:Abdominal pain (epigastric), 4399:"Abdominal Pain in Children" 4037:10.1016/0002-9610(76)90101-X 3890:Annals of Emergency Medicine 3273:The Clinical Journal of Pain 3110:10.1136/flgastro-2019-101204 2802:advanced trauma life support 2741:advanced trauma life support 2665:transthoracic echocardiogram 2458:Stable patient: observation 2381:Stable patient: observation 1179:familial Mediterranean fever 1147:systemic lupus erythematosus 1094:familial Mediterranean fever 885:Gynaecological or obstetric 602:Familial Mediterranean fever 4881:Charcot's cholangitis triad 3509:Gray's Anatomy For Students 1994:, and for females, a serum 1459:pelvic inflammatory disease 890:pelvic inflammatory disease 624:Pelvic inflammatory disease 507:superior Mesenteric artery. 365:pelvic inflammatory disease 225:inflammation of the stomach 5320: 4344:Farmer AD, Aziz Q (2014). 4314:10.1016/j.ajem.2010.01.045 3098:Frontline Gastroenterology 1892:history of present illness 1721:Inferior mesenteric artery 1679:Superior mesenteric artery 879:left renal vein entrapment 467:inflammatory bowel disease 406:inflammatory bowel disease 267:are other serious causes. 265:abdominal aortic aneurysms 18: 5266:Sister Mary Joseph nodule 4415:10.1016/j.pcl.2005.09.009 4202:10.1016/j.emc.2006.01.010 3793:(5). Fam Pract: 517–529. 3614:American Family Physician 3349:Burnett LS (April 1988). 3168:10.1186/s12245-014-0043-2 2889:surgery 1/3 of the time. 2610:Abdominal aortic aneurysm 2595:obstetrics and gynecology 2258:Possibly consultation of 2190:Imaging (RUQ ultrasound) 1939:to differentiate between 1309:Fitz-Hugh-Curtis syndrome 1074:abdominal aortic aneurysm 1047:, adrenal insufficiency, 181:abdominal aortic aneurysm 55: 46: 4409:(1). Elsevier: 107–137. 4363:10.1177/0141076814540880 4196:(2). Elsevier: 371–388. 4031:(2). Elsevier: 219–223. 3842:(1). Elsevier: 123–136. 3023:"differential diagnosis" 2833:interventional radiology 2813:If patient is unstable: 2752:If patient is unstable: 2471:interventional radiology 2394:interventional radiology 2264:interventional radiology 1843:, and first half of the 1289:, functional disorders, 1162:Irritable bowel syndrome 1139:Henoch-Schonlein purpura 1104:irritable bowel syndrome 375:, or a subdiaphragmatic 221:irritable bowel syndrome 173:irritable bowel syndrome 156:is extremely important. 133:irritable bowel syndrome 3457:Moore KL (2016). "11". 2697:calcium channel blocker 2675:IV fluid resuscitation 2588:transvaginal ultrasound 2542:flexibile sigmoidoscopy 2432:, coagulation profile, 2351:, coagulation profile, 1635:Lower respiratory tract 1377:small bowel obstruction 945:muscle strain or trauma 4673:human digestive system 3944:HCUP Statistical Brief 2823:exploratory laparotomy 2762:exploratory laparotomy 2522:Sigmoid colon volvulus 1966:Blood tests including 1513:sigmoid colon volvulus 1461:, pelvic pain syndrome 997:ischemic heart disease 446:, benign or malignant 286:or bowel obstruction. 179:, leaking or ruptured 154:differential diagnosis 4959:Obstructed defecation 4250:(1). Elsevier: 1–58. 3896:(5). Mosby: 503–507. 3800:10.1093/fampra/cmu036 3000:10.1093/fampra/cmu036 2837:arterial embolization 2702:Surgery consultation 2619:Imaging: Ultrasound, 2454:proton pump inhibitor 2373:proton pump inhibitor 2255:Pain, nausea control 2223:Pain, nausea control 2025:of the abdomen/pelvis 1972:basic metabolic panel 1413:Right lower quadrant 1383:Lower abdominal pain 1356:Diabetic ketoacidosis 1242:Right upper quadrant 1194:myocardial infarction 1037:diabetic ketoacidosis 1028:Metabolic disturbance 850:Renal and urological 570:Diabetic ketoacidosis 5221:Aure-Rozanova's sign 5180:Hannington-Kiff sign 5175:Howship–Romberg sign 5133:Aortic insufficiency 5035:Abdominal distension 2923:Abdominal distension 2873:emergency department 2689:sodium nitroprusside 2578:complete blood count 2496:complete blood count 2484:abdominal distension 2430:complete blood count 2349:complete blood count 2297:IV fluids as needed 2252:IV fluids as needed 2211:IV fluids as needed 2159:IV fluids as needed 2028:Abdominal or pelvic 1980:liver function tests 1968:complete blood count 1519:, gas accumulation, 1504:Left lower quadrant 1315:Left upper quadrant 1151:polyarteritis nodosa 928:Pregnancy: ruptured 613:Gynecological causes 501:, usually caused by 299:abdominal distention 289:The pain may elicit 21:Stomachaches (album) 4786:Chilaiditi syndrome 3957:SA B, LZ R (1987). 3421:LeBlond RF (2004). 2879:Special populations 2552:right hemicolectomy 2479:Perforated Viscous 2424:digital rectal exam 2343:digital rectal exam 2122: 2080:magnesium hydroxide 2023:Computed tomography 1953:cardiovascular exam 1926:shortness of breath 1548:Left low back pain 1439:(nephrolithiasis), 1369:mesenteric ischemia 1167:Metabolic disorders 1143:sickle cell disease 1131:mesenteric ischemia 934:threatened abortion 778:lactose intolerance 753:sickle cell disease 705:microscopic colitis 499:intestinal ischemia 373:mesenteric adenitis 343:Infections such as 261:mesenteric ischemia 5153:Grey Turner's sign 5083:Hepatosplenomegaly 5012:Abdominal guarding 4944:Fecal occult blood 4935:Fecal incontinence 4906:Mirizzi's syndrome 4816:Sherren's triangle 4669:Signs and symptoms 4581:External resources 3760:. Wolters Kluwer. 