Abdominal pain critical pathways: Difference between revisions
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{{Abdominal pain}} | {{Abdominal pain}} | ||
{{CMG}} | {{CMG}} | ||
==Definition== | |||
* Abdominal pain is considered acute if the duration is less than six months and chronic when it has been occurring over at least six months, either constantly or intermittently.<ref>{{Cite book | last1 = Sleisenger | first1 = Marvin H. | last2 = Feldman | first2 = Mark | last3 = Friedman | first3 = Lawrence S. (Lawrence Samuel) | last4 = Brandt | first4 = Lawrence J. | title = Sleisenger and Fordtran's gastrointestinal and liver disease : pathophysiology, diagnosis, managemen | date = 2010 | publisher = Saunders/Elsevier | location = Philadelphia , PA | isbn = 1-4160-6189-4 | pages = }}</ref> | |||
* '''Acute abdomen''' is defined as severe localized or generalized abdominal pain with abdominal rigidity.<ref>{{Cite web | last = | first = | title = ICD-10 Version:2010 | url = http://apps.who.int/classifications/icd10/browse/2010/en#/R10.0 | publisher = | date = }}</ref> It is less than 24 hours in duration and may require surgical evaluation and intervention. | |||
==Approach== | ==Approach== | ||
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| bgcolor=#A1CAF1 border:1px|'''Hemodynamic instability?'''||[[Hemodynamic instability smart algorithm|'''Yes''']]||[[Acute and chronic abdominal pain smart algorithm|'''No''']] | | bgcolor=#A1CAF1 border:1px|'''Hemodynamic instability?'''||[[Hemodynamic instability smart algorithm|'''Yes''']]||[[Acute and chronic abdominal pain smart algorithm|'''No''']] | ||
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* A systolic blood pressure of more than 80 mm Hg and a proportional pulse pressure of more than 25% suggest adequate cardiac output. | * A systolic blood pressure of more than 80 mm Hg and a proportional pulse pressure of more than 25% suggest adequate cardiac output. | ||
Revision as of 20:01, 25 July 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Definition
- Abdominal pain is considered acute if the duration is less than six months and chronic when it has been occurring over at least six months, either constantly or intermittently.[1]
- Acute abdomen is defined as severe localized or generalized abdominal pain with abdominal rigidity.[2] It is less than 24 hours in duration and may require surgical evaluation and intervention.
Approach
| Hemodynamic instability? | Yes | No |
- A systolic blood pressure of more than 80 mm Hg and a proportional pulse pressure of more than 25% suggest adequate cardiac output.
References
- ↑ Sleisenger, Marvin H.; Feldman, Mark; Friedman, Lawrence S. (Lawrence Samuel); Brandt, Lawrence J. (2010). Sleisenger and Fordtran's gastrointestinal and liver disease : pathophysiology, diagnosis, managemen. Philadelphia , PA: Saunders/Elsevier. ISBN 1-4160-6189-4.
- ↑ "ICD-10 Version:2010".