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Abdominal pain

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4472: 218:, 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. 2924:
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 (
1905:; i.e. a narrative of the current symptoms such as the onset, location, duration, character, aggravating or relieving factors, and temporal nature of the pain. Identifying other possible factors may aid in the diagnosis of the underlying cause of abdominal pain, such as recent travel, recent contact with other ill individuals, and for females, a thorough 60: 2923:
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
4539: 4524: 4509: 2886:(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%. 1878:
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)
2799: 2738: 2874:. In general, it is discovered that 20% to 25% of patients with abdominal pain have a serious condition that necessitates admission to an acute care hospital. 978: 2077:
can worsen some intra-abdominal processes. Patients presenting to the emergency department with abdominal pain may receive a "GI cocktail" that includes an
2109:(Buscopan) is used to treat cramping abdominal pain with some success. Surgical management for causes of abdominal pain includes but is not limited to 775: 1921:
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)
1273: 926: 387: 186:. About 15% of people have a more serious underlying condition such as 175: 159: 4501: 2870:). Most people who suffer from stomach pain have a benign issue, like 2245:
Abdominal pain (sharp epigastric, shooting to back), nausea, vomiting
5177: 4705: 4528: 4513: 2904: 2424: 2339: 2251: 1998: 1867: 1787: 1754: 1684: 1592: 1417: 1043: 995: 721: 489: 454: 407: 301: 263: 30:"Stomach ache" redirects here. For the 2014 album by Frank Iero, see 3522:(Third ed.). Churchill Livingstone Elsevier. pp. 253–420. 2193:
Abdominal pain (RUQ, radiates epigastric), nausea, vomiting, fever,
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Patterson JW, Dominique E (14 November 2018). "Acute Abdomenal".
4086:"Aging of the Immune System. Mechanisms and Therapeutic Targets" 2288: 1858:. The hindgut contains the distal half of the transverse colon, 171: 4652: 2537:
Cecal volvulus: Abdominal pain (acute onset), nausea, vomiting
320:. A common condition associated with acute abdominal pain is 67:
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
3897:"Probability of appendicitis before and after observation" 2842:
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
3331:(1st ed.). United Kingdom: Oxford University Press. 2129:
Below is a brief overview of abdominal pain emergencies.
1966:, lung exam, thorough abdominal exam, and for females, a 1958:
After gathering a thorough history, one should perform a
4357:"Mechanisms and management of functional abdominal pain" 2793:), abdominal pain (LUQ), left rib pain, left flank pain 2591:, urine pregnancy test followed with quantitative blood 2535:: Abdominal pain (>2 days, distention, constipation) 1927:
Reviewing the presence of non-abdominal symptoms (e.g.,
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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
1569:(nephrolithiasis), complicated urinary tract infection 1554:(nephrolithiasis), complicated urinary tract infection 3518:
Drake RL, Vogl AW, Mitchell AW (2015). "4: Abdomen".
3472:. Philadelphia, PA: Elsevier, Inc. pp. 209–240. 2915:
mental status, whether acute or chronic, are common.
4491: 3843:"Abdominal Pain and Emergency Department Evaluation" 5199: 5176: 5114: 5081: 5038: 4995: 4988: 4931: 4853: 4694: 4591: 4495: 4309:"Abdominal pain in the ED: a 35 year retrospective" 3280:"Referred Muscle Pain: Basic and Clinical Findings" 3056: 3054: 87: 71: 49: 44: 3951:"Trends in Emergency Department Visits, 2006–2011" 3792:A V, C K, T B, R S, K D, S B, et al. (2014). 3614: 3612: 3589:Karen M. Myrick, Laima Karosas (6 December 2019). 1943:) that can further clarify the diagnostic picture. 202:. In a third of cases, the exact cause is unclear. 4096:(Suppl 5). American Thoracic Society: S422–S428. 2502:Imaging (abdominal X-ray or CT showing free air) 2493:Abdominal pain (sudden onset of localized pain), 2352:Clinical (history & physical exam, including 2101:. After addressing pain, there may be a role for 1918:Confirming the patient's drug and food allergies. 226:The most frequent reasons for abdominal pain are 5308:Symptoms and signs: Digestive system and abdomen 3762: 3760: 3758: 3541: 3539: 3497:. Philadelphia, PA: Elsevier. pp. 157–231. 3162:"Abdominal emergencies in the geriatric patient" 1893:The process of gathering a history may include: 3756: 3754: 3752: 3750: 3748: 3746: 3744: 3742: 3740: 3738: 3651:"Indigestion: MedlinePlus Medical Encyclopedia" 3559: 3557: 3228:, Treasure Island (FL): StatPearls Publishing, 2433:Clinical (history and physical exam, including 3621:"Evaluation of acute abdominal pain in adults" 676:A more extensive list includes the following: 4664: 3463: 3461: 3459: 3457: 3455: 3453: 3220:Patterson JW, Kashyap S, Dominique E (2023), 979:abdominal cutaneous nerve entrapment syndrome 8: 4135:"Sensitivity to Pain in Relationship to Age" 3679: 3677: 3675: 3673: 3671: 3595:. Springer Publishing Company. p. 250. 2643:If patient is stable: admit for observation 4201:Emergency Medicine Clinics of North America 3847:Emergency Medicine Clinics of North America 3278:Arendt-Nielsen L, Svensson P (March 2001). 3166:International Journal of Emergency Medicine 2806:Diagnostic peritoneal aspiration and lavage 2745:Diagnostic peritoneal aspiration and lavage 2105:treatment in some cases of abdominal pain. 4992: 4671: 4657: 4649: 4492: 4313:The American Journal of Emergency Medicine 4139:Journal of the American Geriatrics Society 3974:Journal of the American Geriatrics Society 2073:is dependent on the cause of the pain, as 324:. Here is a list of acute abdomen causes: 266:(1%). More common in those who are older, 58: 41: 4390: 4372: 4255:Gastroenterology Clinics of North America 4109: 3809: 3362:"Gynecologic causes of the acute abdomen" 3295: 3187: 3177: 3136: 3009: 2987: 2985: 2983: 2981: 2979: 2977: 776:postural orthostatic tachycardia syndrome 4361:Journal of the Royal Society of Medicine 3619:Cartwright SL, Knudson MP (April 2008). 