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Emerg. Med. Clin. North Am. · Nov 2021
ReviewAbdominal Pain in the Emergency Department: Missed Diagnoses.
- Maglin Halsey-Nichols and Nicole McCoin.
- University of North Carolina at Chapel Hill, Houpt Building (Physician Office Building) Suite 1116, 170 Manning Drive- CB-7594, Chapel Hill, NC 27599-7594, USA. Electronic address: maglin_halsey@med.unc.edu.
- Emerg. Med. Clin. North Am. 2021 Nov 1; 39 (4): 703-717.
AbstractAbdominal pain is the most common chief complaint in the Emergency Department. Abdominal pain is caused by a variety of gastrointestinal and nongastrointestinal disorders. Some frequently missed conditions include biliary pathology, appendicitis, diverticulitis, and urogenital pathology. The Emergency Medicine clinician must consider all aspects of the patient's presentation including history, physical examination, laboratory testing, and imaging. If no diagnosis is identified, close reassessment of pain, vital signs, and physical examination are necessary to ensure safe discharge. Strict verbal and written return precautions should be provided to the patient.Copyright © 2021 Elsevier Inc. All rights reserved.
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