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Acute Abdominal Pain
1. Evaluation of acute abdominal pain is challenging but recognition of life-threatening causes is important. Abdominal pain accounts for 10% of emergency department visits. 2. Abdominal pain originates from three pathways: visceral pain from organ distension or stretching, parietal pain from inflammation or stretching of the abdominal wall, and referred pain felt distant from the source. 3. A thorough patient history regarding pain onset, location, characteristics, and exacerbating/relieving factors can help identify potential causes like appendicitis, perforated ulcer, or pancreatitis. Sudden severe pain requiring waking from sleep indicates a serious problem like perforation or ischemia.