2903:Age does not reduce the total number of 2302:Imaging (abdominal X-ray, abdominal CT) 2156:Abdominal pain, nausea, vomiting, fever 2131: 1605: 326: 4090:Annals of the American Thoracic Society 3550:. Baltimore, MD: Wolters Kluwer Health. 2950: 2225:General surgery consultation, possible 2173:General surgery consultation, possible 1897:Identifying more information about the 2802:examination, CT of abdomen and pelvis 2741:examination, CT of abdomen and pelvis 2662:Imaging: Chest X-ray (showing widened 2017:Imaging including chest and abdominal 1838:. The midgut contains portions of the 3366:The Surgical Clinics of North America 2796:Clinical (history and physical exam) 2735:Clinical (history and physical exam) 2660:Clinical (history and physical exam) 2628:Clinical (history and physical exam) 2585:Clinical (history and physical exam) 2541:Clinical (history and physical exam) 2500:Clinical (history and physical exam) 2300:Clinical (history and physical exam) 2248:Clinical (history and physical exam) 2199:Clinical (history and physical exam) 2162:Clinical (history and physical exam) 1774:Abdominal pain can be referred to as 7: 3769:Atlas of Clinical Emergency Medicine 3258:The Lecturio Medical Concept Library 3215: 3213: 3211: 3209: 3207: 3038:Merriam-Webster (Medical dictionary) 2698:Medications: reduce blood pressure ( 2576:Abdominal and pelvic pain, bleeding 2306:Patient made NPO (nothing by mouth) 2261:Patient made NPO (nothing by mouth) 2220:Patient made NPO (nothing by mouth) 2168:Patient made NPO (nothing by mouth) 2158:Periumbilical pain, migrates to RLQ 4145:(11). J Am Geriatr Soc: 1037–1044. 2257:Imaging (abdominal CT, ultrasound) 772:superior mesenteric artery syndrome 234:(8%), urinary tract problems (5%), 4414:Pediatric Clinics of North America 4151:10.1111/j.1532-5415.1964.tb00652.x 3986:10.1111/j.1532-5415.1987.tb04660.x 3470:The Developing Human Tenth Edition 3436:. US: McGraw-Hill Companies, Inc. 3411:. American College of Physicians. 3337:10.1093/med/9780198799443.001.0001 2513:Aggressive IV fluid resuscitation 2455:Aggressive IV fluid resuscitation 2374:Aggressive IV fluid resuscitation 2287:Abdominal pain (diffuse, crampy), 25: 4251:"Abdominal pain during pregnancy" 3548:Essentials of General Surgery, 5e 4470: 3980:(5). J Am Geriatr Soc: 398–404. 3713:10.2165/00003495-200767090-00007 3686:Essentials of Family Medicine 6e 3493:Hansen JT (2019). "4: Abdomen". 3329:Essential Notes in Pain Medicine 3297:10.1097/00002508-200103000-00003 2543:Imaging (abdominal X-ray or CT) 2472:Unstable patient: consultation ( 2395:Unstable patient: consultation ( 1056:C1-esterase inhibitor deficiency 4197:"Abdominal Pain in the Elderly" 4036:The American Journal of Surgery 1278:Gallbladder and biliary tract: 132:ischaemic myocardial conditions 4102:10.1513/AnnalsATS.201602-095AW 4084:Weyand CM, Goronzy rJ (2016). 2680:transesophageal echocardiogram 2636:magnetic resonance angiography 1357:Inferior myocardial infarction 1: 4319:(7). W.B. Saunders: 711–716. 4267:10.1016/S0889-8553(02)00064-X 3913:10.1016/S0196-0644(05)81603-8 3859:10.1016/S0733-8627(05)70171-1 3495:Netter's Clinical Anatomy, 4e 3378:10.1016/s0039-6109(16)44484-1 2832:consultation with subsequent 2771:consultation with subsequent 2334:Abdominal pain (epigastric), 4410:"Abdominal Pain in Children" 4048:10.1016/0002-9610(76)90101-X 3901:Annals of Emergency Medicine 3284:The Clinical Journal of Pain 3121:10.1136/flgastro-2019-101204 2813:advanced trauma life support 2752:advanced trauma life support 2676:transthoracic echocardiogram 2469:Stable patient: observation 2392:Stable patient: observation 1190:familial Mediterranean fever 1158:systemic lupus erythematosus 1105:familial Mediterranean fever 896:Gynaecological or obstetric 613:Familial Mediterranean fever 4892:Charcot's cholangitis triad 3520:Gray's Anatomy For Students 2005:, and for females, a serum 1470:pelvic inflammatory disease 901:pelvic inflammatory disease 635:Pelvic inflammatory disease 518:superior Mesenteric artery. 376:pelvic inflammatory disease 236:inflammation of the stomach 5329: 4355:Farmer AD, Aziz Q (2014). 4325:10.1016/j.ajem.2010.01.045 3109:Frontline Gastroenterology 1903:history of present illness 1732:Inferior mesenteric artery 1690:Superior mesenteric artery 890:left renal vein entrapment 478:inflammatory bowel disease 417:inflammatory bowel disease 278:are other serious causes. 276:abdominal aortic aneurysms 29: 5277:Sister Mary Joseph nodule 4426:10.1016/j.pcl.2005.09.009 4213:10.1016/j.emc.2006.01.010 3804:(5). Fam Pract: 517–529. 3625:American Family Physician 3360:Burnett LS (April 1988). 3179:10.1186/s12245-014-0043-2 2900:surgery 1/3 of the time. 2621:Abdominal aortic aneurysm 2606:obstetrics and gynecology 2269:Possibly consultation of 2201:Imaging (RUQ ultrasound) 1950:to differentiate between 1320:Fitz-Hugh-Curtis syndrome 1085:abdominal aortic aneurysm 1058:, adrenal insufficiency, 192:abdominal aortic aneurysm 66: 57: 4420:(1). Elsevier: 107–137. 4374:10.1177/0141076814540880 4207:(2). Elsevier: 371–388. 4042:(2). Elsevier: 219–223. 3853:(1). Elsevier: 123–136. 3034:"differential diagnosis" 2844:interventional radiology 2824:If patient is unstable: 2763:If patient is unstable: 2482:interventional radiology 2405:interventional radiology 2275:interventional radiology 1854:, and first half of the 1300:, functional disorders, 1173:Irritable bowel syndrome 1150:Henoch-Schonlein purpura 1115:irritable bowel syndrome 386:, or a subdiaphragmatic 232:irritable bowel syndrome 184:irritable bowel syndrome 167:is extremely important. 144:irritable bowel syndrome 3468:Moore KL (2016). "11". 