3553:Bickley L (2016). 3396:Masters P (2015). 3050:Sherman R (1990). 2804:) with IV fluids ( 2743:) with IV fluids ( 2680:as needed (obtain 2230:Acute pancreatitis 2203:hyperbilirubinemia 2121: 2106:, and exploratory 2070:(examples include 1803:, portions of the 1795:, portions of the 1498:endometrial cancer 1053:black widow spider 1021:testicular torsion 993:pulmonary embolism 948:muscular infection 900:Endocrinological: 701:ulcerative colitis 626:(PID) and abscess. 562:Sickle cell anemia 554:Acute pancreatitis 414:ulcerative colitis 284:vascular occlusion 237:biliary dyskinesia 195:Signs and symptoms 143:, also known as a 5279: 5278: 5251:Fothergill's sign 5241:Rosenstein's sign 5161: 5160: 5116:Mallet-Guy's sign 5055:Shifting dullness 4876:Courvoisier's law 4635: 4634: 3767:978-1-4511-8882-0 3591:978-0-8261-6255-7 3564:978-1-4698-9341-9 3518:978-0-7020-5131-9 3493:978-0-323-53188-7 3468:978-0-323-31338-4 3432:978-0-07-140923-0 3407:978-1-938921-09-4 3335:978-0-19-879944-3 3063:978-0-409-90077-4 2843: 2842: 2810:blood transfusion 2749:blood transfusion 2678:Blood transfusion 2639:Aortic dissection 2569:hypovolemic shock 2561:Ectopic pregnancy 2447:Blood transfusion 2366:Blood transfusion 2272:Bowel obstruction 2013:Electrocardiogram 1793:respiratory tract 1761: 1760: 1517:bowel obstruction 1474:ectopic pregnancy 1422:bowel obstruction 1362:aortic dissection 1325:bowel obstruction 1287:bowel obstruction 1222:pancreatic cancer 1157:bowel obstruction 1070:aortic dissection 930:ectopic pregnancy 873:urinary retention 859:bladder infection 669:Gastrointestinal 658: 657: 653: 644: 635: 632:Ectopic pregnancy 627: 605: 597: 589: 581: 573: 565: 557: 519: 509: 491: 482: 463:colorectal cancer 451: 426: 417: 404:Complications of 400: 380: 337: 334: 189:ectopic pregnancy 159:Common causes of 138: 137: 28:Medical condition 5309: 4982: 4969:Rectal discharge 4885:Reynolds' pentad 4824:Radiologic signs 4811:McBurney's point 4685:Gastrointestinal 4671:relating to the 4662: 4655: 4648: 4639: 4482: 4471:Cleveland Clinic 4463: 4449: 4447: 4445: 4393: 4383: 4365: 4340: 4338: 4336: 4283: 4282: 4280: 4278: 4235: 4229: 4228: 4226: 4224: 4181: 4175: 4174: 4172: 4170: 4119: 4113: 4112: 4102: 4070: 4064: 4063: 4061: 4059: 4016: 4010: 4009: 4007: 4005: 3954: 3948: 3947: 3935: 3929: 3928: 3926: 3924: 3881: 3875: 3874: 3872: 3870: 3827: 3821: 3820: 3802: 3778: 3772: 3771: 3753: 3722: 3721: 3685: 3679: 3678: 3670: 3655: 3654: 3652: 3650: 3636: 3630: 3629: 3605: 3596: 3595: 3575: 3569: 3568: 3550: 3541: 3540: 3532: 3523: 3522: 3504: 3498: 3497: 3479: 3473: 3472: 3454: 3437: 3436: 3418: 3412: 3411: 3393: 3387: 3386: 3346: 3340: 3339: 3313: 3307: 3306: 3288: 3264: 3258: 3257: 3255: 3253: 3239: 3233: 3232: 3231: 3229: 3206: 3191: 3190: 3180: 3170: 3146: 3140: 3139: 3129: 3089: 3083: 3082: 3080: 3078: 3056:. Butterworths. 3047: 3038: 3037: 3035: 3033: 3019: 3013: 3012: 3002: 2978: 2961: 2960: 2944: 2898:mucous membranes 2538:Gastroenterology 2486:, rigid abdomen 2467:gastroenterology 2408:Abdominal pain, 2390:gastroenterology 2301:Nasogastric tube 2123: 2096:Butylscopolamine 2084:calcium chloride 1930:vaginal bleeding 1849:descending colon 1845:transverse colon 1734:Descending colon 1730:transverse colon 1708:transverse colon 1595: 1430:McBurney's point 1364:, aortic rupture 1297:, inflammation, 1291:gas accumulation 1135:ischemic colitis 757:abdominal angina 721:, post-surgical 647: 638: 630: 622: 600: 592: 584: 576: 568: 560: 552: 515: 496: 487: 454: 431: 422: 403: 383: 342: 336: 332: 316: 257:ischemic colitis 117:ischemic colitis 113:lacerated spleen 67:Gastroenterology 51: 31: 5319: 5318: 5312: 5311: 5310: 5308: 5307: 5306: 5282: 5281: 5280: 5275: 5236:Lockwood's sign 5184: 5157: 5128:Ballance's sign 5099: 5066: 5060:Fluid wave test 5023: 5017:Blumberg's sign 4973: 4949:Rectal tenesmus 4916: 4856:Councilman body 4838: 4781:Goodsall's rule 4769:Hypersalivation 4686: 4679: 4666: 4636: 4631: 4630: 4576: 4575: 4493: 4456: 4443: 4441: 4396: 4343: 4334: 4332: 4295: 4292: 4290:Further reading 4287: 4286: 4276: 4274: 4237: 4236: 4232: 4222: 4220: 4183: 4182: 4178: 4168: 4166: 4121: 4120: 4116: 4072: 4071: 4067: 4057: 4055: 4018: 4017: 4013: 4003: 4001: 3956: 3955: 3951: 3937: 3936: 3932: 3922: 3920: 3883: 3882: 3878: 3868: 3866: 3829: 3828: 3824: 3787:Family Practice 3780: 3779: 3775: 3768: 3755: 3754: 3725: 3687: 3686: 3682: 3672: 3671: 3658: 3648: 3646: 3644:medlineplus.gov 3638: 3637: 3633: 3607: 3606: 