Presentation
A 68-year-old man presents with suspected bladder cancer. You consider that its most common presenting sign or symptom is: A. Painful urination B. Fever and flank pain C. Painless frank hematuria D. Palpable abdominal mass 15. [proprofs.com]
Patients classically present with severe abdominal pain despite having little tenderness on examination. Vomiting and diarrhea are often present. [emedicine.medscape.com]
Testicular pathology may present with pain referred to the abdomen. [cdemcurriculum.com]
Chronic abdominal pain is pain that is present for more than 3 months. It may be present all the time (chronic) or come and go (recurring). Chronic abdominal pain usually occurs in children beginning after age 5 years. [msdmanuals.com]
New Interactive Medical Case: “Dissecting a Case of Abdominal Pain” Posted by • October 31st, 2016 A 43-year-old man with no notable medical history presented to the emergency department within 1 hour after the abrupt onset of abdominal pain. [blogs.nejm.org]
Gastrointestinal
- Loss of Appetite
People with loss of appetite, jaundice, and/or swelling or with steady, worsening pain should see a doctor within a few days to a week. When these warning signs are present, a physical cause is very likely. [msdmanuals.com]
And there are usually other symptoms, like a loss of appetite, weight loss, persistent vomiting, persistent bloating of the abdomen, and recent changes in bowel habits. [health.com]
Constant or increasing upper or lower abdominal pain with nausea and significantly decreased or loss of appetite. Constant or increasing upper or lower abdominal pain with increasing nausea and vomiting. [pugetsound.edu]
Other common symptoms are loss of appetite, nausea, vomiting, low-grade fever and muscle tension and resistance in the lower abdomen. It is important to call your doctor immediately if you have these symptoms. [universityendoscopy.com]
The pain may persist for a week or more and can lead to a marked loss of appetite and weight. Treatment with appropriate medication can cure this infestation and the abdominal pain that accompanies it. [healthychildren.org]
Urogenital
- Microscopic Hematuria
Persistent microscopic hematuria would be the primary finding in about ______% of individuals with bladder cancer. A. 10 B. 20 C. 30 D. 40 17. A. Hepatoma B. Acute cholecystitis C. Acute hepatitis D. Cholelithiasis 18. [proprofs.com]
Workup
When children with RAP are referred for psychiatric evaluation—often after extensive medical workups—we can help them and their parents manage the problem and function more normally. [mdedge.com]
Identify the main imaging modalities useful in the workup of abdominal pain and vomiting. [cdemcurriculum.com]
[…] complete blood count, urine pregnancy test followed with quantitative blood beta-hCG Imaging: transvaginal ultrasound If patient is unstable: IV fluid resuscitation, urgent obstetrics and gynecology consultation If patient is stable: continue diagnostic workup [en.wikipedia.org]
In the 1983 edition of Harrison’s Principles and Practice of Internal Medicine, a textbook I heavily relied upon during medical school, William Silen wrote: The location of the pain is a useful starting point that should guide further workup. [docsopinion.com]
Serum
- Thrombocytosis
Thrombocytosis D. The presence of HBsAg 58. Clinical findings in patients with acute Hep. B likely include all of the following except: A. Abdominal rebound tenderness B. Scleral icterus C. A smooth, tender, palpable hepatic border D. [proprofs.com]
Treatment
Treatment of the FBDs relies upon confident diagnosis, explanation, and reassurance. [gut.bmj.com]
For most patients, medical treatment or biofeedback is successful. For those patients who require surgery, minimally invasive and laparoscopic techniques are often utilized. [bmc.org]
The doctor will reevaluate your child after treatment. If the initial treatment was not effective, the doctor might try a new treatment. Pharmacological treatment could last six months to a year. [chw.org]
Why use biofeedback treatment? Biofeedback treatment is a painless/non-invasive technique. It is an engaging and fun treatment modality for children. Research shows biofeedback is a successful treatment for functional abdominal conditions. [thebrainclinic.com]
: Cognitive-Behavioral Treatment of Irritable Bowel Syndrome: The Brain-Gut Connection. Treatment Manuals for Practitioners. Edited by Barlow DH. New York: The Guilford Press; 2000. [link.springer.com]
Prognosis
The prognosis for abdominal pain depends on the cause and the promptness of medical care and diagnosis. Type and Location of the Abdominal Pain The type and location of pain may help the doctor find the cause. [emedicinehealth.com]
