Lower Abdominal Pain. [Review] - 2016

Available online from MWHC library: 1996 - present

Although most frequently presenting with lower abdominal pain, appendicitis, colitis, and diverticulitis can cause pain throughout the abdomen and can cause peritoneal and retroperitoneal symptoms. Evaluation and management of lower intestinal disease requires a nuanced approach by the emergency physician, sometimes requiring computed tomography, ultrasonography, MRI, layered imaging, shared decision making, serial examination, and/or close follow-up. Once a presumed or confirmed diagnosis is made, appropriate treatment is initiated, and may include surgery, antibiotics, and/or steroids. Appendicitis patients should be admitted. Diverticulitis and inflammatory bowel disease can frequently be managed on an outpatient basis, but may require admission and surgical consultation. Copyright © 2016 Elsevier Inc. All rights reserved.


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*Abdominal Pain
*Gastrointestinal Diseases
Abdominal Pain/di [Diagnosis]
Abdominal Pain/th [Therapy]
Colonic Diseases/di [Diagnosis]
Diagnosis, Differential
Emergency Service, Hospital
Gastrointestinal Diseases/di [Diagnosis]
Gastrointestinal Diseases/th [Therapy]
Humans
Magnetic Resonance Imaging/mt [Methods]
Risk Factors
Tomography, X-Ray Computed/mt [Methods]
Ultrasonography/mt [Methods]


MedStar Washington Hospital Center


Emergency Medicine


Journal Article
Review