2708:calcium channel blocker 2686:IV fluid resuscitation 2599:transvaginal ultrasound 2553:flexibile sigmoidoscopy 2443:, coagulation profile, 2362:, coagulation profile, 1646:Lower respiratory tract 1388:small bowel obstruction 956:muscle strain or trauma 4684:human digestive system 3955:HCUP Statistical Brief 2834:exploratory laparotomy 2773:exploratory laparotomy 2533:Sigmoid colon volvulus 1977:Blood tests including 1524:sigmoid colon volvulus 1472:, pelvic pain syndrome 1008:ischemic heart disease 457:, benign or malignant 297:or bowel obstruction. 190:, leaking or ruptured 165:differential diagnosis 4970:Obstructed defecation 4261:(1). Elsevier: 1–58. 3907:(5). Mosby: 503–507. 3811:10.1093/fampra/cmu036 3011:10.1093/fampra/cmu036 2848:arterial embolization 2713:Surgery consultation 2630:Imaging: Ultrasound, 2465:proton pump inhibitor 2384:proton pump inhibitor 2266:Pain, nausea control 2234:Pain, nausea control 2036:of the abdomen/pelvis 1983:basic metabolic panel 1424:Right lower quadrant 1394:Lower abdominal pain 1367:Diabetic ketoacidosis 1253:Right upper quadrant 1205:myocardial infarction 1048:diabetic ketoacidosis 1039:Metabolic disturbance 861:Renal and urological 581:Diabetic ketoacidosis 5232:Aure-Rozanova's sign 5191:Hannington-Kiff sign 5186:Howship–Romberg sign 5144:Aortic insufficiency 5046:Abdominal distension 2934:Abdominal distension 2884:emergency department 2700:sodium nitroprusside 2589:complete blood count 2507:complete blood count 2495:abdominal distension 2441:complete blood count 2360:complete blood count 2308:IV fluids as needed 2263:IV fluids as needed 2222:IV fluids as needed 2170:IV fluids as needed 2039:Abdominal or pelvic 1991:liver function tests 1979:complete blood count 1530:, gas accumulation, 1515:Left lower quadrant 1326:Left upper quadrant 1162:polyarteritis nodosa 939:Pregnancy: ruptured 624:Gynecological causes 512:, usually caused by 310:abdominal distention 300:The pain may elicit 32:Stomachaches (album) 4797:Chilaiditi syndrome 3968:SA B, LZ R (1987). 3432:LeBlond RF (2004). 2890:Special populations 2563:right hemicolectomy 2490:Perforated Viscous 2435:digital rectal exam 2354:digital rectal exam 2133: 2091:magnesium hydroxide 2034:Computed tomography 1964:cardiovascular exam 1937:shortness of breath 1559:Left low back pain 1450:(nephrolithiasis), 1380:mesenteric ischemia 1178:Metabolic disorders 1154:sickle cell disease 1142:mesenteric ischemia 945:threatened abortion 789:lactose intolerance 764:sickle cell disease 716:microscopic colitis 510:intestinal ischemia 384:mesenteric adenitis 354:Infections such as 272:mesenteric ischemia 5164:Grey Turner's sign 5094:Hepatosplenomegaly 5023:Abdominal guarding 4955:Fecal occult blood 4946:Fecal incontinence 4917:Mirizzi's syndrome 4827:Sherren's triangle 4680:Signs and symptoms 4592:External resources 3771:. Wolters Kluwer. 3564:Bickley L (2016). 3407:Masters P (2015). 3061:Sherman R (1990). 2815:) with IV fluids ( 2754:) with IV fluids ( 2691:as needed (obtain 2241:Acute pancreatitis 2214:hyperbilirubinemia 2132: 2117:, and exploratory 2081:(examples include 1814:, portions of the 1806:, portions of the 1509:endometrial cancer 1064:black widow spider 1032:testicular torsion 1004:pulmonary embolism 959:muscular infection 911:Endocrinological: 712:ulcerative colitis 637:(PID) and abscess. 573:Sickle cell anemia 565:Acute pancreatitis 425:ulcerative colitis 295:vascular occlusion 248:biliary dyskinesia 206:Signs and symptoms 154:, also known as a 5290: 5289: 5262:Fothergill's sign 5252:Rosenstein's sign 5172: 5171: 5127:Mallet-Guy's sign 5066:Shifting dullness 4887:Courvoisier's law 4646: 4645: 3778:978-1-4511-8882-0 3602:978-0-8261-6255-7 3575:978-1-4698-9341-9 3529:978-0-7020-5131-9 3504:978-0-323-53188-7 3479:978-0-323-31338-4 3443:978-0-07-140923-0 3418:978-1-938921-09-4 3346:978-0-19-879944-3 3074:978-0-409-90077-4 2854: 2853: 2821:blood transfusion 2760:blood transfusion 2689:Blood transfusion 2650:Aortic dissection 2580:hypovolemic shock 2572:Ectopic pregnancy 2458:Blood transfusion 2377:Blood transfusion 2283:Bowel obstruction 2024:Electrocardiogram 1804:respiratory tract 1772: 1771: 1528:bowel obstruction 1485:ectopic pregnancy 1433:bowel obstruction 1373:aortic dissection 1336:bowel obstruction 1298:bowel obstruction 1233:pancreatic cancer 1168:bowel obstruction 1081:aortic dissection 941:ectopic pregnancy 884:urinary retention 870:bladder infection 680:Gastrointestinal 669: 668: 664: 655: 646: 643:Ectopic pregnancy 638: 616: 608: 600: 592: 584: 576: 568: 530: 520: 502: 493: 474:colorectal cancer 462: 437: 428: 415:Complications of 411: 391: 348: 345: 200:ectopic pregnancy 170:Common causes of 149: 148: 39:Medical condition 16:(Redirected from 5320: 4993: 4980:Rectal discharge 4896:Reynolds' pentad 4835:Radiologic signs 4822:McBurney's point 4696:Gastrointestinal 4682:relating to the 4673: 4666: 4659: 4650: 4493: 4482:Cleveland Clinic 4474: 4460: 4458: 4456: 4404: 4394: 4376: 4351: 4349: 4347: 4294: 4293: 4291: 4289: 4246: 4240: 4239: 4237: 4235: 4192: 4186: 4185: 4183: 4181: 4130: 4124: 4123: 4113: 4081: 4075: 4074: 4072: 4070: 4027: 4021: 4020: 4018: 4016: 3965: 3959: 3958: 3946: 3940: 3939: 3937: 3935: 3892: 3886: 3885: 3883: 3881: 3838: 3832: 3831: 3813: 3789: 3783: 3782: 3764: 3733: 3732: 3696: 3690: 3689: 3681: 3666: 3665: 3663: 3661: 3647: 3641: 3640: 3616: 3607: 3606: 3586: 3580: 3579: 3561: 3552: 3551: 3543: 3534: 3533: 3515: 3509: 3508: 3490: 3484: 3483: 3465: 3448: 3447: 3429: 3423: 3422: 3404: 3398: 3397: 3357: 3351: 3350: 3324: 3318: 3317: 3299: 3275: 3269: 3268: 3266: 3264: 3250: 3244: 3243: 3242: 3240: 3217: 3202: 3201: 3191: 3181: 3157: 3151: 3150: 3140: 3100: 3094: 3093: 3091: 3089: 3067:. Butterworths. 