3599: 3592: 3577: 3576: 3572: 3565: 3552: 3551: 3544: 3534: 3533: 3526: 3519: 3506: 3505: 3501: 3494: 3481: 3480: 3476: 3469: 3456: 3455: 3440: 3433: 3420: 3419: 3415: 3408: 3395: 3394: 3390: 3348: 3347: 3343: 3336: 3315: 3314: 3310: 3266: 3265: 3261: 3251: 3249: 3241: 3240: 3236: 3227: 3225: 3211:"Acute Abdomen" 3208: 3207: 3194: 3148: 3147: 3143: 3091: 3090: 3086: 3076: 3074: 3064: 3049: 3048: 3041: 3031: 3029: 3021: 3020: 3016: 2987:Family Practice 2980: 2979: 2964: 2946: 2945: 2941: 2936: 2919: 2910: 2886: 2881: 2869: 2848: 2800:Resuscitation ( 2739:Resuscitation ( 2548:General surgery 2505:General surgery 2463:general surgery 2386:general surgery 2307:General surgery 2260:general surgery 2239:Labs (elevated 2216:cholecystectomy 2116: 2100:cholecystectomy 2047: 1890:by eliciting a 1888:chief complaint 1877: 1859:, and superior 1841:ascending colon 1815:(including the 1702:Ascending colon 1593: 1521:Toxic megacolon 1482:ovarian torsion 1468:, intrauterine 1418:intussusception 1115: 896:ovarian torsion 715:intussusception 697:Crohn's disease 677:gastroenteritis 663: 650:ovarian torsion 615: 545: 522: 503:thromboembolism 493: 475:fecal impaction 440:intussusception 428: 410:Crohn's disease 339: 323: 321:Surgical causes 273: 243:problems (4%), 217:gastroenteritis 213: 197: 169:gastroenteritis 129:Gastroenteritis 123: 109:aortic aneurysm 101:ovarian torsion 71:general surgery 29: 24: 17: 12: 11: 5: 5317: 5316: 5313: 5305: 5304: 5299: 5294: 5292:Abdominal pain 5284: 5283: 5277: 5276: 5274: 5273: 5271:Blumer's shelf 5268: 5263: 5261:Massouh's sign 5258: 5256:Carnett's sign 5253: 5248: 5243: 5238: 5233: 5228: 5223: 5218: 5213: 5211:Hamburger sign 5208: 5206:Rovsing's sign 5203: 5201:Obturator sign 5198: 5192: 5190: 5186: 5185: 5183: 5182: 5177: 5171: 5169: 5163: 5162: 5159: 5158: 5156: 5155: 5150: 5145: 5140: 5138:Castell's sign 5135: 5130: 5125: 5120: 5119: 5118: 5107: 5105: 5101: 5100: 5098: 5097: 5096: 5095: 5090: 5080: 5078:Abdominal mass 5074: 5072: 5068: 5067: 5065: 5064: 5063: 5062: 5057: 5052: 5047: 5042: 5031: 5029: 5025: 5024: 5022: 5021: 5020: 5019: 5014: 5009: 5004: 4999: 4992:Abdominal pain 4988: 4986: 4979: 4975: 4974: 4972: 4971: 4966: 4961: 4956: 4951: 4946: 4941: 4932: 4926: 4924: 4918: 4917: 4915: 4914: 4909: 4903: 4898: 4887: 4878: 4873: 4864: 4863: 4858: 4846: 4844: 4840: 4839: 4837: 4836: 4831: 4829:Hampton's line 4819: 4818: 4813: 4808: 4803: 4798: 4793: 4788: 4783: 4777: 4776: 4771: 4766: 4761: 4756: 4751: 4750: 4749: 4744: 4734: 4733: 4732: 4727: 4722: 4712: 4707: 4702: 4697: 4691: 4689: 4681: 4680: 4667: 4665: 4664: 4657: 4650: 4642: 4633: 4632: 4629: 4628: 4619: 4608: 4606:Abdominal pain 4597: 4585: 4584: 4582: 4578: 4577: 4574: 4573: 4562: 4551: 4540: 4525: 4510: 4494: 4489: 4488: 4486: 4485:Classification 4479: 4478: 4473: 4468: 4465:Abdominal Pain 4455: 4454:External links 4452: 4451: 4450: 4394: 4356:(9): 347–354. 4341: 4291: 4288: 4285: 4284: 4230: 4176: 4114: 4065: 4011: 3949: 3930: 3876: 3822: 3773: 3766: 3723: 3696:(9): 1343–57. 3680: 3677:. p. 149. 3673:Mahadevan SV. 3656: 3631: 3597: 3590: 3570: 3563: 3542: 3524: 3517: 3499: 3492: 3474: 3467: 3438: 3431: 3413: 3406: 3388: 3361:(2): 385–398. 3341: 3334: 3308: 3259: 3243:"Appendicitis" 3234: 3192: 3141: 3084: 3062: 3053:Abdominal Pain 3039: 3014: 2962: 2938: 2937: 2935: 2932: 2931: 2930: 2928:Abdominal mass 2925: 2918: 2915: 2909: 2906: 2885: 2882: 2880: 2877: 2868: 2865: 2847: 2844: 2841: 2840: 2819:trauma surgery 2798: 2783: 2774:After trauma ( 2772: 2770:Splenic injury 2766: 2765: 2758:trauma surgery 2737: 2722: 2713:After trauma ( 2711: 2705: 2704: 2682:type and cross 2673: 2657:CT angiography 2647: 2641: 2635: 2634: 2628: 2621:CT angiography 2615: 2612: 2606: 2605: 2591: 2572: 2563: 2557: 2556: 2550:consultation ( 2540:consultation ( 2534: 2528: 2519: 2513: 2512: 2500: 2487: 2480: 2476: 2475: 2442: 2420: 2406: 2399: 2398: 2361: 2339: 2321: 2319:Upper GI bleed 2315: 2314: 2293: 2287: 2274: 2268: 2267: 2248: 2235: 2232: 2226: 2225: 2207: 2186: 2180: 2174: 2173: 2155: 2149: 2143: 2137: 2136: 2133: 2130: 2127: 2115: 2112: 2046: 2043: 2042: 2041: 2032: 2026: 2016: 2015: 2010: 2004: 1999: 1996:pregnancy test 1945: 1944: 1937:Carnett's sign 1933: 1914: 1911: 1908: 1905: 1902: 1899: 1876: 1873: 1759: 1758: 1726: 1723: 1718: 1712: 1711: 1684: 1681: 1676: 1670: 1669: 1623: 1620: 1615: 1609: 1608: 1605: 1602: 1599: 1592: 1589: 1588: 1587: 1586: 1585: 1582:Ureteral stone 1579: 1576:hydronephrosis 1563:Low back pain 1561: 1560: 1559: 1552: 1546: 1545: 1544: 1537: 1525: 1524: 1523: 1509:diverticulitis 1502: 1501: 1500: 1494:ovarian cancer 1462: 1455:bladder cancer 1443: 1441:pyelonephritis 1433: 1411: 1410: 1409: 1404: 1399: 1394: 1389: 1381: 1380: 1379: 1373:Celiac disease 1365: 1358: 1353: 1348: 1343: 1338: 1330: 1329: 1328: 1321: 1313: 1312: 1311: 1301: 1283: 1277:worm infection 