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Generalized abdominal pain

  • Common ddx

    • gastroenteritis, adhesions, IBD, IBS, sickle cell
  • Don't miss

    • DKA, bowel obstruction, ileus, bowel ischemia/necrosis, appendicitis, peritonitis, ascites, lead poisoning
  • Labs

    • CBC, chem
    • glc, anion gap if suspect DKA
    • KUB if suspect obstruction (obstipation, hyperactive BS, distention)
    • FOBT and endoscopy if blood in stool
    • mesenteric angiogram if suspect ischemia/embolish (PMH afib or chronic abd pain after meals)
    • stool culture if foreign travel and diarrhea
  • Other ddx

    • trauma, parasites
  • HPI

    • onset
    • location
    • quality
    • quantity
    • alleviation
    • aggravation
  • ROS

    • fever, wt loss
    • nausea, vomiting, diarrhea, constipation, blood in stool
    • trauma
    • foreign travel, sick contacts
    • lead exposure
  • PMH

    • afib, atherosclerosis, DM, sickle cell
  • PSH

    • past abdominal surgery
  • FH

    • sickle cell
  • SH

    • recent meals, EtOH, tob, illicit drugs
  • Meds

  • Allergies

  • Px

    • vitals: temp, BP
    • mental status, distress, fruity odor
    • cardio: arrhythmias
    • inspection: guarding, distention, ascites, trauma
    • bowel sounds, abdominal aorta bruits
    • palpation: tenderness, rebound, mass
    • dullness to percussion

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.