3058: 3049: 3048: 3046: 3044: 3030: 3024: 3023: 3013: 2989: 2972: 2971: 2955: 2909:mucous membranes 2549:Gastroenterology 2497:, rigid abdomen 2478:gastroenterology 2419:Abdominal pain, 2401:gastroenterology 2312:Nasogastric tube 2134: 2107:Butylscopolamine 2095:calcium chloride 1941:vaginal bleeding 1860:descending colon 1856:transverse colon 1745:Descending colon 1741:transverse colon 1719:transverse colon 1606: 1441:McBurney's point 1375:, aortic rupture 1308:, inflammation, 1302:gas accumulation 1146:ischemic colitis 768:abdominal angina 732:, post-surgical 658: 649: 641: 633: 611: 603: 595: 587: 579: 571: 563: 526: 507: 498: 465: 442: 433: 414: 394: 353: 347: 343: 327: 268:ischemic colitis 128:ischemic colitis 124:lacerated spleen 78:Gastroenterology 62: 42: 21: 5328: 5327: 5323: 5322: 5321: 5319: 5318: 5317: 5293: 5292: 5291: 5286: 5247:Lockwood's sign 5195: 5168: 5139:Ballance's sign 5110: 5077: 5071:Fluid wave test 5034: 5028:Blumberg's sign 4984: 4960:Rectal tenesmus 4927: 4867:Councilman body 4849: 4792:Goodsall's rule 4780:Hypersalivation 4697: 4690: 4677: 4647: 4642: 4641: 4587: 4586: 4504: 4467: 4454: 4452: 4407: 4354: 4345: 4343: 4306: 4303: 4301:Further reading 4298: 4297: 4287: 4285: 4248: 4247: 4243: 4233: 4231: 4194: 4193: 4189: 4179: 4177: 4132: 4131: 4127: 4083: 4082: 4078: 4068: 4066: 4029: 4028: 4024: 4014: 4012: 3967: 3966: 3962: 3948: 3947: 3943: 3933: 3931: 3894: 3893: 3889: 3879: 3877: 3840: 3839: 3835: 3798:Family Practice 3791: 3790: 3786: 3779: 3766: 3765: 3736: 3698: 3697: 3693: 3683: 3682: 3669: 3659: 3657: 3655:medlineplus.gov 3649: 3648: 3644: 3618: 3617: 3610: 3603: 3588: 3587: 3583: 3576: 3563: 3562: 3555: 3545: 3544: 3537: 3530: 3517: 3516: 3512: 3505: 3492: 3491: 3487: 3480: 3467: 3466: 3451: 3444: 3431: 3430: 3426: 3419: 3406: 3405: 3401: 3359: 3358: 3354: 3347: 3326: 3325: 3321: 3277: 3276: 3272: 3262: 3260: 3252: 3251: 3247: 3238: 3236: 3222:"Acute Abdomen" 3219: 3218: 3205: 3159: 3158: 3154: 3102: 3101: 3097: 3087: 3085: 3075: 3060: 3059: 3052: 3042: 3040: 3032: 3031: 3027: 2998:Family Practice 2991: 2990: 2975: 2957: 2956: 2952: 2947: 2930: 2921: 2897: 2892: 2880: 2859: 2811:Resuscitation ( 2750:Resuscitation ( 2559:General surgery 2516:General surgery 2474:general surgery 2397:general surgery 2318:General surgery 2271:general surgery 2250:Labs (elevated 2227:cholecystectomy 2127: 2111:cholecystectomy 2058: 1901:by eliciting a 1899:chief complaint 1888: 1870:, and superior 1852:ascending colon 1826:(including the 1713:Ascending colon 1604: 1532:Toxic megacolon 1493:ovarian torsion 1479:, intrauterine 1429:intussusception 1126: 907:ovarian torsion 726:intussusception 708:Crohn's disease 688:gastroenteritis 674: 661:ovarian torsion 626: 556: 533: 514:thromboembolism 504: 486:fecal impaction 451:intussusception 439: 421:Crohn's disease 350: 334: 332:Surgical causes 284: 254:problems (4%), 228:gastroenteritis 224: 208: 180:gastroenteritis 140:Gastroenteritis 134: 120:aortic aneurysm 112:ovarian torsion 82:general surgery 40: 35: 28: 23: 22: 15: 12: 11: 5: 5326: 5324: 5316: 5315: 5310: 5305: 5303:Abdominal pain 5295: 5294: 5288: 5287: 5285: 5284: 5282:Blumer's shelf 5279: 5274: 5272:Massouh's sign 5269: 5267:Carnett's sign 5264: 5259: 5254: 5249: 5244: 5239: 5234: 5229: 5224: 5222:Hamburger sign 5219: 5217:Rovsing's sign 5214: 5212:Obturator sign 5209: 5203: 5201: 5197: 5196: 5194: 5193: 5188: 5182: 5180: 5174: 5173: 5170: 5169: 5167: 5166: 5161: 5156: 5151: 5149:Castell's sign 5146: 5141: 5136: 5131: 5130: 5129: 5118: 5116: 5112: 5111: 5109: 5108: 5107: 5106: 5101: 5091: 5089:Abdominal mass 5085: 5083: 5079: 5078: 5076: 5075: 5074: 5073: 5068: 5063: 5058: 5053: 5042: 5040: 5036: 5035: 5033: 5032: 5031: 5030: 5025: 5020: 5015: 5010: 5003:Abdominal pain 4999: 4997: 4990: 4986: 4985: 4983: 4982: 4977: 4972: 4967: 4962: 4957: 4952: 4943: 4937: 4935: 4929: 4928: 4926: 4925: 4920: 4914: 4909: 4898: 4889: 4884: 4875: 4874: 4869: 4857: 4855: 4851: 4850: 4848: 4847: 4842: 4840:Hampton's line 4830: 4829: 4824: 4819: 4814: 4809: 4804: 4799: 4794: 4788: 4787: 4782: 4777: 4772: 4767: 4762: 4761: 4760: 4755: 4745: 4744: 4743: 4738: 4733: 4723: 4718: 4713: 4708: 4702: 4700: 4692: 4691: 4678: 4676: 4675: 4668: 4661: 4653: 4644: 4643: 4640: 4639: 4630: 4619: 4617:Abdominal pain 4608: 4596: 4595: 4593: 4589: 4588: 4585: 4584: 4573: 4562: 4551: 4536: 4521: 4505: 4500: 4499: 4497: 4496:Classification 4490: 4489: 4484: 4479: 4476:Abdominal Pain 4466: 4465:External links 4463: 4462: 4461: 4405: 4367:(9): 347–354. 4352: 4302: 4299: 4296: 4295: 4241: 4187: 4125: 4076: 4022: 3960: 3941: 3887: 3833: 3784: 3777: 3734: 3707:(9): 1343–57. 3691: 3688:. p. 149. 3684:Mahadevan SV. 3667: 3642: 3608: 3601: 3581: 3574: 3553: 3535: 3528: 3510: 3503: 3485: 3478: 3449: 3442: 3424: 3417: 3399: 3372:(2): 385–398. 3352: 3345: 3319: 3270: 3254:"Appendicitis" 3245: 3203: 3152: 3095: 3073: 3064:Abdominal Pain 3050: 3025: 2973: 2949: 2948: 2946: 2943: 2942: 2941: 2939:Abdominal mass 2936: 2929: 2926: 2920: 2917: 2896: 2893: 2891: 2888: 2879: 2876: 2858: 2855: 2852: 2851: 2830:trauma surgery 2809: 2794: 2785:After trauma ( 2783: 2781:Splenic injury 2777: 2776: 2769:trauma surgery 2748: 2733: 2724:After trauma ( 2722: 2716: 2715: 2693:type and cross 2684: 2668:CT angiography 2658: 2652: 2646: 2645: 2639: 2632:CT angiography 2626: 2623: 2617: 2616: 2602: 2583: 2574: 2568: 2567: 2561:consultation ( 2551:consultation ( 2545: 2539: 2530: 2524: 2523: 2511: 2498: 2491: 2487: 2486: 2453: 2431: 2417: 2410: 2409: 2372: 2350: 2332: 2330:Upper GI bleed 2326: 2325: 2304: 2298: 2285: 2279: 2278: 2259: 2246: 2243: 2237: 2236: 2218: 2197: 2191: 2185: 2184: 2166: 2160: 2154: 2148: 2147: 2144: 2141: 2138: 2126: 2123: 2057: 2054: 2053: 2052: 2043: 2037: 2027: 2026: 2021: 2015: 2010: 2007:pregnancy test 1956: 1955: 1948:Carnett's sign 1944: 1925: 1922: 1919: 1916: 1913: 1910: 1887: 1884: 1770: 1769: 1737: 1734: 1729: 1723: 1722: 1695: 1692: 1687: 1681: 1680: 1634: 1631: 1626: 1620: 1619: 1616: 1613: 1610: 1603: 1600: 1599: 1598: 1597: 1596: 1593:Ureteral stone 1590: 1587:hydronephrosis 1574:Low back pain 1572: 1571: 1570: 1563: 1557: 1556: 1555: 1548: 1536: 1535: 1534: 1520:diverticulitis 1513: 1512: 1511: 1505:ovarian cancer 1473: 1466:bladder cancer 1454: 1452:pyelonephritis 1444: 1422: 1421: 1420: 1415: 1410: 1405: 1400: 1392: 1391: 1390: 