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Abdominalgia: Medical Term for Abdominal Pain
Abdominalgia (synonym: abdominal pain) is discomfort anywhere between the chest and pelvis. It is a symptom, not a diagnosis.
Common Causes by System
- GI: Gastritis, PUD, gastroenteritis, constipation, IBS, IBD, obstruction, appendicitis, diverticulitis, pancreatitis.
- GU: UTI, nephrolithiasis, ovarian cyst, ectopic pregnancy, PID.
- Vascular: AAA, mesenteric ischemia.
- Hepatobiliary: Cholecystitis, choledocholithiasis, hepatitis.
- Referred: MI (epigastric), pneumonia (lower lobe), DKA.
Red Flags (Emergent)
- Severe, sudden onset ("worst ever")
- Hemodynamic instability
- Rigid, board-like abdomen
- Hematemesis/melena
- Pregnancy with pain/bleeding
History, exam, labs (CBC, lipase, LFTs, UA, β-hCG), imaging (US, CT) guide diagnosis.
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