A review of the diagnostic evaluation and treatment of appendicitis, with a particular focus on emergency department work-up and management
A 57 year old man presents to the ED with 18 hours of severe upper abdominal pain, fever, nausea and vomiting. He looks jaundiced, his HR is 120bpm, BP 110/60, RR 22 and his temperature is 37.8oC. He is tender and guarded in his right upper quadrant on abdominal palpation.
Although abdominal pain is generally considered a surgical disease, there are countless medical causes of abdominal pain to consider. See also abdominal pain.
Acute abdomen is abdominal pain in the presence of tenderness and rigidity and is a surgical emergency. Abdominal pain can be considered in terms of surgical, Ob/Gyn and medical causes.