1265: 1240: 1239: 1238: 1232:diverticulitis 1228:duodenal ulcer 1224: 1214: 1212:stomach cancer 1200: 1187: 1186: 1185: 1183:adrenal crisis 1164: 1159: 1153: 1127: 1114: 1111: 1110: 1109: 1108: 1107: 1098: 1097: 1096: 1091: 1086: 1080:Immune system 1078: 1077: 1076: 1066:Blood vessels 1064: 1063: 1062: 1049:lead poisoning 1025: 1024: 1023: 1013: 1003: 976: 975: 974: 972:tabes dorsalis 949: 946: 941:Abdominal wall 938: 937: 936: 926: 924:ovarian cancer 908: 898: 892: 888:Inflammatory: 883: 882: 881: 875: 861: 855:pyelonephritis 853:Inflammation: 848: 847: 846: 845: 844: 843: 842: 838:Inflammatory: 833: 832: 831: 823:Inflammatory: 818: 817: 816: 814:cholelithiasis 810: 802:Inflammatory: 794: 793: 792: 786:food allergies 782:celiac disease 767: 737: 707: 693:diverticulitis 675:Inflammatory: 662: 659: 656: 655: 616: 614: 611: 608: 607: 594:Lead poisoning 586:Pyelonephritis 578:Adrenal crisis 546: 544: 543:Medical causes 541: 538: 537: 536: 535: 532: 529: 521: 512: 511: 510: 492: 485: 484: 483: 452: 427: 420: 419: 418: 401: 381: 357:pyelonephritis 338: 329: 324: 322: 319: 272: 269: 245:diverticulitis 212: 209: 196: 193: 185:diverticulitis 141:Abdominal pain 136: 135: 97:diverticulitis 78: 74: 73: 64: 58: 57: 53: 52: 44: 43: 40: 36: 35: 34:Abdominal pain 27: 15: 13: 10: 9: 6: 4: 3: 2: 5315: 5314: 5303: 5300: 5298: 5295: 5293: 5290: 5289: 5287: 5272: 5269: 5267: 5264: 5262: 5259: 5257: 5254: 5252: 5249: 5247: 5244: 5242: 5239: 5237: 5234: 5232: 5229: 5227: 5226:Dunphy's sign 5224: 5222: 5219: 5217: 5216:Heel tap sign 5214: 5212: 5209: 5207: 5204: 5202: 5199: 5197: 5194: 5193: 5191: 5187: 5181: 5178: 5176: 5173: 5172: 5170: 5168: 5164: 5154: 5151: 5149: 5148:Cullen's sign 5146: 5144: 5141: 5139: 5136: 5134: 5131: 5129: 5126: 5124: 5121: 5117: 5114: 5113: 5112: 5109: 5108: 5106: 5102: 5094: 5091: 5089: 5086: 5085: 5084: 5081: 5079: 5076: 5075: 5073: 5069: 5061: 5058: 5056: 5053: 5051: 5048: 5046: 5043: 5041: 5038: 5037: 5036: 5033: 5032: 5030: 5026: 5018: 5015: 5013: 5010: 5008: 5005: 5003: 5000: 4998: 4997:Acute abdomen 4995: 4994: 4993: 4990: 4989: 4987: 4983: 4980: 4976: 4970: 4967: 4965: 4962: 4960: 4957: 4955: 4952: 4950: 4947: 4945: 4942: 4940: 4936: 4933: 4931: 4928: 4927: 4925: 4923: 4919: 4913: 4910: 4907: 4904: 4902: 4901:LĂ©pine's sign 4899: 4897: 4896:Murphy's sign 4893: 4892: 4891:cholecystitis 4888: 4886: 4882: 4879: 4877: 4874: 4872: 4869: 4866: 4865: 4862: 4859: 4857: 4854: 4852: 4848: 4847: 4845: 4841: 4835: 4832: 4830: 4827: 4825: 4821: 4820: 4817: 4814: 4812: 4809: 4807: 4806:Markle's sign 4804: 4802: 4801:Arapov's sign 4799: 4797: 4794: 4792: 4789: 4787: 4784: 4782: 4779: 4778: 4775: 4772: 4770: 4767: 4765: 4762: 4760: 4757: 4755: 4752: 4748: 4745: 4743: 4742:oropharyngeal 4740: 4739: 4738: 4735: 4731: 4728: 4726: 4723: 4721: 4718: 4717: 4716: 4713: 4711: 4708: 4706: 4703: 4701: 4698: 4696: 4693: 4692: 4690: 4688: 4682: 4678: 4674: 4670: 4663: 4658: 4656: 4651: 4649: 4644: 4643: 4640: 4627: 4623: 4620: 4618: 4614: 4613: 4609: 4607: 4603: 4602: 4598: 4596: 4592: 4591: 4587: 4586: 4583: 4579: 4572: 4568: 4567: 4563: 4561: 4557: 4556: 4552: 4550: 4546: 4545: 4541: 4539: 4535: 4534: 4530: 4526: 4524: 4520: 4519: 4515: 4511: 4509: 4505: 4504: 4500: 4496: 4495: 4492: 4487: 4483: 4477: 4474: 4472: 4469: 4466: 4462: 4458: 4457: 4453: 4440: 4436: 4432: 4428: 4424: 4420: 4416: 4412: 4408: 4404: 4400: 4395: 4391: 4387: 4382: 4377: 4373: 4369: 4364: 4359: 4355: 4351: 4347: 4342: 4331: 4327: 4323: 4319: 4315: 4311: 4307: 4303: 4299: 4294: 4293: 4289: 4273: 4269: 4265: 4261: 4257: 4253: 4249: 4245: 4241: 4234: 4231: 4219: 4215: 4211: 4207: 4203: 4199: 4195: 4191: 4187: 4180: 4177: 4165: 4161: 4157: 4153: 4149: 4145: 4141: 4137: 4133: 4129: 4125: 4122:Ed S (1964). 4118: 4115: 4110: 4106: 4101: 4096: 4092: 4088: 4084: 4080: 4076: 4069: 4066: 4054: 4050: 4046: 4042: 4038: 4034: 4030: 4026: 4022: 4015: 4012: 4000: 3996: 3992: 3988: 3984: 3980: 3976: 3972: 3968: 3964: 3960: 3953: 3950: 3945: 3941: 3934: 3931: 3919: 3915: 3911: 3907: 3903: 3899: 3895: 3891: 3887: 3880: 3877: 3865: 3861: 3857: 3853: 3849: 3845: 3841: 3837: 3833: 3826: 3823: 3818: 3814: 3810: 3806: 3801: 3796: 3792: 3788: 3784: 3777: 3774: 3769: 3763: 3759: 3752: 3750: 3748: 3746: 3744: 3742: 3740: 3738: 3736: 3734: 3732: 3730: 3728: 3724: 3719: 3715: 3711: 3707: 3703: 3699: 3695: 3691: 3684: 3681: 3676: 3669: 3667: 3665: 3663: 3661: 3657: 3645: 3641: 3635: 3632: 3627: 3623: 3619: 3615: 3611: 3604: 3602: 3598: 3593: 3587: 3583: 3582: 3574: 3571: 3566: 3560: 3556: 3549: 3547: 3543: 3538: 3531: 3529: 3525: 3520: 3514: 3510: 3503: 3500: 3495: 3489: 3485: 3478: 3475: 3470: 3464: 3460: 3453: 3451: 3449: 3447: 3445: 3443: 3439: 3434: 3428: 3424: 3417: 3414: 3409: 3403: 3399: 3398:IM Essentials 3392: 3389: 3384: 3380: 3376: 3372: 3368: 3364: 3360: 3356: 3352: 3345: 3342: 3337: 3331: 3327: 3323: 3319: 3312: 3309: 3304: 3300: 3296: 3292: 3287: 3282: 3278: 3274: 3270: 3263: 3260: 3248: 3244: 3238: 3235: 3224: 3220: 3216: 3212: 3205: 3203: 3201: 3199: 3197: 3193: 3188: 3184: 3179: 3174: 3169: 3164: 3160: 3156: 3152: 3145: 3142: 3137: 3133: 3128: 3123: 3119: 3115: 3111: 3107: 3103: 3099: 3095: 3088: 3085: 3073: 3069: 3065: 3059: 3055: 3054: 3046: 3044: 3040: 3028: 3024: 3018: 3015: 3010: 3006: 3001: 2996: 2993:(5): 517–29. 