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.
An 83 year old diet controlled diabetic if brought in by his family with fevers and confusion. He had complained of some mild abdominal discomfort 48 hours before.
It’s night shift & you’ve received handover of an entire department. You plug on and start chipping away at the waiting-list that doesn’t seem ever get any shorter....