1384:Celiac disease 1376: 1369: 1364: 1359: 1354: 1349: 1341: 1340: 1339: 1332: 1324: 1323: 1322: 1312: 1294: 1288:worm infection 1276: 1251: 1250: 1249: 1243:diverticulitis 1239:duodenal ulcer 1235: 1225: 1223:stomach cancer 1211: 1198: 1197: 1196: 1194:adrenal crisis 1175: 1170: 1164: 1138: 1125: 1122: 1121: 1120: 1119: 1118: 1109: 1108: 1107: 1102: 1097: 1091:Immune system 1089: 1088: 1087: 1077:Blood vessels 1075: 1074: 1073: 1060:lead poisoning 1036: 1035: 1034: 1024: 1014: 987: 986: 985: 983:tabes dorsalis 960: 957: 952:Abdominal wall 949: 948: 947: 937: 935:ovarian cancer 919: 909: 903: 899:Inflammatory: 894: 893: 892: 886: 872: 866:pyelonephritis 864:Inflammation: 859: 858: 857: 856: 855: 854: 853: 849:Inflammatory: 844: 843: 842: 834:Inflammatory: 829: 828: 827: 825:cholelithiasis 821: 813:Inflammatory: 805: 804: 803: 797:food allergies 793:celiac disease 778: 748: 718: 704:diverticulitis 686:Inflammatory: 673: 670: 667: 666: 627: 625: 622: 619: 618: 605:Lead poisoning 597:Pyelonephritis 589:Adrenal crisis 557: 555: 554:Medical causes 552: 549: 548: 547: 546: 543: 540: 532: 523: 522: 521: 503: 496: 495: 494: 463: 438: 431: 430: 429: 412: 392: 368:pyelonephritis 349: 340: 335: 333: 330: 283: 280: 256:diverticulitis 223: 220: 207: 204: 196:diverticulitis 152:Abdominal pain 147: 146: 108:diverticulitis 89: 85: 84: 75: 69: 68: 64: 63: 55: 54: 51: 47: 46: 45:Abdominal pain 38: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5325: 5314: 5311: 5309: 5306: 5304: 5301: 5300: 5298: 5283: 5280: 5278: 5275: 5273: 5270: 5268: 5265: 5263: 5260: 5258: 5255: 5253: 5250: 5248: 5245: 5243: 5240: 5238: 5237:Dunphy's sign 5235: 5233: 5230: 5228: 5227:Heel tap sign 5225: 5223: 5220: 5218: 5215: 5213: 5210: 5208: 5205: 5204: 5202: 5198: 5192: 5189: 5187: 5184: 5183: 5181: 5179: 5175: 5165: 5162: 5160: 5159:Cullen's sign 5157: 5155: 5152: 5150: 5147: 5145: 5142: 5140: 5137: 5135: 5132: 5128: 5125: 5124: 5123: 5120: 5119: 5117: 5113: 5105: 5102: 5100: 5097: 5096: 5095: 5092: 5090: 5087: 5086: 5084: 5080: 5072: 5069: 5067: 5064: 5062: 5059: 5057: 5054: 5052: 5049: 5048: 5047: 5044: 5043: 5041: 5037: 5029: 5026: 5024: 5021: 5019: 5016: 5014: 5011: 5009: 5008:Acute abdomen 5006: 5005: 5004: 5001: 5000: 4998: 4994: 4991: 4987: 4981: 4978: 4976: 4973: 4971: 4968: 4966: 4963: 4961: 4958: 4956: 4953: 4951: 4947: 4944: 4942: 4939: 4938: 4936: 4934: 4930: 4924: 4921: 4918: 4915: 4913: 4912:LĂ©pine's sign 4910: 4908: 4907:Murphy's sign 4904: 4903: 4902:cholecystitis 4899: 4897: 4893: 4890: 4888: 4885: 4883: 4880: 4877: 4876: 4873: 4870: 4868: 4865: 4863: 4859: 4858: 4856: 4852: 4846: 4843: 4841: 4838: 4836: 4832: 4831: 4828: 4825: 4823: 4820: 4818: 4817:Markle's sign 4815: 4813: 4812:Arapov's sign 4810: 4808: 4805: 4803: 4800: 4798: 4795: 4793: 4790: 4789: 4786: 4783: 4781: 4778: 4776: 4773: 4771: 4768: 4766: 4763: 4759: 4756: 4754: 4753:oropharyngeal 4751: 4750: 4749: 4746: 4742: 4739: 4737: 4734: 4732: 4729: 4728: 4727: 4724: 4722: 4719: 4717: 4714: 4712: 4709: 4707: 4704: 4703: 4701: 4699: 4693: 4689: 4685: 4681: 4674: 4669: 4667: 4662: 4660: 4655: 4654: 4651: 4638: 4634: 4631: 4629: 4625: 4624: 4620: 4618: 4614: 4613: 4609: 4607: 4603: 4602: 4598: 4597: 4594: 4590: 4583: 4579: 4578: 4574: 4572: 4568: 4567: 4563: 4561: 4557: 4556: 4552: 4550: 4546: 4545: 4541: 4537: 4535: 4531: 4530: 4526: 4522: 4520: 4516: 4515: 4511: 4507: 4506: 4503: 4498: 4494: 4488: 4485: 4483: 4480: 4477: 4473: 4469: 4468: 4464: 4451: 4447: 4443: 4439: 4435: 4431: 4427: 4423: 4419: 4415: 4411: 4406: 4402: 4398: 4393: 4388: 4384: 4380: 4375: 4370: 4366: 4362: 4358: 4353: 4342: 4338: 4334: 4330: 4326: 4322: 4318: 4314: 4310: 4305: 4304: 4300: 4284: 4280: 4276: 4272: 4268: 4264: 4260: 4256: 4252: 4245: 4242: 4230: 4226: 4222: 4218: 4214: 4210: 4206: 4202: 4198: 4191: 4188: 4176: 4172: 4168: 4164: 4160: 4156: 4152: 4148: 4144: 4140: 4136: 4133:Ed S (1964). 4129: 4126: 4121: 4117: 4112: 4107: 4103: 4099: 4095: 4091: 4087: 4080: 4077: 4065: 4061: 4057: 4053: 4049: 4045: 4041: 4037: 4033: 4026: 4023: 4011: 4007: 4003: 3999: 3995: 3991: 3987: 3983: 3979: 3975: 3971: 3964: 3961: 3956: 3952: 3945: 3942: 3930: 3926: 3922: 3918: 3914: 3910: 3906: 3902: 3898: 3891: 3888: 3876: 3872: 3868: 3864: 3860: 3856: 3852: 3848: 3844: 3837: 3834: 3829: 3825: 3821: 3817: 3812: 3807: 3803: 3799: 3795: 3788: 3785: 3780: 3774: 3770: 3763: 3761: 3759: 3757: 3755: 3753: 3751: 3749: 3747: 3745: 3743: 3741: 3739: 3735: 3730: 3726: 3722: 3718: 3714: 3710: 3706: 3702: 3695: 3692: 3687: 3680: 3678: 3676: 3674: 3672: 3668: 3656: 3652: 3646: 3643: 3638: 3634: 3630: 3626: 3622: 3615: 3613: 3609: 3604: 3598: 3594: 3593: 3585: 3582: 3577: 3571: 3567: 3560: 3558: 3554: 3549: 3542: 3540: 3536: 3531: 3525: 3521: 3514: 3511: 3506: 3500: 3496: 3489: 3486: 3481: 3475: 3471: 3464: 3462: 3460: 3458: 3456: 3454: 3450: 3445: 3439: 3435: 3428: 3425: 3420: 3414: 3410: 3409:IM Essentials 3403: 3400: 3395: 3391: 3387: 3383: 3379: 3375: 3371: 3367: 3363: 3356: 3353: 3348: 3342: 3338: 3334: 3330: 3323: 3320: 3315: 3311: 3307: 3303: 3298: 3293: 3289: 3285: 3281: 3274: 3271: 3259: 3255: 3249: 3246: 3235: 3231: 3227: 3223: 3216: 3214: 3212: 3210: 3208: 3204: 3199: 3195: 3190: 3185: 3180: 3175: 3171: 3167: 3163: 3156: 3153: 3148: 3144: 3139: 3134: 3130: 3126: 3122: 3118: 3114: 3110: 3106: 3099: 3096: 3084: 3080: 3076: 3070: 3066: 3065: 3057: 3055: 3051: 3039: 3035: 3029: 3026: 3021: 3017: 3012: 3007: 3004:(5): 517–29. 