Abdominal Pain

A1.   Abdominal Pain (acute and chronic)

A1.1    Given a patient presenting with abdominal pain, perform a patient-centered interview and focused physical exam, list and interpret clinical findings. Then,

  1. Identify signs and symptoms of a surgical abdomen.
  2. Identify red flags of potential serious causes including referred pain from chest
  3. Identify psychosocial factors associated with chronic and recurrent abdominal pain.
  4. Propose a relevant differential diagnosis that includes common causes of abdominal pain and less common but important causes of abdominal pain.

A1.2    For patients with acute abdominal pain, propose an initial management plan that includes appropriate and timely referral/investigation for potentially serious causes.

A1.3    For patients with chronic/recurrent abdominal pain, propose a management plan that highlights initial investigations and basic management.

Articles

Abdominal Pain Clinical Card 2014

Sandercock LE, Keegan DA. Abdominal Pain. Canadian Family Medicine Clinical Card. 2011. Available at: https://sites.google.com/site/sharcfm/.

Top 10 differential diagnoses in family medicine: Generalized abdominal pain

Ponka D, Kirlew M. Top 10 differential diagnoses in family medicine: Generalized abdominal pain. Can Fam Physician. 2007;53(9):1509. doi: 53/9/1509 [pii].

Acute GI-related Abdominal Pain

The Calgary Guide to Understanding Disease. Acute GI-Related Abdominal Pain: Pathogenesis and Characteristics. Published Aug 7, 2012. Available at: http://calgaryguide.ucalgary.ca/

Evaluation of Acute Abdominal Pain in Adults

Cartwright SL, Knudson MP. Evaluation of Acute Abdominal Pain in Adults. Am Fam Physician. 2008;77(7):971-978.

The Diagnosis and Management of IBS in Adults

Wilkins T, Pepitone C, Alex B, Schade RR. Diagnosis and management of IBS in adults. Am Fam Physician. 2012;86(5):419-426. doi: d10520 [pii]

When is IBS not IBS

Grover M. When is irritable bowel syndrome not irritable bowel syndrome? diagnosis and treatment of chronic functional abdominal pain. Curr Gastroenterol Rep. 2012;14(4):290-296. doi: 10.1007/s11894-012-0270-8 [doi].