The Curbsiders Internal Medicine Podcast cover image

The Curbsiders Internal Medicine Podcast

#262 Subacute and Chronic Abdominal Pain: Physical Exam Series

Mar 17, 2021
Learn how the abdominal exam affects imaging choices, when to call a surgeon, and which maneuvers may not be helpful. Discuss the challenges in diagnosing abdominal pain and liver disease, including conditions like cirrhosis and acute pancreatitis. Explore the use of scoring systems in diagnosing cirrhosis. Focus on decision-making and factors to consider in the physical exam for acute abdominal pain.
37:46

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Quick takeaways

  • Assessing the severity of symptoms and overall discomfort is crucial in determining the urgency of evaluation and potential intervention for acute abdominal pain.
  • A combined approach of physical exam findings and relevant lab results can aid in diagnosing and managing biliary tract disorders.

Deep dives

Differentiating between sick and non-sick patients

When assessing a patient with acute abdominal pain, it is crucial to determine if the patient is sick or non-sick. This can be evaluated based on the severity of symptoms and overall discomfort. Acute right upper quadrant pain may require urgent care, as it could indicate conditions that are likely to worsen in the next day or two and potentially require intervention, such as antimicrobial therapy, imaging, or surgery. On the other hand, subacute or chronic abdominal pain may not require urgent evaluation and can be further assessed over time.

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