3003: 2999: 2995: 2988: 2986: 2984: 2982: 2980: 2978: 2974: 2969: 2965: 2961: 2954: 2951: 2944: 2940: 2937: 2935: 2932: 2931: 2927: 2925: 2918: 2916: 2912: 2910: 2906: 2901: 2894: 2889: 2887: 2885: 2877: 2875: 2873: 2869: 2865: 2856: 2850: 2849: 2846:for possible 2845: 2840: 2839: 2836:and possible 2835: 2831: 2827: 2822: 2818: 2814: 2810: 2808: 2807: 2803: 2801: 2795: 2792: 2788: 2784: 2782: 2779: 2778: 2775: 2774: 2770: 2766: 2761: 2757: 2753: 2749: 2747: 2746: 2742: 2740: 2734: 2731: 2727: 2723: 2721: 2718: 2717: 2714: 2711: 2709: 2705: 2701: 2696: 2694: 2690: 2685: 2683: 2681: 2677: 2673: 2669: 2665: 2659: 2657: 2653: 2651: 2648: 2647: 2644: 2640: 2638: 2637: 2633: 2627: 2624: 2622: 2619: 2618: 2615: 2613: 2608:consultation 2607: 2603: 2601: 2600: 2595: 2594: 2590: 2584: 2582: 2581: 2575: 2573: 2570: 2569: 2566: 2564: 2560: 2554: 2550: 2546: 2544: 2540: 2538: 2534: 2531: 2529: 2526: 2525: 2522: 2519: 2518:consultation 2517: 2512: 2510: 2508: 2503: 2499: 2496: 2492: 2489: 2488: 2485: 2483: 2479: 2475: 2470: 2467: 2466: 2463:Medications: 2461: 2459: 2454: 2452: 2450: 2446: 2445:transaminases 2442: 2436: 2432: 2430: 2426: 2422: 2418: 2416: 2412: 2411: 2408: 2406: 2402: 2398: 2393: 2390: 2389: 2385: 2382:Medications: 2380: 2378: 2373: 2371: 2369: 2365: 2364:transaminases 2361: 2355: 2351: 2349: 2345: 2341: 2337: 2333: 2331: 2328: 2327: 2324: 2323:Pain control 2321: 2320:consultation 2319: 2315: 2313: 2309: 2305: 2303: 2299: 2297: 2293: 2290: 2286: 2284: 2281: 2280: 2277: 2276: 2272: 2267: 2264: 2260: 2258: 2255: 2253: 2247: 2244: 2242: 2239: 2238: 2235: 2232: 2229: 2228: 2223: 2219: 2217: 2215: 2211: 2207: 2202: 2198: 2196: 2195:Murphy's sign 2192: 2190: 2189:Cholecystitis 2187: 2186: 2183: 2182:Pain control 2180: 2177: 2176: 2171: 2167: 2165: 2164:Abdominal CT 2161: 2159: 2155: 2153: 2150: 2149: 2145: 2142: 2140:Presentation 2139: 2136: 2135: 2130: 2124: 2122: 2120: 2116: 2112: 2108: 2104: 2103:antimicrobial 2100: 2096: 2092: 2088: 2084: 2080: 2076: 2072: 2069:). Choice of 2068: 2064: 2055: 2051: 2047: 2044: 2042: 2038: 2035: 2032: 2031: 2030: 2025: 2022: 2020: 2016: 2014: 2011: 2008: 2004: 2000: 1996: 1992: 1988: 1984: 1980: 1976: 1975: 1974: 1971: 1969: 1968:genitourinary 1965: 1961: 1960:physical exam 1953: 1952:visceral pain 1949: 1945: 1942: 1938: 1934: 1930: 1926: 1923: 1920: 1917: 1914: 1911: 1908: 1904: 1900: 1896: 1895: 1894: 1891: 1885: 1883: 1881: 1875: 1873: 1869: 1865: 1864:sigmoid colon 1861: 1857: 1853: 1849: 1845: 1841: 1837: 1833: 1829: 1825: 1824:biliary tract 1821: 1817: 1813: 1809: 1805: 1801: 1798:contains the 1797: 1793: 1789: 1785: 1781: 1777: 1776:visceral pain 1768: 1767: 1762: 1761: 1757: 1756: 1752: 1751: 1750:Sigmoid colon 1747: 1746: 1742: 1738: 1735: 1733: 1730: 1728: 1725: 1724: 1721: 1720: 1715: 1714: 1710: 1709: 1705: 1704: 1700: 1696: 1693: 1691: 1688: 1686: 1683: 1682: 1679: 1678: 1674: 1673: 1669: 1668: 1667:Biliary tract 1664: 1663: 1659: 1658: 1653: 1652: 1648: 1647: 1643: 1642: 1638: 1635: 1632: 1630: 1629:Celiac artery 1627: 1625: 1622: 1621: 1617: 1614: 1612:Blood supply 1611: 1608: 1607: 1601: 1594: 1591: 1588: 1584: 1583:kidney cancer 1580: 1577:Kidney pain ( 1576: 1575: 1573: 1568: 1564: 1561: 1560: 1558: 1553: 1549: 1547: 1543: 1542: 1541: 1540:low back pain 1537: 1533: 1529: 1525: 1521: 1517: 1516: 1514: 1510: 1506: 1502: 1498: 1494: 1490: 1486: 1482: 1478: 1477:endometriosis 1475:Gynecologic: 1474: 1471: 1467: 1463: 1462:bladder stone 1459: 1455: 1453: 1449: 1445: 1442: 1438: 1434: 1430: 1426: 1425: 1423: 1419: 1416: 1414: 1411: 1409: 1406: 1404: 1401: 1399: 1396: 1395: 1393: 1389: 1385: 1381: 1377: 1374: 1370: 1368: 1365: 1363: 1360: 1358: 1355: 1353: 1350: 1348: 1345: 1344: 1342: 1337: 1333: 1331: 1328: 1327: 1325: 1321: 1317: 1313: 1311: 1307: 1303: 1299: 1295: 1293: 1289: 1285: 1281: 1277: 1275: 1271: 1267: 1263: 1259: 1255: 1254: 1252: 1248: 1244: 1240: 1236: 1234: 1230: 1226: 1224: 1220: 1219:stomach ulcer 1216: 1212: 1210: 1206: 1202: 1201: 1199: 1195: 1191: 1187: 1183: 1179: 1176: 1174: 1171: 1169: 1165: 1163: 1159: 1155: 1151: 1147: 1143: 1139: 1137: 1134: 1133: 1131: 1130: 1129: 1123: 1116: 1113: 1112: 1110: 1106: 1103: 1101: 1098: 1096: 1093: 1092: 1090: 1086: 1082: 1079: 1078: 1076: 1072: 1069: 1065: 1061: 1057: 1053: 1049: 1045: 1042: 1041: 1040: 1037: 1033: 1029: 1025: 1023: 1019: 1015: 1013: 1009: 1005: 1001: 997: 993: 992: 991: 990:Referred pain 988: 984: 980: 976: 972: 968: 967:herpes zoster 964: 961: 958: 955: 954: 953: 950: 946: 942: 938: 936: 932: 928: 924: 923:endometriosis 920: 918: 917:Mittelschmerz 914: 910: 908: 904: 902: 898: 897: 895: 891: 887: 885: 881: 877: 876:kidney stones 874:Obstruction: 873: 871: 867: 863: 862: 860: 852: 848: 847: 845: 841: 840:liver abscess 837: 833: 832: 830: 826: 823:Obstruction: 822: 820: 816: 815:cholecystitis 812: 811: 809: 808: 806: 802: 798: 794: 790: 786: 782: 779: 777: 773: 769: 765: 761: 757: 753: 749: 747: 743: 739: 735: 731: 727: 723: 720:Obstruction: 719: 717: 713: 709: 705: 701: 697: 693: 689: 685: 684: 682: 681: 679: 678: 677: 671: 665: 662: 656: 653: 647: 644: 639: 636: 631: 628: 623: 621: 620: 617: 614: 609: 606: 601: 598: 593: 590: 585: 582: 577: 574: 569: 566: 561: 558: 553: 551: 550: 544: 541: 538: 537: 536: 531: 529: 528:Referred pain 524: 519: 515: 511: 506: 505: 501: 497: 491: 487: 483: 479: 475: 471: 468: 464: 460: 456: 452: 448: 445: 441: 440: 436: 432: 426: 422: 418: 413: 409: 405: 401: 397: 393: 389: 385: 381: 377: 373: 369: 365: 361: 360:cholecystitis 357: 352: 351: 346: 341: 339: 336: 331: 329: 328: 325: 323: 319: 316:and signs of 315: 311: 307: 303: 298: 296: 292: 288: 287:Acute abdomen 282:Acute abdomen 281: 279: 277: 273: 269: 265: 261: 257: 253: 249: 245: 241: 237: 233: 229: 221: 219: 217: 212: 205: 203: 201: 197: 193: 189: 185: 181: 177: 173: 168: 166: 161: 157: 153: 145: 141: 137: 133: 129: 125: 121: 117: 113: 109: 105: 101: 100:stomach ulcer 98:, perforated 97: 93: 90: 86: 83: 79: 76: 74: 70: 65: 61: 56: 52: 48: 43: 37: 33: 27:Stomach aches 19: 5242:Alder's sign 5104:Splenomegaly 5099:Hepatomegaly 5002: 4965:Constipation 4900: 4878: 4872:Mallory body 4860: 4845:Klemm's sign 4833: 4807:Aaron's sign 4802:Dance's sign 4731:Trichophagia 4632: 4621: 4610: 4599: 4575: 4564: 4553: 4538: 4523: 4508: 4478:at Wikibooks 4453:. Retrieved 4417: 4413: 4364: 4360: 4344:. Retrieved 4316: 4312: 4286:. Retrieved 4258: 4254: 4244: 4232:. Retrieved 4204: 4200: 4190: 4178:. Retrieved 4142: 4138: 4128: 4093: 4089: 4079: 4067:. Retrieved 4039: 4035: 4025: 4013:. Retrieved 3977: 3973: 3963: 3954: 3944: 3932:. Retrieved 3904: 3900: 3890: 3878:. Retrieved 3850: 3846: 3836: 3801: 3797: 3787: 3768: 3704: 3700: 3694: 3685: 3658:. Retrieved 3654: 3645: 3631:(7): 971–8. 