Sloth H, Jorgensen LS: Chronic non-organic upper abdominal pain: diagnostic safety and prognosis of gastrointestinal and non-intestinal symptoms. A 5-to 7-year follow-up study. Scand J Gastroenterol 1988, 23 : 1275–1280. PubMed Google Scholar 11. [link.springer.com]
The prognosis for 2-year survival is poor B. A cystectomy is indicated C. Despite successful initial therapy, local recurrence is common D. Systemic chemotherapy is the treatment of choice 16. [proprofs.com]
Etiology
Its mitochondrial etiology may remain undetermined and could be the result of dysfunction within the organ (Finsterer, 2007). Various medications are associated with pharmacological disruption of mitochondrial metabolism. [mitoaction.org]
Abdominal pain and vomiting can be the presenting symptoms of significant cardiorespiratory disease and many etiologies of abdominal pain can cause clinical deterioration and sepsis if not addressed promptly. [cdemcurriculum.com]
Most common etiologies include: Appendix – acute appendicitis. Ileocecal junction – terminal ileitis (infectious, Crohn’s disease), irritable bowel syndrome. Cecum – cecal volvulus and intestinal obstruction, cecal perforation. [clinicaladvisor.com]
View/Print Table TABLE 3 Etiology of Abdominal Wall Pain Etiology Comments Diagnosis Hernia Protuberance in abdominal wall that usually decreases in size when patient is supine Abdominal CT scanning, abdominal ultrasonography, herniography Rectus nerve [aafp.org]
Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. [icd10data.com]
Epidemiology
Locke GR: The epidemiology of functional gastrointestinal disorders in North America. Gastroenterol Clin North Am 1996, 25 : 1–19. PubMed CrossRef Google Scholar 7. [link.springer.com]
[…] transfusion If patient is unstable: general or trauma surgery consultation with subsequent exploratory laparotomy and possible splenectomy If patient is stable: medical management, consultation of interventional radiology for possible arterial embolization Epidemiology [en.wikipedia.org]
An epidemiological study of 30,303 participants identified that trauma associated with sepsis significantly increased the length of stay in intensive care units (22 versus 5 days), and increased the overall inpatient length of stay (34 versus 7 days) [cochranelibrary.com]
Pathophysiology
Pathophysiology – Understanding Why People Get CAPS To understand the basis for chronic abdominal pain syndrome it is helpful to understand how the body experiences pain. [iffgd.org]
License: Public Domain Background and Pathophysiology of Abdominal Pain An abdominal cavity, also called a peritoneal cavity, is bounded anterolaterally by the xiphoid process and costal margins, posteriorly by the vertebral column, superiorly by the [lecturio.com]
The pathophysiology of functional abdominal pain is thought to involve abnormalities in the enteric nervous system (ENS), a rich and complex nervous system that envelops the entire gastrointestinal tract. [pediatrics.aappublications.org]
Mitochondrial neurogastrointestinal encephalopathy and its pathophysiology. Intern Med 2006;45(7):415-6. (((McCallum RW, Sabu JG. Gastric dysmotility and gastroparesis. Curr Treatment Options in Gastroenterol 2001;_____:179-91.)) Robertson MA. [mitoaction.org]
The Working Team changed the definitions of IBS, functional abdominal bloating and functional constipation from a “disorder” to “disorders” to acknowledge multiple pathophysiologic possibilities. [gut.bmj.com]
Prevention
Hospital for Sick Children Health A-Z Search a complete list of child health articles expand_more View All Drug A-Z Search a list of articles about medications expand_more View All Learning Hubs Browse a complete list of content groups Healthy Living & Prevention [aboutkidshealth.ca]
Drugs that prevent seizures (anticonvulsants), especially toparimate and phenobarbital have also been used to prevent episodes from occurring. [rarediseases.org]
This will prevent the swallowing of air that results in the generation of gas, thereby causing abdominal pain. To sum up, keeping a healthy diet, sleeping well, exercising, etc. will all help prevent abdominal pains from happening. [organicfacts.net]
The proper diet for IBS, and a pure soluble fiber supplement such as Tummy Fiber Acacia Senegal, will normalize bowel function (diarrhea AND constipation) while preventing painful spasms and cramps in the gut. [helpforibs.com]
Healthy Eating While healthy eating can't prevent all indigestion and discomfort, it can prevent some of it. That's why it's valuable to make sure that you've changed your diet to one that is less prone to causing indigestion. [calmclinic.com]