2992: 2988: 2984: 2977: 2975: 2973: 2971: 2969: 2967: 2963: 2958: 2954: 2950: 2943: 2940: 2933: 2929: 2926: 2924: 2921: 2920: 2916: 2914: 2907: 2905: 2901: 2899: 2895: 2890: 2883: 2878: 2876: 2874: 2866: 2864: 2862: 2858: 2854: 2845: 2839: 2838: 2835:for possible 2834: 2829: 2828: 2825:and possible 2824: 2820: 2816: 2811: 2807: 2803: 2799: 2797: 2796: 2792: 2790: 2784: 2781: 2777: 2773: 2771: 2768: 2767: 2764: 2763: 2759: 2755: 2750: 2746: 2742: 2738: 2736: 2735: 2731: 2729: 2723: 2720: 2716: 2712: 2710: 2707: 2706: 2703: 2700: 2698: 2694: 2690: 2685: 2683: 2679: 2674: 2672: 2670: 2666: 2662: 2658: 2654: 2648: 2646: 2642: 2640: 2637: 2636: 2633: 2629: 2627: 2626: 2622: 2616: 2613: 2611: 2608: 2607: 2604: 2602: 2597:consultation 2596: 2592: 2590: 2589: 2584: 2583: 2579: 2573: 2571: 2570: 2564: 2562: 2559: 2558: 2555: 2553: 2549: 2543: 2539: 2535: 2533: 2529: 2527: 2523: 2520: 2518: 2515: 2514: 2511: 2508: 2507:consultation 2506: 2501: 2499: 2497: 2492: 2488: 2485: 2481: 2478: 2477: 2474: 2472: 2468: 2464: 2459: 2456: 2455: 2452:Medications: 2450: 2448: 2443: 2441: 2439: 2435: 2434:transaminases 2431: 2425: 2421: 2419: 2415: 2411: 2407: 2405: 2401: 2400: 2397: 2395: 2391: 2387: 2382: 2379: 2378: 2374: 2371:Medications: 2369: 2367: 2362: 2360: 2358: 2354: 2353:transaminases 2350: 2344: 2340: 2338: 2334: 2330: 2326: 2322: 2320: 2317: 2316: 2313: 2312:Pain control 2310: 2309:consultation 2308: 2304: 2302: 2298: 2294: 2292: 2288: 2286: 2282: 2279: 2275: 2273: 2270: 2269: 2266: 2265: 2261: 2256: 2253: 2249: 2247: 2244: 2242: 2236: 2233: 2231: 2228: 2227: 2224: 2221: 2218: 2217: 2212: 2208: 2206: 2204: 2200: 2196: 2191: 2187: 2185: 2184:Murphy's sign 2181: 2179: 2178:Cholecystitis 2176: 2175: 2172: 2171:Pain control 2169: 2166: 2165: 2160: 2156: 2154: 2153:Abdominal CT 2150: 2148: 2144: 2142: 2139: 2138: 2134: 2131: 2129:Presentation 2128: 2125: 2124: 2119: 2113: 2111: 2109: 2105: 2101: 2097: 2093: 2092:antimicrobial 2089: 2085: 2081: 2077: 2073: 2069: 2065: 2061: 2058:). Choice of 2057: 2053: 2044: 2040: 2036: 2033: 2031: 2027: 2024: 2021: 2020: 2019: 2014: 2011: 2009: 2005: 2003: 2000: 1997: 1993: 1989: 1985: 1981: 1977: 1973: 1969: 1965: 1964: 1963: 1960: 1958: 1957:genitourinary 1954: 1950: 1949:physical exam 1942: 1941:visceral pain 1938: 1934: 1931: 1927: 1923: 1919: 1915: 1912: 1909: 1906: 1903: 1900: 1897: 1893: 1889: 1885: 1884: 1883: 1880: 1874: 1872: 1870: 1864: 1862: 1858: 1854: 1853:sigmoid colon 1850: 1846: 1842: 1838: 1834: 1830: 1826: 1822: 1818: 1814: 1813:biliary tract 1810: 1806: 1802: 1798: 1794: 1790: 1787:contains the 1786: 1782: 1778: 1774: 1770: 1766: 1765:visceral pain 1757: 1756: 1751: 1750: 1746: 1745: 1741: 1740: 1739:Sigmoid colon 1736: 1735: 1731: 1727: 1724: 1722: 1719: 1717: 1714: 1713: 1710: 1709: 1704: 1703: 1699: 1698: 1694: 1693: 1689: 1685: 1682: 1680: 1677: 1675: 1672: 1671: 1668: 1667: 1663: 1662: 1658: 1657: 1656:Biliary tract 1653: 1652: 1648: 1647: 1642: 1641: 1637: 1636: 1632: 1631: 1627: 1624: 1621: 1619: 1618:Celiac artery 1616: 1614: 1611: 1610: 1606: 1603: 1601:Blood supply 1600: 1597: 1596: 1590: 1583: 1580: 1577: 1573: 1572:kidney cancer 1569: 1566:Kidney pain ( 1565: 1564: 1562: 1557: 1553: 1550: 1549: 1547: 1542: 1538: 1536: 1532: 1531: 1530: 1529:low back pain 1526: 1522: 1518: 1514: 1510: 1506: 1505: 1503: 1499: 1495: 1491: 1487: 1483: 1479: 1475: 1471: 1467: 1466:endometriosis 1464:Gynecologic: 1463: 1460: 1456: 1452: 1451:bladder stone 1448: 1444: 1442: 1438: 1434: 1431: 1427: 1423: 1419: 1415: 1414: 1412: 1408: 1405: 1403: 1400: 1398: 1395: 1393: 1390: 1388: 1385: 1384: 1382: 1378: 1374: 1370: 1366: 1363: 1359: 1357: 1354: 1352: 1349: 1347: 1344: 1342: 1339: 1337: 1334: 1333: 1331: 1326: 1322: 1320: 1317: 1316: 1314: 1310: 1306: 1302: 1300: 1296: 1292: 1288: 1284: 1282: 1278: 1274: 1270: 1266: 1264: 1260: 1256: 1252: 1248: 1244: 1243: 1241: 1237: 1233: 1229: 1225: 1223: 1219: 1215: 1213: 1209: 1208:stomach ulcer 1205: 1201: 1199: 1195: 1191: 1190: 1188: 1184: 1180: 1176: 1172: 1168: 1165: 1163: 1160: 1158: 1154: 1152: 1148: 1144: 1140: 1136: 1132: 1128: 1126: 1123: 1122: 1120: 1119: 1118: 1112: 1105: 1102: 1101: 1099: 1095: 1092: 1090: 1087: 1085: 1082: 1081: 1079: 1075: 1071: 1068: 1067: 1065: 1061: 1058: 1054: 1050: 1046: 1042: 1038: 1034: 1031: 1030: 1029: 1026: 1022: 1018: 1014: 1012: 1008: 1004: 1002: 998: 994: 990: 986: 982: 981: 980: 979:Referred pain 977: 973: 969: 965: 961: 957: 956:herpes