3628: 3624: 3591: 3584: 3565: 3547: 3519: 3513: 3494: 3488: 3469: 3433: 3427: 3408: 3402: 3369: 3365: 3355: 3328: 3322: 3290:(1): 11–19. 3287: 3283: 3273: 3261:. Retrieved 3257: 3248: 3239:23 September 3237:, retrieved 3225: 3169: 3165: 3155: 3115:(1): 44–52. 3112: 3108: 3098: 3086:. Retrieved 3063: 3041:. Retrieved 3037: 3028: 3001: 2997: 2959: 2953: 2922: 2913: 2902: 2898: 2881: 2878:Epidemiology 2860: 2841: 2823: 2804: 2797: 2762: 2743: 2736: 2720:Liver injury 2712: 2704:beta blocker 2697: 2687: 2661: 2642: 2629: 2609: 2596: 2586: 2577: 2556: 2542: 2536: 2521:Antibiotics 2520: 2514: 2504: 2501: 2471: 2468: 2462: 2456: 2449:stool guaiac 2438: 2421:hematochezia 2394: 2391: 2381: 2375: 2368:stool guaiac 2357: 2336:hematochezia 2322: 2316: 2310: 2307: 2301: 2296:constipation 2268: 2265: 2262: 2256: 2249: 2233: 2231:Antibiotics 2230: 2224: 2221: 2210:transamintis 2206:leukocytosis 2203: 2200: 2181: 2179:Antibiotics 2178: 2175:appendectomy 2172: 2169: 2163: 2157: 2152:Appendicitis 2128: 2115:appendectomy 2059: 2028: 1987:electrolytes 1972: 1957: 1892: 1889: 1880:appendicitis 1876: 1818:(proximal), 1773: 1763: 1758: 1753: 1748: 1743: 1716: 1711: 1706: 1701: 1675: 1670: 1665: 1660: 1654: 1649: 1644: 1639: 1615:Innervation 1579:kidney stone 1567:kidney stone 1552:kidney stone 1546:hepatomegaly 1489:ovarian cyst 1448:kidney stone 1437:appendicitis 1362:Peptic ulcer 1352:Pancreatitis 1347:Appendicitis 1330:Splenomegaly 1310:colon cancer 1280:inflammation 1270:liver cancer 1258:hepatomegaly 1247:appendicitis 1237:Intestinal: 1229:pancreatitis 1209:pericarditis 1182:ketoacidosis 1127: 1012:pericarditis 975:Lyme disease 931:ovarian cyst 913:menstruation 905:Mechanical: 880:urolithiasis 851:pancreatitis 810:Bile system 785:peptic ulcer 742:constipation 692:appendicitis 675: 657: 652:ovarian cyst 650:Hemorrhagic 648: 640: 632: 629: 610: 602: 594: 586: 578: 570: 562: 559: 534: 525: 499: 434: 404:diverticulum 400:peptic ulcer 364:pancreatitis 356:appendicitis 344:Inflammatory 342: 337: 322:appendicitis 299: 291:inflammation 285: 260:appendicitis 240:constipation 225: 213: 211:onset pain. 209: 188:appendicitis 169: 156:stomach ache 155: 151: 150: 135: 104:pancreatitis 96:Appendicitis 91: 36: 18:Gastric pain 5257:Cupola sign 5154:Kehr's sign 5134:Puddle sign 4765:Odynophagia 4623:Radiopaedia 4601:MedlinePlus 4487:Mayo Clinic 4455:28 December 4346:28 December 4288:28 December 4234:28 December 4180:28 December 4069:28 December 4015:28 December 3934:28 December 3880:28 December 3434:Diagnostics 3088:28 December 3043:30 December 2838:splenectomy 2817:crystalloid 2791:penetrating 2756:crystalloid 2730:penetrating 2664:mediastinum 2429:hypovolemia 2348:hypovolemia 2344:hematemesis 2146:Management 2125:Emergencies 2050:colonoscopy 1907:gynecologic 1834:), and the 1828:gallbladder 1672:Gallbladder 1618:Structures 1495:, fibroid ( 1292:cholangitis 1262:fatty liver 1200:Epigastric 1136:Peritonitis 1124:By location 1111:Idiopathic 1095:sarcoidosis 1022:radiculitis 971:radiculitis 846:Pancreatic 819:cholangitis 801:indigestion 746:hemorrhoids 700:esophagitis 659:Adnexal or 470:obstruction 467:Large bowel 447:obstruction 444:Small bowel 396:Perforation 372:Peritonitis 118:, ruptured 106:, ruptured 50:Other names 5313:Acute pain 5297:Categories 5207:Psoas sign 5039:Distension 5018:Baby colic 4950:encopresis 4941:Flatulence 4933:Defecation 4923:Nardi test 4882:Boas' sign 4775:Xerostomia 4770:Bad breath 4758:esophageal 4736:Pagophagia 4721:Aerophagia 4612:Patient UK 4566:DiseasesDB 3226:StatPearls 2960:StatPearls 2945:References 2895:Geriatrics 2868:chest pain 2614:follow-up 2460:as needed 2388:octreotide 2379:as needed 2314:placement 2143:Diagnosis 2137:Condition 2119:laparotomy 2087:ranitidine 2083:omeprazole 2056:Management 2041:ultrasound 2013:Urinalysis 2003:troponin I 1933:chest pain 1931:, chills, 1872:anal canal 1842:(distal), 1832:bile ducts 1780:peritoneal 1766:anal canal 1694:T10 – T12 1371:Vascular: 1284:gallstones 1227:Pancreas: 1140:Vascular: 1100:vasculitis 1071:withdrawal 963:neurogenic 888:Vascular: 760:hemorrhage 756:thrombosis 750:Vascular: 508:occlusive 472:caused by 435:Mechanical 419:, such as 244:gallstones 126:or liver, 4854:Accessory 4748:Dysphagia 4741:Geophagia 4716:Heartburn 4577:SNOMED CT 4434:0031-3955 4383:0141-0768 4333:0735-6757 4275:0889-8553 4221:0733-8627 4159:0002-8614 4056:0002-9610 3994:0002-8614 3921:0196-0644 3867:0733-8627 3820:1460-2229 3386:0039-6109 3306:0749-8047 3129:2041-4137 2919:Pregnancy 2872:dyspepsia 2798:Imaging: 2737:Imaging: 2597:Imaging: 2547:Sigmoid: 2099:lidocaine 2075:ketorolac 2071:analgesia 2046:Endoscopy 1886:Diagnosis 1808:esophagus 1764:Superior 1717:Proximal 1655:Proximal 1641:Esophagus 1602:Mechanism 1497:leiomyoma 1481:pregnancy 1413:Dysentery 1316:pneumonia 1266:hepatitis 1215:gastritis 1213:Stomach: 1186:porphyria 1052:porphyria 1026:from the 1016:from the 1000:pneumonia 994:from the 981:(ACNES), 836:hepatitis 781:Digestive 740:, severe 734:adhesions 696:gastritis 683:GI tract 672:By system 459:neoplasms 406:, or the 380:hepatitis 262:(2%) and 238:(5%) and 73:Specialty 5122:Jaundice 5051:Bloating 4975:Diarrhea 4879:biliary: 4711:Vomiting 4582:21522001 4450:17103933 4442:16487787 4401:25193056 4341:20825873 4283:12635413 4229:16584962 4175:26336124 4167:14217863 4120:28005419 4010:30731138 3875:11214394 3828:24987023 3729:46971321 3721:17547475 3637:18441863 3314:11289083 3234:29083722 3198:25635203 3147:33489068 3083:21250252 3020:24987023 2968:29083722 2928:See also 2593:beta-hCG 2528:Volvulus 2415:GI bleed 2067:fentanyl 2063:morphine 1909:history. 