Abdominal pain is a common presentation, delays in diagnosis and management can complicate the patient outcome.
Achieving the balance between safe and expedient assessment versus delay and over investigation is the key in managing abdominal pain presentations.
Immunocompromised (e.g. HIV, chronic steroid treatment, renal failure, transplant patients and cancer patients on chemotherapy)
Previous abdominal surgery
Cardiac disease (AF, IHD)
Sudden onset, sever or constant pain
Signs of shock
Paediatric Abdominal Emergencies
This clinical tool deals with surgical abdominal emergencies in adults.
Useful resources for management of paediatric abdominal emergencies can be found here.
Further References and Resources
Red Flag Education
An real case highlighting issues in the management of abdominal pain is detailed below:
- Abdominal pain
- Bleeding in early pregnancy
- Diarrhoea and vomiting
- Diverticular disease
- Gastro-Oesophageal Reflux Disease (GORD)
- Kidney Stone
- Pelvic Inflammatory Disease
- Peptic Ulcer Disease (PUD)
- Circulation - Intraosseous access
- Circulation - Venepuncture
- Gastroenterology - Paracentesis
- Obs and Gynae - Speculum exam
- Ultrasound - Abdominal aorta
- Ultrasound - Biliary
- Ultrasound - FAST
- Ultrasound - Pregnancy (abdominal)
- Ultrasound - Renal