Core EM - Emergency Medicine Podcast

Episode 22.0 – Extra-Abdominal Causes of Abdominal Pain

Nov 16, 2015
Explore the surprising world of abdominal pain that doesn't originate in the abdomen. Discover how conditions like diabetic ketoacidosis can confuse diagnoses. Delve into the links between genitourinary issues and abdominal discomfort, highlighting the critical role of thorough examinations. Learn why a systematic approach is essential for assessing both abdominal and extrabdominal causes, ensuring no stone is left unturned in the quest for answers.
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INSIGHT

Abdominal Pain in DKA Insight

  • Abdominal pain in DKA often resolves with treatment of acidosis and ketosis.
  • Sometimes abdominal pain in DKA may stem from underlying intra-abdominal pathology.
ADVICE

Perform GU Exam for Abdominal Pain

  • Always consider genitourinary causes like testicular torsion and epididymitis in male abdominal pain.
  • Perform a genital exam since male genital innervation can cause abdominal pain.
ADVICE

Screen Gynecologic Causes

  • Don't skip pelvic or bimanual exams in females with abdominal pain to detect gynecologic causes.
  • Always do beta HCG testing for women of reproductive age to rule out ectopic pregnancy.
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