1848:appendix 1840:duodenum 1836:pancreas 1816:duodenum 1802:, lower 1736:L1 – L3 1708:Appendix 1699:duodenum 1677:Pancreas 1657:duodenum 1633:T5 - T9 1565:Kidney: 1550:Kidney: 1458:cystitis 1456:Pelvic: 1398:Diarrhea 1132:Diffuse 1068:narcotic 1028:genitals 927:fibroids 921:Tumors: 752:embolism 730:volvulus 630:Source: 560:Source: 535:Source: 500:Vascular 482:volvulus 338:Source: 306:vomiting 252:pancreas 216:cramping 178:include 116:volvulus 5061:Tympany 5056:Ascites 4989:Abdomen 4785:Burping 4688:abdomen 4637:Q183425 4633:Scholia 4560:D015746 4392:4206626 4111:5291468 4064:1251963 4002:3571788 3929:2024789 3394:3279553 3189:4306086 3138:7802492 2905:T cells 2864:dyspnea 2857:Outlook 2826:general 2765:general 2557:Cecal: 2289:bilious 2079:antacid 1995:amylase 1812:stomach 1800:pharynx 1796:foregut 1792:hindgut 1784:foregut 1739:Distal 1727:Hindgut 1697:Distal 1651:Stomach 1637:Pharynx 1624:Foregut 1609:Region 1544:Liver: 1518:Bowel: 1501:abscess 1446:Renal: 1427:Colon: 1408:Crohn's 1403:Colitis 1378:Bowel: 1334:Colon: 1314:Other: 1296:Colon: 1274:abscess 1256:Liver: 1203:Heart: 807:Glands 516:of the 455:hernias 388:abscess 230:(13%), 176:abdomen 174:in the 160:symptom 158:, is a 92:Serious 5178:Hernia 5082:Masses 4706:Nausea 4606:003120 4448:  4440:  4432:  4399:  4389:  4381:  4339:  4331:  4281:  4273:  4227:  4219:  4173:  4165:  4157:  4118:  4108:  4062:  4054:  4008:  4000:  3992:  3927:  3919:  3873:  3865:  3826:  3818:  3775:  3727:  3719:  3635:  3599:  3572:  3526:  3501:  3476:  3440:  3415:  3392:  3384:  3343:  3312:  3304:  3263:1 July 3232:  3196:  3186:  3172:: 43. 3145:  3135:  3127:  3081:  3071:  3018:  2966:  2819:) and 2758:) and 2678:/TTE, 2656:murmur 2634:, MRA/ 2587:Labs: 2505:Labs ( 2439:Labs ( 2425:melena 2413:Lower 2358:Labs ( 2340:melena 2292:emesis 2252:lipase 2204:Labs ( 2097:) and 2093:, and 2019:X-rays 1999:lipase 1970:exam. 1946:Using 1868:rectum 1794:. The 1790:, and 1788:midgut 1755:Rectum 1685:Midgut 1562:Spleen 1538:Right 1418:Hernia 1166:Small 1066:bite, 1044:uremia 996:thorax 965:pain: 831:Liver 738:tumors 722:hernia 615:(FMF). 583:(DKA). 490:hernia 408:caecum 302:nausea 274:, and 264:cancer 258:(3%), 222:Causes 136:Common 88:Causes 5200:Other 5115:Other 5013:Colic 4862:liver 4698:tract 4628:47481 4571:14367 4446:S2CID 4171:S2CID 4006:S2CID 3725:S2CID 3701:Drugs 3660:2 May 2787:blunt 2726:blunt 2702:plus 2682:/TEE 2612:OBGYN 1929:fever 1844:cecum 1820:liver 1760:Fever 1703:Cecum 1662:Liver 1306:spasm 1018:spine 488:, or 398:of a 318:shock 314:fever 250:) or 198:, or 4996:Pain 4948:and 4726:Pica 4555:MeSH 4544:9-CM 4519:MD81 4457:2023 4438:PMID 4430:ISSN 4397:PMID 4379:ISSN 4348:2023 4337:PMID 4329:ISSN 4290:2023 4279:PMID 4271:ISSN 4236:2023 4225:PMID 4217:ISSN 4182:2023 4163:PMID 4155:ISSN 4116:PMID 4071:2023 4060:PMID 4052:ISSN 4017:2023 3998:PMID 3990:ISSN 3936:2023 3925:PMID 3917:ISSN 3882:2023 3871:PMID 3863:ISSN 3824:PMID 3816:ISSN 3773:ISBN 3717:PMID 3662:2023 3633:PMID 3597:ISBN 3570:ISBN 3524:ISBN 3499:ISBN 3474:ISBN 3438:ISBN 3413:ISBN 3390:PMID 3382:ISSN 3341:ISBN 3310:PMID 3302:ISSN 3265:2021 3241:2023 3230:PMID 3194:PMID 3143:PMID 3125:ISSN 3090:2023 3079:PMID 3069:ISBN 3045:2014 3016:PMID 2964:PMID 2800:FAST 2739:FAST 1830:and 1595:pain 402:, a 304:and 182:and 172:pain 4686:or 4549:789 4540:ICD 4534:R10 4525:ICD 4510:ICD 4422:doi 4387:PMC 4369:doi 4365:107 4321:doi 4263:doi 4209:doi 4147:doi 4106:PMC 4098:doi 4044:doi 4040:131 3982:doi 3909:doi 3855:doi 3806:doi 3709:doi 3374:doi 3333:doi 3292:doi 3184:PMC 3174:doi 3133:PMC 3117:doi 3006:doi 2866:or 2828:or 2789:or 2767:or 2728:or 2706:or 2672:MRA 2666:), 2273:or 2048:or 1778:or 1499:), 973:in 423:or 246:or 5299:: 4635:: 4626:: 4615:: 4604:: 4580:: 4569:: 4558:: 4547:: 4532:: 4529:10 4517:: 4514:11 4444:. 4436:. 4428:. 4418:53 4416:. 4412:. 4395:. 4385:. 4377:. 4363:. 4359:. 4335:. 4327:. 4317:29 4315:. 4311:. 4277:. 4269:. 4259:32 4257:. 4253:. 4223:. 4215:. 4205:24 4203:. 4199:. 4169:. 4161:. 4153:. 4143:12 4141:. 4137:. 4114:. 4104:. 4094:13 4092:. 4088:. 4058:. 4050:. 4038:. 4034:. 4004:. 3996:. 3988:. 3978:35 3976:. 3972:. 3953:. 3923:. 3915:. 3905:20 3903:. 3899:. 3869:. 3861:. 3851:19 3849:. 3845:. 3822:. 3814:. 3802:31 3800:. 3796:. 3737:^ 3723:. 3715:. 3705:67 3703:. 3670:^ 3653:. 3629:77 3627:. 3623:. 3611:^ 3556:^ 3538:^ 3452:^ 3388:. 3380:. 3370:68 3368:. 3364:. 3339:. 3308:. 3300:. 3288:17 3286:. 3282:. 3256:. 3224:, 3206:^ 3192:. 3182:. 3168:. 3164:. 3141:. 3131:. 3123:. 3113:12 3111:. 3107:. 3077:. 3053:^ 3036:. 3014:. 3002:31 3000:. 2996:. 2976:^ 2962:. 2710:) 2695:) 2674:, 2670:, 2565:) 2555:) 2509:) 2484:) 2480:, 2476:, 2451:) 2447:, 2437:) 2427:, 2423:, 2407:) 2403:, 2399:, 2386:, 2370:) 2366:, 2356:) 2346:, 2342:, 2338:, 2294:, 2254:) 2216:) 2212:, 2208:, 2121:. 2113:, 2089:, 2085:, 2065:, 2001:, 1997:, 1993:, 1989:, 1985:, 1981:, 1939:, 1935:, 1874:. 1866:, 1862:, 1850:, 1846:, 1822:, 1810:, 1786:, 1585:, 1581:, 1526:, 1522:, 1507:, 1503:, 1491:, 1487:, 1483:, 1468:, 1464:, 1460:, 1435:, 1431:, 1382:, 1318:, 1304:, 1290:, 1286:, 1282:, 1272:, 1268:, 1264:, 1260:, 1245:, 1241:, 1231:, 1221:, 1217:, 1207:, 1192:, 1188:, 1184:, 1180:: 1160:, 1156:, 1152:, 1148:, 1144:, 1083:, 1062:, 1054:, 1050:, 1046:, 1030:: 1020:: 1010:, 1006:, 1002:, 998:: 977:, 969:, 943:, 933:, 929:, 925:, 915:, 882:, 878:, 868:, 838:, 817:, 799:, 795:, 791:, 787:, 783:: 774:, 766:, 762:, 758:, 754:, 744:, 736:, 728:, 724:, 714:, 710:, 706:, 702:, 698:, 694:, 690:, 484:, 480:, 476:, 453:, 382:, 378:, 374:, 370:, 366:, 362:, 358:, 312:, 308:, 293:, 270:, 194:, 142:, 138:: 130:, 122:, 114:, 110:, 102:, 94:: 80:, 4919:) 4905:( 4894:/ 4864:: 4837:: 4672:e 4665:t 4658:v 4542:- 4527:- 4512:- 4502:D 4459:. 4424:: 4403:. 4371:: 4350:. 4323:: 4292:. 4265:: 4238:. 4211:: 4184:. 4149:: 4122:. 4100:: 4073:. 4046:: 4019:. 3984:: 3938:. 3911:: 3884:. 3857:: 3830:. 3808:: 3781:. 3731:. 3711:: 3664:. 3639:. 3605:. 3578:. 3532:. 3507:. 3482:. 3446:. 3421:. 3396:. 3376:: 3349:. 3335:: 3316:. 3294:: 3267:. 3200:. 3176:: 3170:7 3149:. 3119:: 3092:. 3047:. 3022:. 3008:: 2970:. 2009:. 1589:) 1443:) 1439:( 663:. 654:. 645:. 607:. 599:. 591:. 575:. 567:. 492:. 461:. 427:. 410:. 390:. 34:. 20:)

Index

Gastric pain
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

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