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Lower Abdominal Pain. [Review]

MedStar author(s):

Citation: Emergency Medicine Clinics of North America. 34(2):229-49, 2016 MayPMID: 27133242Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *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]Year: 2016 Local holdings: Available online from MWHC library: 1996 - presentISSN:

0733-8627

Name of journal: Emergency medicine clinics of North AmericaAbstract: 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.All authors: Carlberg DJ, Dubin JS, Lee SDFiscal year: FY2016Digital Object Identifier:

https://dx.doi.org/10.1016/j.emc.2015.12.003

Date added to catalog: 2017-03-17

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	27133242	Available		27133242

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.

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