2 tables to explain the differential diagnosis of abdominal pain in detail!

Classification of abdominal pain

classification of abdominal pain classification of abdominal pain

According to the course of disease: acute abdominal pain, chronic abdominal pain (duration > 6 month.

According to the course of disease: According to the course of disease: acute abdominal pain, chronic abdominal pain (duration> 6 month.

According to the mechanism: According to the mechanism: visceral abdominal pain, somatic abdominal pain, inductive defense tower, psychological abdominal pa.

According to the location of abdominal pain: According to the location of abdominal pain: right upper quadrant, middle upper quadrant, left upper quadrant, umbilical cord, right lower quadrant, lower quadrant, left lower quadrant, diffuse or irregular locati.

Possible causes of acute abdominal pain in different locations

Possible causes of chronic abdominal pain in different locations

Possible causes of chronic abdominal pain in different locations

According to clinical features: classification of acute abdominal pain

According to clinical features: classification of acute abdominal pain

medical history collection

medical history collection

General information: age, gender, occupation, history of exposure to toxicants,e.

General information: General information: age, gender, occupation, history of exposure to toxicants,e.

History of present illness: History of present illness: causes of abdominal pain, onset mode, location, nature, rhythm, degree, radiation, accompanying symptoms, aggravating and mitigating factors, past history, and menstrual histo.

Physical examination: Physical examination: focus on vital signs, abdominal examination, and rectal examinati.

emergency treatment

General principles

General principles

Evaluate the general condition to determine whether it is critical, observe the abdominal condition for preliminary diagnosis , and consider whether there is an indication for emergency surge.

Evaluate the general condition to determine whether it is critical, observe the abdominal condition for preliminary diagnosis , and consider whether there is an indication for emergency surge.

Critical condition assessment

①Blood pressure↓, shock, acute diffuse peritonitis, pulse rate>130 beats/min, T>39℃ or T<36℃, irritability, cold sweat and other sepsis symptoms, WBC>20E+9/L, NEU.

①Blood pressure↓, shock, acute diffuse peritonitis, pulse rate>130 beats/min, T>39℃ or T<36℃, irritability, cold sweat and other sepsis symptoms, WBC>20E+9/L, NEU.

② Jaundice accompanied by high fever, severe infection of the biliary system, and septic shock may occ.

③ Vomiting, diarrhea, oliguria, obvious signs of dehydration, electrolyte and acid-base balance disorders, blood Na < 130 mmol/L, K < 5 mmol/L, CO2 binding capacity < 18 mmol/L or > 32 mmol/L, excess alkali > 4 mmol /L, partial pressure of oxygen <60mmHg, low oxygenation index, alert to AR.

④ Acute abdominal pain after abdominal surgery is related to multiple operations, such as bleeding, anastomotic leakage, intestinal obstruction, or outbreak of infection in the abdominal cavity, postoperative acute pancreatitis, and organ infarction caused by vascular emboli.

Conservative medical treatment and dynamic assessment

Hemodynamic monitoring should be performed for critically ill patients, transfer to ICU if necessary, oxygen inhalation, fluid replacement, indwelling urinary catheter, and 24-hour intake and outp.

Hemodynamic monitoring should be performed for critically ill patients, transfer to ICU if necessary, oxygen inhalation, fluid replacement, indwelling urinary catheter, and 24-hour intake and outp.

, blood type, infection eight items, fill in the blood transfusion consent form, application form, and contact the blood ban.

General treatment: fasting with water, gastrointestinal decompression, parenteral nutrition if necessary; semi-recumbent position (relieving abdominal muscle tension, which is conducive to the drainage of abdominal fluid to the pelvis); fluid replacement to correct water-electrolyte acid-base balance disorders (due to fasting state, pay attention to see urine potassium supplementation); antibiotics (anti-G-bacteria and anti-anaerobic bacteria); symptomatic treatment: pain relief, antipyretic, inhibition of digestive juice secretion, laxative, enema,e.

General treatment: General treatment: fasting water, gastrointestinal decompression, parenteral nutrition if necessary; semi-recumbent position (relieving abdominal muscle tension, which is conducive to the drainage of abdominal fluid to the pelvis); fluid replacement to correct water-electrolyte acid-base balance disorders ( Due to fasting state, pay attention to see urine potassium supplementation); antibiotics (anti-G-bacteria and anti-anaerobic bacteria); symptomatic treatment: pain relief, antipyretic, inhibition of digestive juice secretion, laxative, enema,e.

Antibiotic Digestion

Unclear principles of abdominal pain management

Unclear principles of abdominal pain management Unclear principles of abdominal pain management

Characteristics and treatment of common acute abdominal pain 

Common acute abdominal pain features and treatmentCommon acute abdominal pain features and treatment 

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