zoster 953: 950: 947: 944: 943: 942: 939: 935: 931: 927: 925: 921: 917: 913: 912:endometriosis 909: 907: 906:Mittelschmerz 903: 899: 897: 893: 891: 887: 886: 884: 880: 876: 874: 870: 866: 865:kidney stones 863:Obstruction: 862: 860: 856: 852: 851: 849: 841: 837: 836: 834: 830: 829:liver abscess 826: 822: 821: 819: 815: 812:Obstruction: 811: 809: 805: 804:cholecystitis 801: 800: 798: 797: 795: 791: 787: 783: 779: 775: 771: 768: 766: 762: 758: 754: 750: 746: 742: 738: 736: 732: 728: 724: 720: 716: 712: 709:Obstruction: 708: 706: 702: 698: 694: 690: 686: 682: 678: 674: 673: 671: 670: 668: 667: 666: 660: 654: 651: 645: 642: 636: 633: 628: 625: 620: 617: 612: 610: 609: 606: 603: 598: 595: 590: 587: 582: 579: 574: 571: 566: 563: 558: 555: 550: 547: 542: 540: 539: 533: 530: 527: 526: 525: 520: 518: 517:Referred pain 513: 508: 504: 500: 495: 494: 490: 486: 480: 476: 472: 468: 464: 460: 457: 453: 449: 445: 441: 437: 434: 430: 429: 425: 421: 415: 411: 407: 402: 398: 394: 390: 386: 382: 378: 374: 370: 366: 362: 358: 354: 350: 349:cholecystitis 346: 341: 340: 335: 330: 328: 325: 320: 318: 317: 314: 312: 308: 305:and signs of 304: 300: 296: 292: 287: 285: 281: 277: 276:Acute abdomen 271:Acute abdomen 270: 268: 266: 262: 258: 254: 250: 246: 242: 238: 234: 230: 226: 222: 218: 210: 208: 206: 201: 194: 192: 190: 186: 182: 178: 174: 170: 166: 162: 157: 155: 150: 146: 142: 134: 130: 126: 122: 118: 114: 110: 106: 102: 98: 94: 90: 89:stomach ulcer 87:, perforated 86: 82: 79: 75: 72: 68: 65: 63: 59: 54: 50: 45: 41: 37: 32: 26: 22: 16:Stomach aches 5231:Alder's sign 5093:Splenomegaly 5088:Hepatomegaly 4991: 4954:Constipation 4889: 4867: 4861:Mallory body 4849: 4834:Klemm's sign 4822: 4796:Aaron's sign 4791:Dance's sign 4720:Trichophagia 4621: 4610: 4599: 4588: 4564: 4553: 4542: 4527: 4512: 4497: 4467:at Wikibooks 4442:. Retrieved 4406: 4402: 4353: 4349: 4333:. Retrieved 4305: 4301: 4275:. Retrieved 4247: 4243: 4233: 4221:. Retrieved 4193: 4189: 4179: 4167:. Retrieved 4131: 4127: 4117: 4082: 4078: 4068: 4056:. Retrieved 4028: 4024: 4014: 4002:. Retrieved 3966: 3962: 3952: 3943: 3933: 3921:. Retrieved 3893: 3889: 3879: 3867:. Retrieved 3839: 3835: 3825: 3790: 3786: 3776: 3757: 3693: 3689: 3683: 3674: 3647:. Retrieved 3643: 3634: 3620:(7): 971–8. 3617: 3613: 3580: 3573: 3554: 3536: 3508: 3502: 3483: 3477: 3458: 3422: 3416: 3397: 3391: 3358: 3354: 3344: 3317: 3311: 3279:(1): 11–19. 3276: 3272: 3262: 3250:. Retrieved 3246: 3237: 3228:23 September 3226:, retrieved 3214: 3158: 3154: 3144: 3104:(1): 44–52. 3101: 3097: 3087: 3075:. Retrieved 3052: 3030:. Retrieved 3026: 3017: 2990: 2986: 2948: 2942: 2911: 2902: 2891: 2887: 2870: 2867:Epidemiology 2849: 2830: 2812: 2793: 2786: 2751: 2732: 2725: 2709:Liver injury 2701: 2693:beta blocker 2686: 2676: 2650: 2631: 2618: 2598: 2585: 2575: 2566: 2545: 2531: 2525: 2510:Antibiotics 2509: 2503: 2493: 2490: 2460: 2457: 2451: 2445: 2438:stool guaiac 2427: 2410:hematochezia 2383: 2380: 2370: 2364: 2357:stool guaiac 2346: 2325:hematochezia 2311: 2305: 2299: 2296: 2290: 2285:constipation 2257: 2254: 2251: 2245: 2238: 2222: 2220:Antibiotics 2219: 2213: 2210: 2199:transamintis 2195:leukocytosis 2192: 2189: 2170: 2168:Antibiotics 2167: 2164:appendectomy 2161: 2158: 2152: 2146: 2141:Appendicitis 2117: 2104:appendectomy 2048: 2017: 1976:electrolytes 1961: 1946: 1881: 1878: 1869:appendicitis 1865: 1807:(proximal), 1762: 1752: 1747: 1742: 1737: 1732: 1705: 1700: 1695: 1690: 1664: 1659: 1654: 1649: 1643: 1638: 1633: 1628: 1604:Innervation 1568:kidney stone 1556:kidney stone 1541:kidney stone 1535:hepatomegaly 1478:ovarian cyst 1437:kidney stone 1426:appendicitis 1351:Peptic ulcer 1341:Pancreatitis 1336:Appendicitis 1319:Splenomegaly 1299:colon cancer 1269:inflammation 1259:liver cancer 1247:hepatomegaly 1236:appendicitis 1226:Intestinal: 1218:pancreatitis 1198:pericarditis 1171:ketoacidosis 1116: 1001:pericarditis 964:Lyme disease 920:ovarian cyst 902:menstruation 894:Mechanical: 869:urolithiasis 840:pancreatitis 799:Bile system 774:peptic ulcer 731:constipation 681:appendicitis 664: 646: 641:ovarian cyst 639:Hemorrhagic 637: 629: 621: 618: 599: 591: 583: 575: 567: 559: 551: 548: 523: 514: 488: 423: 393:diverticulum 389:peptic ulcer 353:pancreatitis 345:appendicitis 333:Inflammatory 331: 326: 311:appendicitis 288: 280:inflammation 274: 249:appendicitis 229:constipation 214: 202: 200:onset pain. 198: 177:appendicitis 158: 145:stomach ache 144: 140: 139: 124: 93:pancreatitis 85:Appendicitis 80: 25: 5246:Cupola sign 5143:Kehr's sign 5123:Puddle sign 4754:Odynophagia 4612:Radiopaedia 4590:MedlinePlus 4476:Mayo Clinic 4444:28 December 4335:28 December 4277:28 December 4223:28 December 4169:28 December 4058:28 December 4004:28 December 3923:28 December 3869:28 December 3423:Diagnostics 3077:28 December 3032:30 December 2827:splenectomy 2806:crystalloid 2780:penetrating 