1) Dolor abdominal accounts for approximately 7% of emergency department visits and establishing the cause requires a thorough patient history, physical exam, and diagnostic testing. 2) The patient history for abdominal pain should include details on location, character, onset, intensity, radiation, duration, triggering factors, and previous episodes. 3) Potential causes of abdominal pain include gastrointestinal, genitourinary, gynecological, musculoskeletal, and systemic conditions. Further workup may include lab tests, imaging like x-rays or CT scans, and ultrasounds.

1. Dolor abdominal
R1CG Edgar Vargas Flores

2. 7% de consultas en
salas de urgencias (2006)
Pitts SR, Niska RW, Xu J, et al. National hospital ambulatory medical care survey: 2006
emergency department summary. National health statistics report; no. 7. Hyattsville
(MD): National Center for Health Statistics; 2008.
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3. Historia clinica
• Local i zaci ón
• Car áct er
• I ni ci o
• I nt ensi dad
• I r r adi aci ón
• Dur aci ón
• Fact or es pr ovocador es
• Epi sodi os pr evi os
McNamara R, Dean AJ. Approach to acute abdominal pain. Emerg Med Clin N Am 29
2011. 159–173. Filadelfia, PA.
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4. Sintomatologia asociada
McNamara R, Dean AJ. Approach to acute abdominal pain. Emerg Med Clin N Am 29
2011. 159–173. Filadelfia, PA.
•Anorexi a
•Vómi t os
•Sí nt omas
i nt est i nal es
•Ot ros sí nt omas
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5. Exploracion fisica
McNamara R, Dean AJ. Approach to acute abdominal pain. Emerg Med Clin N Am 29
2011. 159–173. Filadelfia, PA.
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6. Estudios diagnosticos
Panebianco NL, Jahnes K, Mills A. Imaging and laboratory testing in acute abdominal
pain. Emerg Med Clin N Am 29. 2011. 175–193. Filadelfia, PA.
•LABORATORIOS
•Rx
•TAC
•USG
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7. CAUSAS SISTEMICAS
Fields JM, Dean AJ. Systemic causes of abdominal pain. Emerg Med Clin N Am 29. 2011.
195–210. Filadelfia, PA.
• SÍNDROMES ACIDÓTICOS
METABÓLICOS
• INSUFICIENCIA SUPRARRENAL
• TIROTOXICOSIS
• PORFIRIA
• HIPERCALCEMIA
• ANEMIA DE CÉLULAS FALCIFORMES
• NEUTROPENIA
• POLIARTERITIS NODOSA
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• PÚRPURA DE HENOCH
SCHONLEIN
• LUPUS
• TUBERCULOSIS
• OPIOIDES
• SÍNDROME DE INTESTINO
IRRITABLE
• HERPES ZÓSTER

8. Poblaciones especiales
1. Ragsdale L, Southerland L. Acute abdominal pain in the older adult. Emerg Med Clin N Am 29, 2011.
429–448. Filadelfia, PA.
2. Marin JR, Alpern E. Abdominal pain in children. Emerg Med Clin N Am 29. 2011, 401–428. Filadelfia PA:
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