2745:crystalloid 2719:penetrating 2653:mediastinum 2418:hypovolemia 2337:hypovolemia 2333:hematemesis 2135:Management 2114:Emergencies 2039:colonoscopy 1896:gynecologic 1823:), and the 1817:gallbladder 1661:Gallbladder 1607:Structures 1484:, fibroid ( 1281:cholangitis 1251:fatty liver 1189:Epigastric 1125:Peritonitis 1113:By location 1100:Idiopathic 1084:sarcoidosis 1011:radiculitis 960:radiculitis 835:Pancreatic 808:cholangitis 790:indigestion 735:hemorrhoids 689:esophagitis 648:Adnexal or 459:obstruction 456:Large bowel 436:obstruction 433:Small bowel 385:Perforation 361:Peritonitis 107:, ruptured 95:, ruptured 39:Other names 5302:Acute pain 5286:Categories 5196:Psoas sign 5028:Distension 5007:Baby colic 4939:encopresis 4930:Flatulence 4922:Defecation 4912:Nardi test 4871:Boas' sign 4764:Xerostomia 4759:Bad breath 4747:esophageal 4725:Pagophagia 4710:Aerophagia 4601:Patient UK 4555:DiseasesDB 3215:StatPearls 2949:StatPearls 2934:References 2884:Geriatrics 2857:chest pain 2603:follow-up 2449:as needed 2377:octreotide 2368:as needed 2303:placement 2132:Diagnosis 2126:Condition 2108:laparotomy 2076:ranitidine 2072:omeprazole 2045:Management 2030:ultrasound 2002:Urinalysis 1992:troponin I 1922:chest pain 1920:, chills, 1861:anal canal 1831:(distal), 1821:bile ducts 1769:peritoneal 1755:anal canal 1683:T10 – T12 1360:Vascular: 1273:gallstones 1216:Pancreas: 1129:Vascular: 1089:vasculitis 1060:withdrawal 952:neurogenic 877:Vascular: 749:hemorrhage 745:thrombosis 739:Vascular: 497:occlusive 461:caused by 424:Mechanical 408:, such as 233:gallstones 115:or liver, 4843:Accessory 4737:Dysphagia 4730:Geophagia 4705:Heartburn 4566:SNOMED CT 4423:0031-3955 4372:0141-0768 4322:0735-6757 4264:0889-8553 4210:0733-8627 4148:0002-8614 4045:0002-9610 3983:0002-8614 3910:0196-0644 3856:0733-8627 3809:1460-2229 3375:0039-6109 3295:0749-8047 3118:2041-4137 2908:Pregnancy 2861:dyspepsia 2787:Imaging: 2726:Imaging: 2586:Imaging: 2536:Sigmoid: 2088:lidocaine 2064:ketorolac 2060:analgesia 2035:Endoscopy 1875:Diagnosis 1797:esophagus 1753:Superior 1706:Proximal 1644:Proximal 1630:Esophagus 1591:Mechanism 1486:leiomyoma 1470:pregnancy 1402:Dysentery 1305:pneumonia 1255:hepatitis 1204:gastritis 1202:Stomach: 1175:porphyria 1041:porphyria 1015:from the 1005:from the 989:pneumonia 983:from the 970:(ACNES), 825:hepatitis 770:Digestive 729:, severe 723:adhesions 685:gastritis 672:GI tract 661:By system 448:neoplasms 395:, or the 369:hepatitis 251:(2%) and 227:(5%) and 62:Specialty 5111:Jaundice 5040:Bloating 4964:Diarrhea 4868:biliary: 4700:Vomiting 4571:21522001 4439:17103933 4431:16487787 4390:25193056 4330:20825873 4272:12635413 4218:16584962 4164:26336124 4156:14217863 4109:28005419 3999:30731138 3864:11214394 3817:24987023 3718:46971321 3710:17547475 3626:18441863 3303:11289083 3223:29083722 3187:25635203 3136:33489068 3072:21250252 3009:24987023 2957:29083722 2917:See also 2582:beta-hCG 2517:Volvulus 2404:GI bleed 2056:fentanyl 2052:morphine 1898:history. 1837:appendix 1829:duodenum 1825:pancreas 1805:duodenum 1791:, lower 1725:L1 – L3 1697:Appendix 1688:duodenum 1666:Pancreas 1646:duodenum 1622:T5 - T9 1554:Kidney: 1539:Kidney: 1447:cystitis 1445:Pelvic: 1387:Diarrhea 1121:Diffuse 1057:narcotic 1017:genitals 916:fibroids 910:Tumors: 741:embolism 719:volvulus 619:Source: 549:Source: 524:Source: 489:Vascular 471:volvulus 327:Source: 295:vomiting 241:pancreas 205:cramping 167:include 105:volvulus 5050:Tympany 5045:Ascites 4978:Abdomen 4774:Burping 4677:abdomen 4626:Q183425 4622:Scholia 4549:D015746 4381:4206626 4100:5291468 4053:1251963 3991:3571788 3918:2024789 3383:3279553 3178:4306086 3127:7802492 2894:T cells 2853:dyspnea 2846:Outlook 2815:general 2754:general 2546:Cecal: 2278:bilious 2068:antacid 1984:amylase 1801:stomach 1789:pharynx 1785:foregut 1781:hindgut 1773:foregut 1728:Distal 1716:Hindgut 1686:Distal 1640:Stomach 1626:Pharynx 1613:Foregut 1598:Region 1533:Liver: 1507:Bowel: 1490:abscess 1435:Renal: 1416:Colon: 1397:Crohn's 1392:Colitis 1367:Bowel: 1323:Colon: 1303:Other: 1285:Colon: 1263:abscess 1245:Liver: 1192:Heart: 796:Glands 505:of the 444:hernias 377:abscess 219:(13%), 165:abdomen 163:in the 149:symptom 147:, is a 81:Serious 5167:Hernia 5071:Masses 4695:Nausea 4595:003120 4437:  4429:  4421:  4388:  4378:  4370:  4328:  4320:  4270:  4262:  4216:  4208:  4162:  4154:  4146:  4107:  4097:  4051:  4043:  3997:  3989:  3981:  3916:  3908:  3862:  3854:  3815:  3807:  3764:  3716:  3708:  3624:  3588:  3561:  3515:  3490:  3465:  3429:  3404:  3381:  3373:  3332:  3301:  3293:  3252:1 July 3221:  3185:  3175:  3161:: 43. 3134:  3124:  3116:  3070:  3060:  3007:  2955:  2808:) and 2747:) and 2667:/TTE, 2645:murmur 2623:, MRA/ 2576:Labs: 2494:Labs ( 2428:Labs ( 2414:melena 2402:Lower 2347:Labs ( 2329:melena 2281:emesis 2241:lipase 2193:Labs ( 2086:) and 2082:, and 2008:X-rays 1988:lipase 1959:exam. 1935:Using 1857:rectum 1783:. The 1779:, and 1777:midgut 1744:Rectum 1674:Midgut 1551:Spleen 1527:Right 1407:Hernia 1155:Small 1055:bite, 1033:uremia 985:thorax 954:pain: 820:Liver 727:tumors 711:hernia 604:(FMF). 572:(DKA). 479:hernia 397:caecum 291:nausea 263:, and 253:cancer 247:(3%), 211:Causes 125:Common 77:Causes 5189:Other 5104:Other 5002:Colic 4851:liver 4687:tract 4617:47481 4560:14367 4435:S2CID 4160:S2CID 3995:S2CID 3714:S2CID 3690:Drugs 3649:2 May 2776:blunt 2715:blunt 2691:plus 2671:/TEE 2601:OBGYN 1918:fever 1833:cecum 1809:liver 1749:Fever 1692:Cecum 1651:Liver 1295:spasm 1007:spine 477:, or 387:of a 307:shock 303:fever 239:) or 187:, or 4985:Pain 4937:and 4715:Pica 4544:MeSH 4533:9-CM 4508:MD81 4446:2023 4427:PMID 4419:ISSN 4386:PMID 4368:ISSN 4337:2023 4326:PMID 4318:ISSN 4279:2023 4268:PMID 4260:ISSN 4225:2023 4214:PMID 4206:ISSN 4171:2023 4152:PMID 4144:ISSN 4105:PMID 4060:2023 4049:PMID 4041:ISSN 4006:2023 3987:PMID 3979:ISSN 3925:2023 3914:PMID 3906:ISSN 3871:2023 3860:PMID 3852:ISSN 3813:PMID 3805:ISSN 3762:ISBN 3706:PMID 3651:2023 3622:PMID 3586:ISBN 3559:ISBN 3513:ISBN 3488:ISBN 3463:ISBN 3427:ISBN 3402:ISBN 3379:PMID 3371:ISSN 3330:ISBN 3299:PMID 3291:ISSN 3254:2021 3230:2023 3219:PMID 3183:PMID 3132:PMID 3114:ISSN 3079:2023 3068:PMID 3058:ISBN 3034:2014 3005:PMID 2953:PMID 2789:FAST 2728:FAST 1819:and 1584:pain 391:, a 293:and 171:and 161:pain 4675:or 4538:789 4529:ICD 4523:R10 4514:ICD 4499:ICD 4411:doi 4376:PMC 4358:doi 4354:107 4310:doi 4252:doi 4198:doi 4136:doi 4095:PMC 4087:doi 4033:doi 4029:131 3971:doi 3898:doi 3844:doi 3795:doi 3698:doi 3363:doi 3322:doi 3281:doi 3173:PMC 3163:doi 3122:PMC 3106:doi 2995:doi 2855:or 2817:or 2778:or 2756:or 2717:or 2695:or 2661:MRA 2655:), 2262:or 2037:or 1767:or 1488:), 962:in 412:or 235:or 5288:: 4624:: 4615:: 4604:: 4593:: 4569:: 4558:: 4547:: 4536:: 4521:: 4518:10 4506:: 4503:11 4433:. 4425:. 4417:. 4407:53 4405:. 4401:. 4384:. 4374:. 4366:. 4352:. 4348:. 4324:. 4316:. 4306:29 4304:. 4300:. 4266:. 4258:. 4248:32 4246:. 4242:. 4212:. 4204:. 4194:24 4192:. 4188:. 4158:. 4150:. 4142:. 4132:12 4130:. 4126:. 4103:. 4093:. 4083:13 4081:. 4077:. 4047:. 4039:. 4027:. 4023:. 3993:. 3985:. 3977:. 3967:35 3965:. 3961:. 3942:. 3912:. 3904:. 3894:20 3892:. 3888:. 3858:. 3850:. 3840:19 3838:. 3834:. 3811:. 3803:. 3791:31 3789:. 3785:. 3726:^ 3712:. 3704:. 3694:67 3692:. 3659:^ 3642:. 3618:77 3616:. 3612:. 3600:^ 3545:^ 3527:^ 3441:^ 3377:. 3369:. 3359:68 3357:. 3353:. 3328:. 3297:. 3289:. 3277:17 3275:. 3271:. 3245:. 3213:, 3195:^ 3181:. 3171:. 3157:. 3153:. 3130:. 3120:. 3112:. 3102:12 3100:. 3096:. 3066:. 3042:^ 3025:. 3003:. 2991:31 2989:. 2985:. 2965:^ 2951:. 2699:) 2684:) 2663:, 2659:, 2554:) 2544:) 2498:) 2473:) 2469:, 2465:, 2440:) 2436:, 2426:) 2416:, 2412:, 2396:) 2392:, 2388:, 2375:, 2359:) 2355:, 2345:) 2335:, 2331:, 2327:, 2283:, 2243:) 2205:) 2201:, 2197:, 2110:. 2102:, 2078:, 2074:, 2054:, 1990:, 1986:, 1982:, 1978:, 1974:, 1970:, 1928:, 1924:, 1863:. 1855:, 1851:, 1839:, 1835:, 1811:, 1799:, 1775:, 1574:, 1570:, 1515:, 1511:, 1496:, 1492:, 1480:, 1476:, 1472:, 1457:, 1453:, 1449:, 1424:, 1420:, 1371:, 1307:, 1293:, 1279:, 1275:, 1271:, 1261:, 1257:, 1253:, 1249:, 1234:, 1230:, 1220:, 1210:, 1206:, 1196:, 1181:, 1177:, 1173:, 1169:: 1149:, 1145:, 1141:, 1137:, 1133:, 1072:, 1051:, 1043:, 1039:, 1035:, 1019:: 1009:: 999:, 995:, 991:, 987:: 966:, 958:, 932:, 922:, 918:, 914:, 904:, 871:, 867:, 857:, 827:, 806:, 788:, 784:, 780:, 776:, 772:: 763:, 755:, 751:, 747:, 743:, 733:, 725:, 717:, 713:, 703:, 699:, 695:, 691:, 687:, 683:, 679:, 473:, 469:, 465:, 442:, 371:, 367:, 363:, 359:, 355:, 351:, 347:, 301:, 297:, 282:, 259:, 183:, 131:, 127:: 119:, 111:, 103:, 99:, 91:, 83:: 69:, 4908:) 4894:( 4883:/ 4853:: 4826:: 4661:e 4654:t 4647:v 4531:- 4516:- 4501:- 4491:D 4448:. 4413:: 4392:. 4360:: 4339:. 4312:: 4281:. 4254:: 4227:. 4200:: 4173:. 4138:: 4111:. 4089:: 4062:. 4035:: 4008:. 3973:: 3927:. 3900:: 3873:. 3846:: 3819:. 3797:: 3770:. 3720:. 3700:: 3653:. 3628:. 3594:. 3567:. 3521:. 3496:. 3471:. 3435:. 3410:. 3385:. 3365:: 3338:. 3324:: 3305:. 3283:: 3256:. 3189:. 3165:: 3159:7 3138:. 3108:: 3081:. 3036:. 3011:. 2997:: 2959:. 1998:. 1578:) 1432:) 1428:( 652:. 643:. 634:. 596:. 588:. 580:. 564:. 556:. 481:. 450:. 416:. 399:. 379:. 23:.

Index

Stomachaches (album)

Specialty
Gastroenterology
general surgery
Appendicitis
stomach ulcer
pancreatitis
diverticulitis
ovarian torsion
volvulus
aortic aneurysm
lacerated spleen
ischemic colitis
ischaemic myocardial conditions
Gastroenteritis
irritable bowel syndrome
symptom
differential diagnosis
pain
abdomen
gastroenteritis
irritable bowel syndrome
appendicitis
abdominal aortic aneurysm
diverticulitis
ectopic pregnancy
cramping
gastroenteritis
irritable bowel syndrome

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